Dan M Shane 1 , Padmaja Ayyagari 1 Show Affiliations »
Abstract
OBJECTIVES: 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. DATA: Medical Expenditure Panel Surveys from 2006 through 2011. STUDY DESIGN: 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. RESULTS: 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). CONCLUSIONS: 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. © Health Research and Educational Trust.
OBJECTIVES: 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. DATA: Medical Expenditure Panel Surveys from 2006 through 2011. STUDY DESIGN: 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. RESULTS: 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). CONCLUSIONS: 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. © Health Research and Educational Trust.
Keywords:
Affordable Care Act; dental insurance; dependent coverage mandate
Mesh： See more »
Year: 2014
PMID： 25483853 PMCID： PMC4545349 DOI： 10.1111/1475-6773.12266
Source DB: PubMed Journal: Health Serv Res ISSN： 0017-9124 Impact factor: 3.402