HEALTH INSURANCE ELIGIBILITY, UTILIZATION OF MEDICAL CARE, AND CHILD HEALTH

HEALTH INSURANCE ELIGIBILITY, UTILIZATION OF MEDICAL CARE, AND CHILD HEALTH

March 1995 | Janet Currie, Jonathan Gruber
This paper examines the effects of Medicaid eligibility expansions on child health and medical care utilization in the United States. The authors use data from the Current Population Survey (CPS) and the National Health Interview Survey (NHIS) to analyze how changes in Medicaid eligibility between 1984 and 1992 affected child health outcomes and medical care access. They find that while Medicaid eligibility increased, the actual coverage of children was lower than expected, suggesting that take-up of benefits was limited. This is partly due to the fact that many newly eligible children already had private insurance, and some may have been ineligible for Medicaid in the first place. The authors also find that Medicaid eligibility had mixed effects on child health, with some evidence suggesting that it improved health outcomes, particularly in terms of reducing child mortality. However, other studies suggest that insurance may not always lead to better health outcomes, and that the effects of Medicaid on health may be limited by other factors such as the quality of care and the availability of medical services. The paper also finds that Medicaid expansions had significant effects on the utilization of medical care, with eligible children more likely to visit doctors and hospitals. However, the authors caution that these effects may not always translate into improved health outcomes, and that other factors such as the quality of care and the availability of medical services may play a role. Overall, the paper suggests that while Medicaid expansions may have increased access to medical care, their effects on child health are mixed and may be limited by other factors.This paper examines the effects of Medicaid eligibility expansions on child health and medical care utilization in the United States. The authors use data from the Current Population Survey (CPS) and the National Health Interview Survey (NHIS) to analyze how changes in Medicaid eligibility between 1984 and 1992 affected child health outcomes and medical care access. They find that while Medicaid eligibility increased, the actual coverage of children was lower than expected, suggesting that take-up of benefits was limited. This is partly due to the fact that many newly eligible children already had private insurance, and some may have been ineligible for Medicaid in the first place. The authors also find that Medicaid eligibility had mixed effects on child health, with some evidence suggesting that it improved health outcomes, particularly in terms of reducing child mortality. However, other studies suggest that insurance may not always lead to better health outcomes, and that the effects of Medicaid on health may be limited by other factors such as the quality of care and the availability of medical services. The paper also finds that Medicaid expansions had significant effects on the utilization of medical care, with eligible children more likely to visit doctors and hospitals. However, the authors caution that these effects may not always translate into improved health outcomes, and that other factors such as the quality of care and the availability of medical services may play a role. Overall, the paper suggests that while Medicaid expansions may have increased access to medical care, their effects on child health are mixed and may be limited by other factors.
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