PUBLIC INSURANCE EXPANSIONS AND SMOKING CESSATION MEDICATIONS

被引：26

作者：

Maclean, Johanna Catherine ^{[1
,2
,3
]}

Pesko, Michael F. ^{[4
]}

Hill, Steven C. ^{[5
]}

机构：

[1] Temple Univ, Dept Econ, Philadelphia, PA 19122 USA

[2] Natl Bur Econ, Philadelphia, PA 19122 USA

[3] Inst Labor Econ, Philadelphia, PA 19122 USA

[4] Georgia State Univ, Andrew Young Sch Policy Studies, Dept Econ, Atlanta, GA 30302 USA

[5] Agcy Healthcare Res & Qual, Ctr Financing Access & Cost Trends, Rockville, MD 20857 USA

来源：

ECONOMIC INQUIRY | 2019年 / 57卷 / 04期

关键词：

AFFORDABLE CARE ACT; HEALTH-INSURANCE; MEDICAID EXPANSION; CIGARETTE-SMOKING; UNITED-STATES; COVERAGE; IMPACT; VARENICLINE; KNOWLEDGE; SMOKERS;

D O I：

10.1111/ecin.12794

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

We study the effect of public insurance on smoking cessation medication prescriptions and financing. We leverage variation in insurance coverage generated by recent Affordable Care Act expansions to Medicaid. We estimate differences-in-differences models using administrative data on the universe of Medicaid-financed prescriptions sold in retail and online pharmacies 2011-2017. Our findings suggest that these expansions increased Medicaid-financed smoking cessation prescriptions by 34%. This increase reflects new medication use and a shift in payment from private insurers and self-paying patients to Medicaid. Adjusting our estimate for changes in financing implies that Medicaid expansion led to a 24% increase in new medication use. (JEL I1, I13, I18)

引用

页码：1798 / 1820

页数：23

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