How do the Affordable Care Act health insurance coverage expansions affect payment for medical care provided through liability insurance, such as auto insurance? Theoretically, expanding coverage might lead to a substitution of health insurance disbursements for automobile insurance disbursements. Alternatively, expanding health insurance coverage might increase utilization of medical care, inc...

Unlike children in most other economically developed countries, children in the United States are not guaranteed health insurance coverage. Indeed, many U.S. children have no health insurance coverage at all. Their lack of coverage restricts their access to health care services: uninsured children have fewer physician visits per year than children with insurance and are less likely to have a us...

PROBLEM/CONDITION In 2009, before passage of the 2010 Patient Protection and Affordable Care Act (ACA), approximately 20% of women aged 18-64 years had no health insurance coverage. In addition, many women experienced transitions in coverage around the time of pregnancy. Having no health insurance coverage or experiencing gaps or shifts in coverage can be a barrier to receiving preventive healt...

The cost of expanding health insurance coverage increases when people who would otherwise purchase insurance obtain public coverage. This paper investigates the effects of one of the first efforts to target insurance benefits to the most needy, the 1982 medicare as secondary payer (MSP) provisions. We find strong evidence of low compliance with the MSP both in terms of medical bill payments (pa...

PURPOSE To determine whether adolescents who lose Medicaid entitlements when they leave foster care are subsequently able to secure employer-sponsored or student health insurance coverage. METHODS This was a 2-year follow-up study of a cohort of 404 adolescents leaving foster care in eight counties in a midwestern state. We conducted survival analysis to study predictors of time to first insu...

We investigate the effect of health insurance coverage on the decision of individuals to apply for Disability Insurance (DI). Those who qualify for DI receive public insurance under Medicare, but only after a two-year waiting period. This raises concerns that many disabled are going uninsured while they wait for their Medicare coverage. Moreover, the combination of this waiting period and the u...

CONTEXT Past studies show that rural populations are less likely than urban populations to have health insurance coverage, which may severely limit their access to needed health services. PURPOSE To examine rural-urban differences in various aspects of health insurance coverage among working-age adults in Kentucky. METHODS Data are from a household survey conducted in Kentucky in 2005. The ...

Introduction: The Current Status of Health Insurance Coverage I ncreasing the number of Americans with health insurance has been a recurrent focus of federal and state policymaking, and recent trends suggest that the issue continues to warrant legislative attention.The number of people without health insurance coverage in the United States increased in 2001, a reversal of two years of falling r...