Analysing the impact of the Medicaid expansion under the affordable care act on the healthcare expenditures for individuals with chronic conditions

Non-communicable diseases pose a significant economic burden on the healthcare system of the United States of America. In 2010, the Affordable Care Act (ACA) was enacted to alleviate this burden through Medicaid expansion which commenced on a state-by-state basis in 2014. This study aims to explore...

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Main Authors: Ang, Jia Yi, David, Michelle Kate Mendoza, Yap, Shermaine Jing Xuan
Other Authors: Akshar Saxena
Format: Final Year Project
Language:English
Published: Nanyang Technological University 2024
Subjects:
Online Access:https://hdl.handle.net/10356/175528
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Institution: Nanyang Technological University
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spelling sg-ntu-dr.10356-1755282024-05-05T15:32:12Z Analysing the impact of the Medicaid expansion under the affordable care act on the healthcare expenditures for individuals with chronic conditions Ang, Jia Yi David, Michelle Kate Mendoza Yap, Shermaine Jing Xuan Akshar Saxena School of Social Sciences aksharsaxena@ntu.edu.sg Social Sciences Affordable care act Chronic disease Medicaid Difference-in-difference Non-communicable diseases pose a significant economic burden on the healthcare system of the United States of America. In 2010, the Affordable Care Act (ACA) was enacted to alleviate this burden through Medicaid expansion which commenced on a state-by-state basis in 2014. This study aims to explore the impact of the Medicaid expansion on healthcare expenditures among individuals with chronic diseases. Using data from the Household Component of the Medical Expenditure Panel Survey spanning 2010 to 2019, we used a difference-in-difference approach to assess changes in healthcare expenditures before and after the implementation of the Medicaid expansion. We found that the Medicaid expansion in 2014 was associated with a statistically significant increase in the average amount paid by Medicaid and a significantly higher average amount paid by Medicaid for each additional chronic disease. We further analysed the impact of ACA on out-of-pocket and total healthcare expenditures including the effects across various demographic variables (i.e. family income, gender, and age). This study contributes to a better understanding of the ACA's impact on Medicaid expenditures for individuals with chronic diseases, informing policy decisions that target individuals with multimorbidity and improving healthcare accessibility and affordability nationwide. Bachelor's degree 2024-04-30T01:33:35Z 2024-04-30T01:33:35Z 2024 Final Year Project (FYP) Ang, J. Y., David, M. K. M. & Yap, S. J. X. (2024). Analysing the impact of the Medicaid expansion under the affordable care act on the healthcare expenditures for individuals with chronic conditions. Final Year Project (FYP), Nanyang Technological University, Singapore. https://hdl.handle.net/10356/175528 https://hdl.handle.net/10356/175528 en application/pdf Nanyang Technological University
institution Nanyang Technological University
building NTU Library
continent Asia
country Singapore
Singapore
content_provider NTU Library
collection DR-NTU
language English
topic Social Sciences
Affordable care act
Chronic disease
Medicaid
Difference-in-difference
spellingShingle Social Sciences
Affordable care act
Chronic disease
Medicaid
Difference-in-difference
Ang, Jia Yi
David, Michelle Kate Mendoza
Yap, Shermaine Jing Xuan
Analysing the impact of the Medicaid expansion under the affordable care act on the healthcare expenditures for individuals with chronic conditions
description Non-communicable diseases pose a significant economic burden on the healthcare system of the United States of America. In 2010, the Affordable Care Act (ACA) was enacted to alleviate this burden through Medicaid expansion which commenced on a state-by-state basis in 2014. This study aims to explore the impact of the Medicaid expansion on healthcare expenditures among individuals with chronic diseases. Using data from the Household Component of the Medical Expenditure Panel Survey spanning 2010 to 2019, we used a difference-in-difference approach to assess changes in healthcare expenditures before and after the implementation of the Medicaid expansion. We found that the Medicaid expansion in 2014 was associated with a statistically significant increase in the average amount paid by Medicaid and a significantly higher average amount paid by Medicaid for each additional chronic disease. We further analysed the impact of ACA on out-of-pocket and total healthcare expenditures including the effects across various demographic variables (i.e. family income, gender, and age). This study contributes to a better understanding of the ACA's impact on Medicaid expenditures for individuals with chronic diseases, informing policy decisions that target individuals with multimorbidity and improving healthcare accessibility and affordability nationwide.
author2 Akshar Saxena
author_facet Akshar Saxena
Ang, Jia Yi
David, Michelle Kate Mendoza
Yap, Shermaine Jing Xuan
format Final Year Project
author Ang, Jia Yi
David, Michelle Kate Mendoza
Yap, Shermaine Jing Xuan
author_sort Ang, Jia Yi
title Analysing the impact of the Medicaid expansion under the affordable care act on the healthcare expenditures for individuals with chronic conditions
title_short Analysing the impact of the Medicaid expansion under the affordable care act on the healthcare expenditures for individuals with chronic conditions
title_full Analysing the impact of the Medicaid expansion under the affordable care act on the healthcare expenditures for individuals with chronic conditions
title_fullStr Analysing the impact of the Medicaid expansion under the affordable care act on the healthcare expenditures for individuals with chronic conditions
title_full_unstemmed Analysing the impact of the Medicaid expansion under the affordable care act on the healthcare expenditures for individuals with chronic conditions
title_sort analysing the impact of the medicaid expansion under the affordable care act on the healthcare expenditures for individuals with chronic conditions
publisher Nanyang Technological University
publishDate 2024
url https://hdl.handle.net/10356/175528
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