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Fiscal Federalism and the Budget Impacts of the Affordable Care Act's Medicaid Expansion
Gruber, Jonathan - 2020
Medicaid's federal-state matching system of financing is the nation's largest example of fiscal federalism. Using generous federal subsidies, the Affordable Care Act incentivized states to expand Medicaid, which became a state option in the aftermath of a 2012 Supreme Court ruling. As of early...
Persistent link: https://www.econbiz.de/10012482043
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The Impact of Provider Payments on Health Care Utilization : Evidence from Medicare and Medicaid
Cabral, Marika; Carey, Colleen; Miller, Sarah - National Bureau of Economic Research - 2021
Provider payments are the key determinant of insurance generosity within many health insurance programs covering low-income populations. This paper analyzes the effects of a large, federally-mandated provider payment increase for primary care services provided to low-income elderly and disabled...
Persistent link: https://www.econbiz.de/10012696380
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Cost of Service Regulation in U.S. Health Care : Minimum Medical Loss Ratios
Cicala, Steve - 2017
A health insurer's Medical Loss Ratio (MLR) is the share of premiums spent on medical claims. The Affordable Care Act introduced minimum MLR provisions for all health insurance sold in fully-insured commercial markets, thereby capping insurer profit margins, but not levels. While intended to...
Persistent link: https://www.econbiz.de/10012455328
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Was Pandemic Fiscal Relief Effective Fiscal Stimulus? Evidence from Aid to State and Local Governments
Clemens, Jeffrey; Hoxie, Philip G.; Veuger, Stan - National Bureau of Economic Research - 2022
We use an instrumental-variables estimator reliant on variation in congressional representation to analyze the effects of federal aid to state and local governments across all four major pieces of COVID-19 response legislation. Through September 2021, we estimate that the federal government...
Persistent link: https://www.econbiz.de/10013334387
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Macroeconomic Frameworks
Auerbach, Alan J. - 2019
We link detailed data on defense spending, wages, hours, employment, establishments, and GDP across U.S. cities to study the effects of fiscal stimulus. Our small-open-economy empirical setting permits us to estimate key macroeconomic outcomes and elasticities, including the responses of the...
Persistent link: https://www.econbiz.de/10012480310
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Fiscal Zoning and Sales Taxes : Do Higher Sales Taxes Lead to More Retailing and Less Manufacturing?
Burnes, Daria - 2011
We test the hypothesis that local government officials in jurisdictions that have higher local sales taxes are more likely to use fiscal zoning to attract retailing. We find that total retail employment is not significantly affected by local sales tax rates, but employment in big box and anchor...
Persistent link: https://www.econbiz.de/10012461725
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Macro Fiscal Policy in Economic Unions : States as Agents
Carlino, Gerald - 2013
. We examine the historical experience of federal government transfers to state and local governments and their impact on … incorporates federal intergovernmental transfers, disaggregated into project (e.g., infrastructure) aid and welfare aid, as …. First, aggregate federal transfers to state and local governments are less stimulative than are transfers to households and …
Persistent link: https://www.econbiz.de/10012459102
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The Affordable Care Act’s Effects on Patients, Providers and the Economy : What We’ve Learned So Far
Gruber, Jonathan - 2019
As we approach the tenth anniversary of the passage of the Affordable Care Act, it is important to reflect on what has been learned about the impacts of this major reform. In this paper we review the literature on the impacts of the ACA on patients, providers and the economy. We find strong...
Persistent link: https://www.econbiz.de/10012479882
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How Do Low-Income Enrollees in the Affordable Care Act Marketplaces Respond to Cost-Sharing?
Lavetti, Kurt J. - 2019
The ACA requires insurers to provide cost-sharing reductions (CSRs) to low-income consumers on the marketplaces. We link 2013-2015 All-Payer Claims Data to 2004-2013 administrative hospital discharge data from Utah and exploit policy-driven differences in the value of CSRs that are solely...
Persistent link: https://www.econbiz.de/10012480373
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Twenty Year Economic Impacts of Deworming
Hamory, Joan - 2020
This study exploits a randomized school health intervention that provided deworming treatment to Kenyan children and utilizes longitudinal data to estimate impacts on economic outcomes up to 20 years later. The effective respondent tracking rate was 84%. Individuals who received 2 to 3...
Persistent link: https://www.econbiz.de/10012481464