The effect of health insurance on home payment delinquency: Evidence from ACA Marketplace subsidies

• 成果类型: Article
• 署名作者: Gallagher, Emily A.; Gopalan, Radhakrishnan; Grinstein-Weiss, Michal
• 署名单位: University of Colorado System; University of Colorado Boulder; Washington University (WUSTL); Federal Reserve System - USA; Federal Reserve Bank - St. Louis
• 刊物名称: JOURNAL OF PUBLIC ECONOMICS
• ISSN/ISSBN: 0047-2727
• DOI: 10.1016/j.jpubeco.2018.12.007
• 发表日期: 2019
• 页码: 67-83
• 关键词: rent; mortgage; Affordable Care Act; Exchanges; foreclosure; Eviction; medicaid; Out-of-pocket

摘要

We use administrative tax data and survey responses to quantify the effect of subsidized health insurance on rent and mortgage delinquency. We employ a regression discontinuity (RD) design, exploiting the income threshold for receiving Marketplace subsidies in states that did not expand Medicaid under the Affordable Care Act. Among households targeted by the policy, eligibility for subsidies is associated with a roughly 25 % decline in the delinquency rate and reduced exposure to out-of-pocket medical expenditure risk. IV treatment effects are significant, indicating that the decline in the delinquency rate is related to participation in health insurance. We show that, under plausible assumptions, the social benefits implied by our RD estimates, in terms of fewer evictions and foreclosures, are substantial. (C) 2019 Elsevier B.V. All rights reserved.