Changing Medicaid: Take-Up, Welfare, and Fertility

改变医疗补助：使用、福利和生育率

• 批准号: 6616160
• 负责人: LARA SHORE-SHEPPARD
• 金额: $ 26.3万
• 依托单位: NATIONAL BUREAU OF ECONOMIC RESEARCH
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-07-06 至 2005-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6616160
• 关键词: Medicare /Medicaid; adolescence (12-20); behavioral /social science research tag; child (0-11); employment of women; fertility; human data; income; marriage /marital status; pregnancy; social service; social service evaluation

DESCRIPTION (provided by applicant): Over the past fifteen years, the U.S. government has implemented a series of changes in the social safety net that dramatically altered the provision of public health insurance to low-income women and children. Beginning in the late 1980s and early 1990s, laws were passed that expanded Medicaid eligibility for poor pregnant women and for poor children. Welfare system changes implemented during the mid-1990s encouraged welfare recipients to work and leave welfare, but assured them that public health insurance benefits would continue. More recently, the commitment to publicly-provided health insurance was expanded further with the passage of legislation authorizing the largest increase in public spending on insurance for children in three decades. Despite interest by policymakers and previous researchers in examining the effects of these changes, important questions remain about their implications. To improve understanding of the impacts of publicly-provided health insurance, this proposed research has three specific aims. First, to examine the factors determining the extent to which eligible children enroll in Medicaid. Second, to examine how changes in the relationship between cash assistance and public health insurance for single mothers affect the health insurance coverage of single mothers, particularly the fraction of time spent with private insurance, public insurance, and uninsured. The effects of these changes on the welfare participation and employment of single women will also be examined. Third, to estimate the impact of expanded public health insurance for pregnant women and children on fertility. Detailed panel data on insurance, income, employment, welfare participation, and fertility from the Survey of Income and Program Participation (SIPP) will be used. The Survey of Program Dynamics, the 1990 Census microdata, and a survey of closed welfare cases from Ohio will also be used for some analyses. The data will be analyzed using a variety of estimation techniques appropriate to panel data, including descriptive analyses, static models, switching models and duration models. As eligibility for Medicaid may be endogenous, exogenous variation in the impact of federally-mandated expansions by state, time, and age as well as business-cycle variation will be used to identify the models.

描述（由申请人提供）：在过去的15年中，美国政府在社会安全网中实施了一系列变更， 大大改变了向低收入的公共卫生保险的提供 妇女和儿童。从1980年代末和1990年代初开始，法律为 通过了扩大医疗补助资格的资格，对贫困孕妇和贫困 孩子们。鼓励1990年代中期实施的福利制度变更 福利接收者工作和离开福利，但向他们保证公众 健康保险福利将继续。最近，对 随着通过 立法授权公共支出最大的保险支出 对于三十年来的儿童。尽管政策制定者和以前的兴趣 研究人员在检查这些变化的效果时，重要的问题 仍然是他们的含义。提高对影响的影响 这项拟议的研究具有公开提供的健康保险，有三个特定的 目标。首先，检查确定合格程度的因素 儿童参加医疗补助。第二，检查关系的变化如何 在现金援助和单身母亲的公共卫生保险之间 单身母亲的健康保险范围，尤其是 花费私人保险，公共保险和未保险的时间。效果 这些关于单身女性的福利参与和就业的变化 也将被检查。第三，以估算扩大公共卫生的影响 孕妇和儿童的保险。详细的面板数据 保险，收入，就业，福利参与和生育能力 收入和计划参与调查（SIPP）将使用。调查 计划动态，1990年的人口普查微数据和封闭福利的调查 俄亥俄州的案件也将用于一些分析。数据将进行分析 使用适合面板数据的各种估计技术，包括 描述性分析，静态模型，切换模型和持续时间模型。作为 医疗补助的资格可能是内源性的外源性变化 按州，时间和年龄以及年龄的联邦化扩展以及 业务周期变化将用于识别模型。