Spillover Effects of the Affordable Care Act? Exploring the Impact on Young Adult Dental Insurance Coverage

Dan M Shane; Padmaja Ayyagari

doi:10.1111/1475-6773.12266

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Spillover Effects of the Affordable Care Act? Exploring the Impact on Young Adult Dental Insurance Coverage

Journal article

Open access

Peer reviewed

Spillover Effects of the Affordable Care Act? Exploring the Impact on Young Adult Dental Insurance Coverage

Dan M Shane and Padmaja Ayyagari

Health services research, Vol.50(4), pp.1109-1124

08/2015

DOI: 10.1111/1475-6773.12266

PMCID: PMC4545349

PMID: 25483853

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https://doi.org/10.1111/1475-6773.12266View

Published (Version of record) Open Access

Abstract

To assess whether the Affordable Care Act's (ACA) dependent coverage health insurance mandate had a spillover impact on young adult dental insurance coverage and whether any observed effects varied by household income. Medical Expenditure Panel Surveys from 2006 through 2011. We employed a difference-in-difference regression approach comparing changes in insurance rates for young adults ages 19-25 years to changes in insurance rates for adults ages 27-30 years. Separate regressions were estimated by categories of household income as a percentage of the Federal Poverty Level (FPL) to understand whether the mandate had heterogeneous spillover effects. Private dental insurance increased by 6.7 percentage points among young adults compared to a control group of 27-30-year olds. Increases were concentrated at middle-income levels (125-400 percent FPL). The dependent coverage mandate provision of the Affordable Care Act has not only increased health insurance rates among young adults but also dental insurance coverage rates.

Insurance Coverage - economics

Models, Econometric

Residence Characteristics

Age Factors

Humans

Male

Insurance Coverage - statistics & numerical data

Insurance, Dental - statistics & numerical data

Socioeconomic Factors

Insurance, Health - statistics & numerical data

Young Adult

Patient Protection and Affordable Care Act - legislation & jurisprudence

Insurance, Dental - economics

Adult

Female

Insurance, Health - economics

Details

Title: Subtitle: Spillover Effects of the Affordable Care Act? Exploring the Impact on Young Adult Dental Insurance Coverage
Creators: Dan M Shane - Department of Health Management and Policy, University of Iowa, Iowa City, IA
Padmaja Ayyagari - Department of Health Management and Policy, University of Iowa, Iowa City, IA
Resource Type: Journal article
Publication Details: Health services research, Vol.50(4), pp.1109-1124
Publisher: United States
DOI: 10.1111/1475-6773.12266
PMID: 25483853
PMCID: PMC4545349
ISSN: 0017-9124
eISSN: 1475-6773
Language: English
Date published: 08/2015
Academic Unit: Health Management and Policy; Economics; Public Policy Center (Archive)
Record Identifier: 9984063139902771

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