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Childhood Medicaid Coverage and Later-Life Health Care Utilization.


ABSTRACT: Exploiting a discontinuity in childhood Medicaid eligibility based on date of birth, we find that more years of childhood eligibility are associated with fewer hospitalizations in adulthood. For blacks, we find a 7-15% decrease in hospitalizations and a suggestive 2-5% decrease in emergency department visits, but no similar effect for non-blacks. The effects are pronounced for utilization related to chronic illnesses and for patients living in low-income zip codes. Calculations suggest that lower rates of hospitalizations during one year in adulthood for blacks offset between 2 and 4 percent of the initial costs of expanding Medicaid for all children.

SUBMITTER: Wherry LR 

PROVIDER: S-EPMC6497159 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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Childhood Medicaid Coverage and Later-Life Health Care Utilization.

Wherry Laura R LR   Miller Sarah S   Kaestner Robert R   Meyer Bruce D BD  

The review of economics and statistics 20180504 2


Exploiting a discontinuity in childhood Medicaid eligibility based on date of birth, we find that more years of childhood eligibility are associated with fewer hospitalizations in adulthood. For blacks, we find a 7-15% decrease in hospitalizations and a suggestive 2-5% decrease in emergency department visits, but no similar effect for non-blacks. The effects are pronounced for utilization related to chronic illnesses and for patients living in low-income zip codes. Calculations suggest that lowe  ...[more]

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