Evidence map›Paper›PMID 33934284›Full record

ArticleInternational journal of health economics and management2021

Impacts of insurance expansion on health cost, health access, and health behaviors: evidence from the medicaid expansion in the US.

Prabal K De

Abstract read
PubMed Publisher
In one paragraph

Article in International journal of health economics and management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. The causal effects of mandatory health insurance coverage expansion in Switzerland.International journal of health economics and management · 2025
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Prabal K DeDepartment of Economics and Business, The Colin Powell School at City College of New York, The Graduate Center, City University of New York, 160 Convent Avenue, New York, 10031, USA. pde@ccny.cuny.edu.ORCID http://orcid.org/0000-0002-0043-3207

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Expansion of subsidized health insurance may result in both safer and riskier health behavior and outcomes. While having insurance lowers cost barriers to receive both usual and preventive care, the lower potential cost from adverse health events may also promote risky behavior. In this paper, I exploit expansion in the Medicaid program under the Affordable Care Act to estimate the impact of insurance expansion on health outcomes and behaviors for low-income individuals in the US. I find that expansion of coverage has significantly lowered cost and increased access, particularly among minority populations, but has had no significant impact on preventive health behaviors. At the same time, I also find no evidence of moral hazard or increase risky behavior like smoking and drinking among residents of expansion states.

Indexed as

MedicaidPatient Protection and Affordable Care ActHealth BehaviorHealth Care CostsHealth Services AccessibilityHumansInsurance CoverageUnited StatesACAHealth behaviorMedicaid expansionMoral hazard

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.