Journal
JOURNAL OF HEALTH ECONOMICS
Volume 45, Issue -, Pages 161-175Publisher
ELSEVIER
DOI: 10.1016/j.jhealeco.2015.11.001
Keywords
Medicaid; Health and human capital
Funding
- University of Minnesota
- Agency for Healthcare Research and Quality [R36H5021690]
- Eunice Kennedy Shriver National Institute for Child Health and Human Development [5R24HD041023]
- National Institutes of Health [R01 HD069609]
- National Science Foundation [1157698]
- AGENCY FOR HEALTHCARE RESEARCH AND QUALITY [R36HS021690] Funding Source: NIH RePORTER
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT [R01HD069609, R24HD041023] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE ON AGING [P01AG029409, R01AG040213] Funding Source: NIH RePORTER
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This paper examines the long-term impact of exposure to Medicaid in early childhood on adult health and economic status. The staggered timing of Medicaid's adoption across the states created meaningful variation in cumulative exposure to Medicaid for birth cohorts that are now in adulthood. Analyses of the Panel Study of Income Dynamics suggest exposure to Medicaid in early childhood (age 0-5) is associated with statistically significant and meaningful improvements in adult health (age 25-54), and this effect is only seen in subgroups targeted by the program. Results for economic outcomes are imprecise and we are unable to come to definitive conclusions. Using separate data we find evidence of two mechanisms that could plausibly link Medicaid's introduction to long-term outcomes: contemporaneous increases in health services utilization for children and reductions in family medical debt. (C) 2015 Elsevier B.V. All rights reserved.
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