Losing public health insurance: TennCare reform and personal financial distress

Argys, Laura M.; Friedson, Andrew I.; Pitts, M. Melinda; Tello‐Trillo, Sebastian

doi:10.1016/j.jpubeco.2020.104202

Cited by 30 publications

(38 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally, the number of bankruptcies falls by 0.01 (about 11%). Our estimated change in bankruptcies is within the confidence intervals reported by Hu et al (2018) and (although neither of these two studies detects a statistically significant effect on bankruptcy), and smaller than the treatment effect implied by estimates in Gross and Notowidigdo (2011) and Argys et al (2019). 5 We also see evidence that enrollment in Medicaid is associated with improved access to credit markets.…”

Section: Introductionsupporting

confidence: 52%

The ACA Medicaid Expansion in Michigan and Financial Health

Miller¹,

Hu²,

Kaestner³

et al. 2020

J Policy Anal Manage

View full text Add to dashboard Cite

This article examines how the financial health changes following an individual's enrollment in Michigan's Medicaid program (Healthy Michigan Program, HMP). We use unique data that link credit reports of HMP enrollees to Medicaid administrative data on enrollment and use of healthcare services. We find that Medicaid enrollment is associated with large improvements in several measures of financial health, including reductions in unpaid bills, medical bills, over limit credit card spending, and public records (such as evictions, judgments, and bankruptcies). These improvements are apparent across several subgroups, although individuals with greater medical need, such as those with chronic illnesses, experience the largest benefits.

show abstract

Section: Introductionsupporting

confidence: 52%

The ACA Medicaid Expansion in Michigan and Financial Health

Miller¹,

Hu²,

Kaestner³

et al. 2020

J Policy Anal Manage

View full text Add to dashboard Cite

show abstract

“…For example, the impact of being denied an abortion on collections is as large as the effect of being evicted (Humphries et al, 2019) and the impact on unpaid bills is several times larger than the effect of losing health insurance (Argys et al, 2019). Although imprecisely estimated in our setting, it appears that denying a woman an abortion reduces her credit score by more than the impact of a health shock resulting in a hospitalization (Dobkin et al, 2018) or being exposed to high levels of flooding following Hurricane Harvey (Billings et al, 2019).…”

Section: Resultsmentioning

confidence: 78%

The Economic Consequences of Being Denied an Abortion

Miller¹,

Wherry²,

Foster³

2020

View full text Add to dashboard Cite

Restrictions on abortion are pervasive, yet relatively little is known about the financial and economic impact of being denied an abortion on pregnant women who seek one. This paper evaluates the economic consequences of being denied an abortion on the basis of the gestational age of the pregnancy. Our analysis relies on new linkages to administrative credit report data for participants in the Turnaway Study, the first study to collect high-quality, longitudinal data on women receiving or being denied a wanted abortion in the United States. Some women had pregnancies close to the facility's gestational age limit, but below it, and received a wanted abortion (Near Limit Group). A second group of women had pregnancies just over the facility's gestational age limit and were turned away without receiving an abortion (Turnaway Group). We link study participants to ten years of credit report data including several years prior to their recruitment into the study. Using these data, we compare differences in credit report outcomes for the two groups of women over time using an event study design. We find that the trajectories for these outcomes are similar for the two groups of women prior to the abortion encounter. However, following their visit to the abortion provider, we find evidence of a large and persistent increase in financial distress for the women who were denied an abortion that is sustained for several years. Being denied an abortion increases the amount of debt 30 days or more past due by 78 percent and increases negative public records, such as bankruptcies and evictions, by 81 percent. We conduct additional analyses that use a regression discontinuity design to compare outcomes for women just above and just below the gestation limit at each clinic and find results that are consistent with the event study analyses. We explore the mechanisms behind these findings by taking advantage of existing survey data collected for the study participants and compare the effects sizes we document to those experienced by similar women following a "typical" birth. Our results highlight important financial and economic consequences of restrictions on abortion access.

show abstract

“…We also examine if individuals with subprime risk scores prior to the mandate's implementation, those most likely to be considered credit constrained and financially vulnerable, experienced relatively larger decreases in distress than those with prime risk scores. 4 We find that young adults who were subprime prior to the passage of the mandate experienced the largest declines in financial distress. This paper contributes to an emerging literature that has used large, nationally representative data sets of credit bureau information to examine the effect of other health-insurance policies on financial well-being of various groups (Argys, Friedson, Pitts, and Tello-Trillo, 2017; Brevoort, Grodzicki, and Hackmann, 2017; Hu, Kaestner, Mazumder, Miller, and Wong, 2016;Mazumder and Miller, 2016).…”

Section: Introductionmentioning

confidence: 67%

“…First, we add to a growing body of literature that has analyzed the effects of the ACA's dependent coverage mandate on a number of different margins, including employment (Bailey and Chorniy, 2016; Heim, Lurie, and Simon, 2017), self-employment (Bailey, 2017), and health and health-care utilization outcomes (Akosa Antwi, Moriya, and Simon, 2015; Barbaresco, Courtemanche, and Qi, 2015). Second, unlike previous studies that have used credit report information, we analyze the effect of a government-mandated 4 We define subprime as having a risk score below 620 in the first quarter of 2008. We use the Equifax Risk Score, which is similar to other risk or credit scores used in the industry.…”

Section: Introductionmentioning

confidence: 99%

Did the ACA's Dependent Coverage Mandate Reduce Financial Distress for Young Adults?

Blascak¹,

Mikhed²

2018

Working Paper (Federal Reserve Bank of Philadelphia)

View full text Add to dashboard Cite

We analyze whether the passage of the A ffordable C are A ct's dependent coverage m andate in 2010 reduced financial distress for young adults. U sing nationally r epresentative, anonymized consumer credit r eport information, w e find that young adults covered by the m andate lowered their past due debt, had fewer delinquencies, and had a r educed probability of filing for bankruptcy. These effects are stronger in geographic areas that experienced higher uninsured rates for young adults prior to the mandate's implementation. Our estimates also show that some improvements are transitory because they diminish after an individual ages out of the mandate at age 26.

show abstract

Losing public health insurance: TennCare reform and personal financial distress

Cited by 30 publications

References 31 publications

The ACA Medicaid Expansion in Michigan and Financial Health

The ACA Medicaid Expansion in Michigan and Financial Health

The Economic Consequences of Being Denied an Abortion

Did the ACA's Dependent Coverage Mandate Reduce Financial Distress for Young Adults?

Contact Info

Product

Resources

About