State Medicaid Expansion and the Self-Employed

40 Pages Posted: 2 Mar 2020

See all articles by Jun Yeong Lee

Jun Yeong Lee

Pusan National University - Department of Economics

John V. Winters

Iowa State University - Department of Economics

Abstract

This paper examines effects of state Medicaid Expansion via the Affordable Care Act on the self-employed. We first examine impacts on the probability of self-employment and find no significant effect. We then examine the probability of having health insurance and the type of coverage for self-employed persons. Medicaid expansion increased overall health insurance coverage rates, with especially large impacts for the unincorporated self-employed. Medicaid expansion also increased the probability of Medicaid coverage as expected, but there is evidence of crowd out of other types of coverage. Impacts on health insurance rates of the self-employed also strengthened over time.

Keywords: health insurance, self-employed, Affordable Care Act, state Medicaid expansion

JEL Classification: H51, I13, L26

Suggested Citation

Lee, Jun Yeong and Winters, John V., State Medicaid Expansion and the Self-Employed. IZA Discussion Paper No. 12997, Available at SSRN: https://ssrn.com/abstract=3546394 or http://dx.doi.org/10.2139/ssrn.3546394

Jun Yeong Lee (Contact Author)

Pusan National University - Department of Economics ( email )

Korea, Republic of (South Korea)

John V. Winters

Iowa State University - Department of Economics ( email )

260 Heady Hall
Ames, IA 50011
United States

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