The Affordable Care Act and Ambulance Response Times

56 Pages Posted: 31 Aug 2017

See all articles by Charles Courtemanche

Charles Courtemanche

University of North Carolina (UNC) at Greensboro - Department of Economics

Andrew Friedson

University of Colorado at Denver - Department of Economics

Andrew Koller

University of Colorado at Denver - Department of Economics

Daniel I. Rees

University of Colorado Denver; National Bureau of Economic Research (NBER)

Abstract

This study contributes to the literature on supply-side adjustments to insurance expansions by examining the effect of the Affordable Care Act (ACA) on ambulance response times. Exploiting temporal and geographic variation in the implementation of the ACA as well as pre-treatment differences in uninsured rates, we estimate that the expansions of private and Medicaid coverage under the ACA combined to slow ambulance response times by an average of 19%. We conclude that, through extending coverage to individuals who, in its absence, would not have availed themselves of emergency medical services, the ACA added strain to emergency response systems.

Keywords: Affordable Care Act, ambulance, health insurance, health care capacity, health care workforce

JEL Classification: I11, I13, I18

Suggested Citation

Courtemanche, Charles and Friedson, Andrew and Koller, Andrew and Rees, Daniel I., The Affordable Care Act and Ambulance Response Times. IZA Discussion Paper No. 10951, Available at SSRN: https://ssrn.com/abstract=3029822

Charles Courtemanche (Contact Author)

University of North Carolina (UNC) at Greensboro - Department of Economics ( email )

Greensboro, NC 27402-6165
United States

Andrew Friedson

University of Colorado at Denver - Department of Economics ( email )

Campus Box 181
P.O. Box 173364
Denver, CO 80217-3364
United States

Andrew Koller

University of Colorado at Denver - Department of Economics ( email )

Campus Box 181
P.O. Box 173364
Denver, CO 80217-3364
United States

Daniel I. Rees

University of Colorado Denver ( email )

Campus Box 181
P.O. Box 173364
Denver, CO 80218
United States

National Bureau of Economic Research (NBER)

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

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