Working Paper

The Effect of the Patient Protection and Affordable Care Act Medicaid Expansions on Financial Wellbeing


Abstract: We examine the effect of the Medicaid expansions under the 2010 Patient Protection and Affordable Care Act (ACA) on consumer, financial outcomes using data from a major credit reporting agency for a large, national sample of adults. We employ the synthetic control method to compare individuals living in states that expanded Medicaid to those that did not. We find that the Medicaid expansions significantly reduced the number of unpaid bills and the amount of debt sent to third-party collection agencies among those residing in zip codes with the highest share of low-income, uninsured individuals. Our estimates imply a reduction in collection balances of between $600 to $1,000 among those who gain Medicaid coverage due to the ACA. Our findings suggest that the ACA Medicaid expansions had important financial impacts beyond health care use.

Keywords: Medicaid; Health insurance; consumer finance; low income; Affordable Care Act (ACA); public policy;

JEL Classification: H42; I18; I12;

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Authors

    Mazumder, Bhashkar

    Kaestner, Robert

    Miller, Sarah

    Wong, Ashley

    Hu, Luojia

Bibliographic Information

Provider: Federal Reserve Bank of Chicago

Part of Series: Working Paper Series

Publication Date: 2016-09-21

Number: WP-2016-10

Pages: 62 pages