Panel: Exploring the Effects of Expanding Health Care Coverage

Friday, November 9, 2012: 1:00 PM-2:30 PM
Pratt B (Sheraton Baltimore City Center Hotel)

*Names in bold indicate Presenter

Organizers:  Kerri Raissian, Syracuse University
Moderators:  Ted Joyce, Baruch College, City University of New York and Melissa Kearney, University of Maryland
Chairs:  Robert Kaestner, University of Illinois, Chicago

Health care reform is a salient issue for policymakers at both the state and national level. This panel will present results from the analysis of several recent reforms to health care or health insurance provision. Work by Antwi, Moriya, and Simon will assess the effect of the federal mandate that parents be able to include their older children (dependents) on their health insurance plans. The McMorrow and Kenney paper will examine another type of increased coverage; The Affordable Care Act requires private insurance companies to cover certain preventative services (e.g., cancer screenings) and to do so at no cost to members. Similarly, the Lopoo and Raissian paper will investigate the effects of state-level policies that require insurance plans include another type of preventative services: prescription oral contraception or contraceptive devices. Finally, the DeLeire, Leininger, and Meier study will assess the effectiveness and predictive capacity of a self-reported health needs assessment for childless adults (HNA), which is used by BadgerCare Core Plan enrollees in Wisconsin. This paper may help policymakers to better understand and predict potential future costs, as this population will soon be, for the first time-ever, covered under Medicaid. Understanding how coverage may shift or change following these mandates is a critical step to understanding the costs and benefits associated with them. We believe these papers will be of interest to the APPAM audience and that the papers’ commonalities as well as their differences serve as a strong motivation for presenting them in a unified panel. As health care provision and possible expansion is debated by lawmakers, it is important to evaluate the effects of recent expansions. Such evaluations can assist in predicting the costs of expansions, exploring the potential benefits of expansions, and thereby, inform the debate surrounding existing or future policies that seek to alter insurance coverage. The health care debate is massive, and no one paper, and indeed no one panel, can possibly evaluate all of the potential effects and changes that may occur in health care provision in the United States. However, this panel brings together several interesting expansions: coverage to older children, coverage to childless adults, and the inclusion of preventative services, including diagnostic tests and prescription contraception, in existing plans. We submit that these research topics are sufficiently connected to create a cohesive panel, but sufficiently varied to provide audience members with insight into multiple facets of health care reform and spark an interesting discussion following the presentations.

Early Effects of the ACA On Insurance Outcomes: Evidence From the 2010 Dependent Coverage Mandate
Yaa Akosa Antwi, Indiana University-Purdue University Indianapolis, Asako Moriya, Indiana University and Kosali Simon, National Bureau of Economic Research

An Early Look At the Preventive Care Provisions In the Affordable Care Act
Stacey McMorrow and Genevieve Kenney, Urban Institute

The Impact of Universal Coverage On Breast and Cervical Cancer Screening: Evidence From Massachusetts
Lindsay Sabik and Cathy Bradley, Virginia Commonwealth University

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