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Title: A Key to Job Lock? Labor Market Impacts of the Affordable Care Act's Medicaid Expansion Provision

Citation Type: Miscellaneous

Publication Year: 2022

Abstract: I examine the effects of the 2014 ACA Medicaid expansion on "job lock," defined as the reluctance to leave a job with employer-provided health insurance for a more desirable employment situation with no health insurance offer. Exploiting state-level spatial and temporal variation in implementation of the policy, I use a difference-in-difference estimation strategy to investigate the labor market effects of the policy for poor and near-poor individuals who are likely to have become newly eligible for Medicaid. I estimate that self-employment increased by 12.0 percentage points (p<0.001), private employment decreased by 13.1 percentage points (p=0.009), and labor force participation increased by 1.6 (p=0.010) to 2.6 (p=0.039) percentage points in expansion states relative to non-expansion states. I do not find evidence that overall employment rates were impacted by the expansion. Most of these labor market mobility increases accrued to white, male populations.

Url: https://middlebury.figshare.com/articles/thesis/A_Key_to_Job_Lock_Labor_Market_Impacts_of_the_Affordable_Care_Act_s_Medicaid_Expansion_Provision/21538194?file=38175420

User Submitted?: No

Authors: Finkelstein, Lauren

Publisher:

Data Collections: IPUMS CPS

Topics: Labor Force and Occupational Structure, Population Health and Health Systems

Countries:

IPUMS NHGIS NAPP IHIS ATUS Terrapop