Work

Health Insurance Coverage Changes Under the Affordable Care Act Among High Housing Cost Households, 2010–18

Year: 2024

Type: article

Abstract: This study examines the impact of the Affordable Care Act (ACA) on health insurance coverage among rent-burdened households-those spending more than 30% of their income on rent-and non-rent-burdened households. Using data from American Community Survey, we find that Medicaid take-up rate increased 8.88 percentage points (pp) among rent-burdened households and 7.54 pp among non-rent-burdened households in expansion states. Conditional on household income and demographic characteristics, rent-burdened households exhibit a 1.5 pp higher likelihood of Medicaid enrollment, with an additional decline of 0.7 pp in employer-sponsored insurance and 1.0 pp in directly purchased insurance enrollment. These effects were more pronounced among individuals aged over 26 and those in states without state-run exchanges. The findings show the importance of tailored Medicaid policies to assist households facing housing burdens, especially for those ineligible for housing vouchers.

Source: Health Economics

DOI: 10.1002/hec.4912

Authors: Yu Cao, Yuxin Su, Guan Wang, Chengcheng Zhang

Institutions: World Bank Group, SKEMA Business School, Stevenson University, Towson University

Language: English

Topic: Healthcare Policy and Management

Subfield: Economics and Econometrics

Field: Economics, Econometrics and Finance

Domain: Social Sciences

SDGs: Reduced inequalities, No poverty, Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,860