Akosa Antwi Yaa, Moriya Asako S, Simon Kosali I
Department of Economics, Indiana University-Purdue University Indianapolis (IUPUI), United States.
The School of Public and Environmental Affairs (SPEA), Indiana University, United States.
J Health Econ. 2015 Jan;39:171-87. doi: 10.1016/j.jhealeco.2014.11.007. Epub 2014 Nov 28.
The Affordable Care Act of 2010 expanded coverage to young adults by allowing them to remain on their parent's private health insurance until they turn 26 years old. While there is evidence on insurance effects, we know very little about use of general or specific forms of medical care. We study the implications of the expansion on inpatient hospitalizations. Given the prevalence of mental health needs for young adults, we also specifically study mental health related inpatient care. We find evidence that compared to those aged 27-29 years, treated young adults aged 19-25 years increased their inpatient visits by 3.5 percent while mental illness visits increased 9.0 percent. The prevalence of uninsurance among hospitalized young adults decreased by 12.5 percent; however, it does not appear that the intensity of inpatient treatment changed despite the change in reimbursement composition of patients.
2010年的《平价医疗法案》将医保覆盖范围扩大至年轻人，允许他们在年满26岁之前继续享受父母的私人医疗保险。虽然有证据表明医保有效果，但我们对一般或特定形式医疗服务的使用情况知之甚少。我们研究了医保覆盖范围扩大对住院治疗的影响。鉴于年轻人心理健康需求的普遍性，我们还专门研究了与心理健康相关的住院护理。我们发现，与27至29岁的人群相比，接受医保的19至25岁年轻人的住院就诊次数增加了3.5%，而精神疾病就诊次数增加了9.0%。住院年轻人中未参保的比例下降了12.5%；然而，尽管患者报销构成发生了变化，但住院治疗的强度似乎并未改变。
