Shore-Sheppard L, Buchmueller T C, Jensen G A
Department of Economics, University of Pittsburgh, PA, USA.
J Health Econ. 2000 Jan;19(1):61-91. doi: 10.1016/s0167-6296(99)00019-3.
While previous research has identified a relationship between expanded Medicaid eligibility and falling private health insurance coverage, the exact mechanism by which this "crowding out" occurs is largely unexplained. We combine individual and firm-level data to investigate possible responses to the Medicaid expansions by firms and workers. We find no evidence that the expansions affected employer offers of insurance to workers. However, we find some evidence of an effect on the probability that a firm offers family coverage, and on the percentage of full-time workers accepting employer-sponsored coverage offered to them.
虽然先前的研究已经确定了扩大医疗补助资格与私人医疗保险覆盖率下降之间的关系，但这种“挤出”效应发生的确切机制在很大程度上仍未得到解释。我们结合个人和企业层面的数据，来调查企业和员工对医疗补助扩大可能做出的反应。我们没有发现证据表明这种扩大影响了雇主为员工提供保险。然而，我们发现有一些证据表明，这对企业提供家庭保险的可能性以及接受雇主提供的保险的全职员工比例有影响。
