The Affordable Care Act and Ambulance Response Times

56 Pages Posted: 13 Oct 2017

See all articles by Charles Courtemanche

Charles Courtemanche

Georgia State University - Andrew Young School of Policy Studies

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)

Date Written: August 2017

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 (August 2017). Andrew Young School of Policy Studies Research Paper Series No. 17-11. Available at SSRN: https://ssrn.com/abstract=3051788 or http://dx.doi.org/10.2139/ssrn.3051788

Charles Courtemanche (Contact Author)

Georgia State University - Andrew Young School of Policy Studies ( email )

P.O. Box 3992
Atlanta, GA 30302-3992
United States
404-413-0082 (Phone)

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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