Jun Dajung
Department of Economics, Michigan State University, East Lansing, Michigan.
Health Econ. 2018 Oct;27(10):1609-1616. doi: 10.1002/hec.3785. Epub 2018 Jun 19.
With the push to repeal the Affordable Care Act, there is renewed interest in using tax credits to increase health insurance coverage. Another tax credit-driven policy, the Health Insurance Tax Credit (HITC), was implemented during 1991-1993. To date, only one paper has analyzed the effectiveness of the HITC on coverage rates. In this paper, I reexamine the effectiveness of the HITC by using the Survey of Income Program Participation and provide the first estimates of its effects on utilization and self-reported health status. Despite using the different data set, I find a similar result regarding coverage as the previous paper-the effect of the HITC was about 5.8 percentage points. I also find that self-reported health was significantly improved because of the HITC. I conclude by discussing the implications of these findings on the larger debate regarding current health care reform.
随着废除《平价医疗法案》的推进,人们对利用税收抵免来增加医疗保险覆盖范围重新产生了兴趣。另一项由税收抵免驱动的政策,即健康保险税收抵免(HITC),在1991年至1993年期间实施。迄今为止,只有一篇论文分析了HITC对覆盖率的有效性。在本文中,我通过使用收入计划参与情况调查重新审视了HITC的有效性,并首次估计了其对医疗服务利用和自我报告健康状况的影响。尽管使用了不同的数据集,但我在覆盖率方面发现了与之前论文类似的结果——HITC的效果约为5.8个百分点。我还发现,由于HITC,自我报告的健康状况有了显著改善。最后,我讨论了这些发现对当前医疗改革更大辩论的影响。