Yazici E Y, Kaestner R
School of Public Affairs, Baruch College, City University of New York, USA.
Inquiry. 2000 Spring;37(1):23-32.
This paper re-examines the magnitude of crowd out among children. We use longitudinal data that allow us to identify and differentiate groups of children based on whether their eligibility for Medicaid was affected by the program's eligibility expansions. We investigate whether changes in insurance coverage of children affected by the expansions differed from changes in insurance coverage of children unaffected by the expansions. For example, we directly measure whether there was a greater decrease in private insurance coverage among children who became eligible for Medicaid than among children whose eligibility was unaffected. Our results suggest that there was relatively little crowd out among children. We estimate that 18.9% of the recent increase in Medicaid enrollment came from private insurance.
本文重新审视了儿童中的挤出效应规模。我们使用纵向数据，使我们能够根据儿童是否符合医疗补助计划资格扩大条件来识别和区分不同儿童群体。我们调查了受资格扩大影响的儿童的保险覆盖范围变化是否与未受资格扩大影响的儿童的保险覆盖范围变化有所不同。例如，我们直接衡量符合医疗补助计划资格的儿童的私人保险覆盖范围的下降幅度是否大于资格未受影响的儿童。我们的结果表明，儿童中的挤出效应相对较小。我们估计，近期医疗补助计划参保人数增加的18.9%来自私人保险。
