Class 23: Medicaid Expansion and Hospital Uncompensated Care
The goal of this module is to understand difference-in-differences as a causal identification strategy. We’ll do this in the context of Medicaid expansion and its effect on hospital uncompensated care.
Readings and other links
Links to papers are listed alongside the full reference
- Required readings for this module:
- Chapters 8-9 of Causal Inference: The Mixtape
- Chapters 16-18 of The Effect: An Introduction to Research Design and Causality
- Supplemental information and readings:
- Chapter 5 of (Angrist and Pischke 2009)
- (Courtemanche et al. 2017)
- (Obama 2016)
- Data for this module:
Objectives
- Understand some of the large changes introduced by the Affordable Care Act
- Explain what we mean by “Medicaid expansion”
- Understand HCRIS data on hospital uncompensated care
Activities
- Summarize trends in uncompensated care over time
- Compare uncompensated care in Medicaid expansion vs. non-expansion states
References
Angrist, J., and J. Pischke. 2009. Mostly Harmless Econometrics. Princeton, NJ: Princeton University Press.
Courtemanche, Charles, James Marton, Benjamin Ukert, Aaron Yelowitz, and Daniela Zapata. 2017. “Early Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non-Expansion States.” Journal of Policy Analysis and Management 36 (1): 178–210.
Obama, Barack. 2016. “United States Health Care Reform: Progress to Date and Next Steps.” Jama 316 (5): 525–32.