Medicaid Expansions & Public Health Spending: Cross-Subsidies, Complementarities, and Crowd-OutAmerican Public Health Association Annual Meeting (2014)
AbstractIn this paper we estimate the causal impact of state Medicaid enrollment expansions and expenditures on state and local resources allocated to other public health programs and services. Using a quasi-experimental design with instrumental variables estimation, we find evidence that increased Medicaid spending leads to reduced governmental spending on other public health services, consistent with a crowd-out effect. Over 10 years, such crowd-out has the potential to diminish the health status improvements generated through health insurance coverage expansions.
Publication DateFall November 17, 2014
Citation InformationGlen Mays. "Medicaid Expansions & Public Health Spending: Cross-Subsidies, Complementarities, and Crowd-Out" American Public Health Association Annual Meeting (2014)
Available at: http://works.bepress.com/glen_mays/181/