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October 17, 2018

Cluster-Seminar Public Finances and Living Conditions

The Impacts of the Affordable Care Act on Low-Income Household Finances


October 17, 2018
12:30 - 13:30


Anna J. Schwartz Room
Room 5.2.010
Mohrenstraße 58
10117 Berlin


Cortnie Anne Shupe

This paper investigates the impact of the Patient Protection and Affordable Care Act (ACA, "Obamacare") on out-of-pocket medical expenditures and access to health care for households across the income distribution. Using a DDD identification strategy and simulated eligibility instruments, I parameterize three of the central policy provisions of the ACA: Medicaid expansion, insurance exchange subsidies and individual mandate penalties, and assess their separate effects. I find that all three policies decreased the OOP of targeted households at the bottom of the income distribution and increased utilization of medical services and access to health care.