TY  - RPRT
        AU  - Courtemanche, Charles
AU  - Jones, Jordan
AU  - Koumpias, Antonios M.
AU  - Zapata, Daniela
        TI  - Revisiting the Connection between State Medicaid Expansions and Adult Mortality
        PY  - 2022/Dec/
        PB  - Institute of Labor Economics (IZA)
        CY  - Bonn
        T2  - IZA Discussion Paper
        IS  - 15803
        UR  - https://www.iza.org/index.php/publications/dp15803
        AB  - This paper examines the impact of Medicaid expansions to parents and childless adults on adult mortality. Specifically, we evaluate the long-run effects of eight state Medicaid expansions from 1994 through 2005 on all-cause, healthcare-amenable, non-healthcare-amenable, and HIV-related mortality rates using state-level data. We utilize the synthetic control method to estimate effects for each treated state separately and the generalized synthetic control method to estimate average effects across all treated states. 
Using a 5% significance level, we find no evidence that Medicaid expansions affect any of the outcomes in any of the treated states or all of them combined. Moreover, there is no clear pattern in the signs of the estimated treatment effects. These findings imply that evidence that pre-ACA Medicaid expansions to adults saved lives is not as clear as previously suggested.
        KW  - generalized synthetic control method
KW  - Medicaid
KW  - healthcare-amenable mortality
KW  - all-cause mortality
KW  - public health
KW  - healthcare reform
        ER  -