Does health reform affect self-employment? Evidence from Massachusetts

Heim, Bradley T.; Lurie, Ithai Z.

doi:10.1007/s11187-014-9572-6

Cited by 30 publications

(15 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Applying the estimates in DeCicca (), which found a positive impact of nongroup market regulations on self‐employment, one would expect the implementation of the ACA to increase self‐employment in states with lesser levels of pre‐ACA regulation. On the other hand, if the estimates in Heim and Lurie (, ) are valid, one would expect little or no impact on self‐employment. Thus, to test between these two possibilities and to identify the impact of the ACA on self‐employment, we compare changes in self‐employment rates pre‐ and post‐ACA implementation in states that had no such regulations (or had a subset of these regulations) and for which the ACA is a substantial change in policy, to states that had regulations similar to the ACA and for which the ACA is a comparatively minor change in policy.…”

Section: Data and Empirical Strategymentioning

confidence: 99%

“…However, Heim and Lurie () examined the passage of these regulations throughout the country, and found no statistically significant effect on the level of self‐employment, though they did find that the composition of the self‐employed changed from younger to older taxpayers. Finally, Heim and Lurie () found that the 2006 Massachusetts health reform law led to a decline in the rate of taxpayers earning a majority of income from self‐employment, though Niu () found no statistically significant long‐run impact of the Massachusetts reform.…”

Section: Related Literaturementioning

confidence: 99%

See 1 more Smart Citation

The impact of the Affordable Care Act on self‐employment

Heim

Yang

2017

Health Economics

Self Cite

View full text Add to dashboard Cite

This paper estimates the impact of the implementation of the Affordable Care Act (ACA) in 2014 on the decision to be self-employed. Using data from the Current Population Survey, we employ two identification strategies. Utilizing prereform variation in state nongroup health insurance market regulations, we find that the ACA did not increase self-employment overall in states that lacked similar provisions in their nongroup markets prior to 2014. In specifications that utilize variation across individuals in characteristics that could make it harder for them to purchase insurance if they left their current employer, we also do not find that the ACA differentially increased self-employment. However, in states that lacked the ACA nongroup market provisions, we do find a statistically significant increase in the second year of implementation (when individuals had more time to adjust behavior and the exchanges functioned properly) among individuals eligible for insurance subsidies, suggesting that a combination of time to adjust, low uncertainty and low insurance costs may be necessary for nongroup health insurance reforms to impact self-employment.

show abstract

Section: Data and Empirical Strategymentioning

confidence: 99%

Section: Related Literaturementioning

confidence: 99%

The impact of the Affordable Care Act on self‐employment

Heim

Yang

2017

Health Economics

Self Cite

View full text Add to dashboard Cite

show abstract

“…Difference‐in‐difference estimates that use the state‐level introduction of community rating find null effects (Heim and Lurie ), or temporary positive effects (DeCicca ; Heim and Lurie ). Several papers also find mixed effect of the Massachusetts health reform, which established individual and employer mandates, subsidized health insurance for low‐income households, and created a health insurance market place (Heim and Lurie ; Niu 2014).…”

Section: Background and Related Literaturementioning

confidence: 99%

“…Early research has found little impact of the ACA on labor supply (Gooptu et al ; Levy, Buchmueller, and Nikpay ), while previous research on specific reforms finds mixed effects of insurance market reforms on self‐employment (DeCicca ; Heim and Lurie , ; Niu 2014), but positive effects of health insurance tax subsidies (Heim and Lurie ). This research focuses on all workers, but the combination of tax subsidies and market regulations should have the strongest effect on workers with preexisting health conditions.…”

mentioning

confidence: 99%

Entrepreneurship and Job Lock: The Interaction Between Tax Subsidies and Health Insurance Regulations

Nikpay

2019

Contemporary Economic Policy

View full text Add to dashboard Cite

This paper demonstrates that health insurance tax subsidies increase self‐employment, but that the effect differs substantially based on nongroup market regulations and health status. Using the Panel Study of Income Dynamics, I show that households that cannot purchase health insurance because of a preexisting condition do not respond to tax subsidies in states in which they would be denied insurance, but they respond strongly in states in which they face risk‐rated premiums. Households respond similarly to tax subsidies in states with nongroup market regulations similar to those established by the Affordable Care Act, regardless of preexisting conditions. (JEL H20, I13, J30)

show abstract

“…The method consists of creating an artificial counterfactual to estimate the impact of a given intervention on a unit of interest. SCM has gained widespread acceptance in many fields, having been successfully applied in political science (Abadie, Diamond, and Hainmueller 2014;Montalvo 2011), economics (Billmeier and Nannicini 2013;Coffman and Noy 2012;Jinjarak, Noy, and Zheng 2013), education studies (Hinrichs 2012), and public health science (Heim and Lurie 2014). However, SCM has rarely, if ever, been used to evaluate homicide prevention strategies in São Paulo, despite being a useful tool for this particular type of question.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Effect of Homicide Prevention Strategies in São Paulo, Brazil: A Synthetic Control Approach

Freire

2022

Lat. American Res. Rev.

View full text Add to dashboard Cite

Although Brazil remains severely affected by civil violence, the state of São Paulo has made significant inroads into fighting criminality. In the last decade, São Paulo has witnessed a 70 percent decline in homicide rates, a result that policy-makers attribute to a series of crimereducing measures implemented by the state government. While recent academic studies seem to confirm this downward trend, no estimation of the total impact of state policies on homicide rates currently exists. The present article fills this gap by employing the synthetic control method to compare these measures against an artificial São Paulo. The results indicate a large drop in homicide rates in actual São Paulo when contrasted with the synthetic counterfactual, with about 20,000 lives saved during the period. The theoretical usefulness of the synthetic control method for public policy analysis, the role of the Primeiro Comando da Capital as a moderating variable, and the practical implications of the security measures taken by the São Paulo State government are also discussed.Apesar de o Brasil permanecer gravemente afetado pela violência civil, o estado de São Paulo tem realizado progressos significativos no combate ao crime. Na última década, São Paulo testemunhou uma queda de 70% em suas taxas de homicídio, um resultado que formuladores de políticas públicas atribuem a uma série de medidas de redução de criminalidade adotadas pelo governo estadual. Embora estudos acadêmicos recentes pareçam confirmar esta tendência de baixa, ainda não há estimativas do impacto total das políticas estatais sobre a taxa de homicídios. O presente artigo visa preencher tal lacuna ao empregar o método de controle sintético para comparar tais medidas contra um São Paulo artificial. Os resultados indicam uma grande queda nas taxas de homicídio quando contrastadas com o contrafactual sintético, com cerca de 20,000 vidas salvas durante o período. A utilidade teórica do controle sintético para a análise de políticas públicas, o papel do Primeiro Comando da Capital como variável moderadora, e as implicações práticas das medidas de segurança adotadas pelo governo do estado de São Paulo também são discutidas.

show abstract

Does health reform affect self-employment? Evidence from Massachusetts

Cited by 30 publications

References 28 publications

The impact of the Affordable Care Act on self‐employment

The impact of the Affordable Care Act on self‐employment

Entrepreneurship and Job Lock: The Interaction Between Tax Subsidies and Health Insurance Regulations

Evaluating the Effect of Homicide Prevention Strategies in São Paulo, Brazil: A Synthetic Control Approach

Contact Info

Product

Resources

About