Wednesday, November 8, 2017

DOES MEDICAID GENEROSITY AFFECT HOUSEHOLD INCOME? - ANIL KUMAR WEIGHS IN




Anil Kumar at the Federal Reserve Bank of Dallas has written another interesting paper He's a prolific writer who churns out reams of fascinating economic data. Here's his abstract, and a link to the research. Spoiler alert: Medicaid has a dilutive effect on poverty reduction in certain populations, which I would not view as unexpected. I would think that the policy implications would be to include Mr. Kumar's work when attempting to ascertain the efficacy of the program, with a view toward possible modification as needed to maximize the social benefit across the population.

Abstract:
 
Almost all recent literature on Medicaid and labor supply has used Affordable Care Act (ACA)-
induced Medicaid eligibility expansions in various states as natural experiments. Estimated effects
on employment and earnings differ widely due to differences in the scope of eligibility expansion
across states. Using a Regression Kink Design (RKD) framework, this paper takes a uniquely
different approach to the identification of the effect of Medicaid generosity on household income.
Both state-level data and March CPS data from 1980–2013 suggest that generous federal funding
of state-level Medicaid costs have a modest negative effect on household income. The negative
impact of Medicaid generosity on household income is more pronounced at the lower end of the
household income distribution and on the income and earnings of female heads.
 
Keywords: Medicaid, Household Income, Labor Supply

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