Full Citation
Title: Affordable Care Act Medicaid Expansions and the Impact on Nurses
Citation Type: Miscellaneous
Publication Year: 2018
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Abstract: Shortages in healthcare labor markets and decreases in quality of care were major concerns voiced by critics of the 2010 Patient Protection and Affordable Care Act. I use the 2014 Medicaid expansions as a plausibly exogenous increase in the demand for nurses to estimate the effects on nurse labor market outcomes and quality of care. Using a difference-in-differences strategy, I find the 2014 Medicaid expansions increased nurses’ hours worked per week by 30 minutes or 1.5 percent. Increases in hours worked are larger for rural nurses, consistent with larger increases in insurance coverage in rural areas from the Medicaid expansions. The increase in demand was larger for licensed practical nurses, with an increase in both employment and hours, while only hours increased for registered nurses. I do not find any consistent changes in patients’ assessments of nursing care, but there is some evidence of an increase in hospital- acquired infection rates.
User Submitted?: No
Authors: DiNardi, Michael
Publisher: University of Rhode Island
Data Collections: IPUMS CPS
Topics: Health, Population Health and Health Systems
Countries: United States