Re-Examining the Effects of Medicaid Expansions for Pregnant Women

42 Pages Posted: 29 Dec 2008 Last revised: 26 Jan 2009

See all articles by Dhaval Dave

Dhaval Dave

Bentley University - Department of Economics; National Bureau of Economic Research (NBER) - NY Office

Sandra Decker

Government of the United States of America - National Center for Health Statistics; National Bureau of Economic Research (NBER)

Robert Kaestner

University of Chicago; National Bureau of Economic Research (NBER)

Kosali Ilayperuma Simon

Indiana University Bloomington - School of Public & Environmental Affairs (SPEA); National Bureau of Economic Research (NBER)

Date Written: December 2008

Abstract

This paper analyzes the effect of Medicaid eligibility expansions on the health insurance coverage of women giving birth and on the use of prenatal care and infant health, controlling for year and state effects and state-specific trends that may be correlated with expansions in Medicaid eligibility. We combine estimates from the two sets of analyses to construct estimates of the effect of health insurance on use of prenatal care and infant health. We find that the eligibility expansions reduced the proportion of pregnant women who were uninsured by approximately 10 percent, although this decrease in uninsured came with the expense of a substantial reduction in private insurance coverage. Changes in Medicaid eligibility were associated with very small and statistically insignificant changes in prenatal care use, birth weight, and incidence of low-birth weight.

Suggested Citation

Dave, Dhaval and Decker, Sandra and Kaestner, Robert and Simon, Kosali Ilayperuma, Re-Examining the Effects of Medicaid Expansions for Pregnant Women (December 2008). NBER Working Paper No. w14591. Available at SSRN: https://ssrn.com/abstract=1320837

Dhaval Dave (Contact Author)

Bentley University - Department of Economics ( email )

175 Forest Street
Waltham, MA 02452-4705
United States

National Bureau of Economic Research (NBER) - NY Office

365 Fifth Avenue, 5th Floor
New York, NY 10016-4309
United States

Sandra Decker

Government of the United States of America - National Center for Health Statistics ( email )

Division of Data Services, CDC
Hyattsville, MD 20782-2003
United States

National Bureau of Economic Research (NBER)

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

Robert Kaestner

University of Chicago ( email )

1155 East 60th Street
Chicago, IL 60637
United States

National Bureau of Economic Research (NBER)

365 Fifth Avenue, 5th Floor
New York, NY 10016-4309
United States

Kosali Ilayperuma Simon

Indiana University Bloomington - School of Public & Environmental Affairs (SPEA) ( email )

1315 East Tenth Street
Bloomington, IN 47405
United States

National Bureau of Economic Research (NBER)

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

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