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首页> 外文期刊>Journal of health economics >Insurance expansions and hospital utilization: Relabeling and reabling?
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Insurance expansions and hospital utilization: Relabeling and reabling?

机译：保险扩展和医院利用：抢购和卷曲？

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摘要

The 2010 Patient Protection & Affordable Care Act (ACA) significantly expanded access to private and public health insurance for low-income individuals through income-based subsidies and income-based eligibility expansions, respectively. In this paper, we use the universe of hospitals from 2009 to 2015 to characterize how these expansions affected the financing of hospital visits, along with price, utilization, and potential spillovers in the quality of care. The insurance coverage expansions generated a shift in the composition of payers and a modest increase in the utilization of hospital outpatient services. While concerns have been raised that these shifts in utilization could cause negative spillovers to the already insured population (e.g., Medicare enrollees), we find no significant change in the quality of care experienced by those already insured. The primary result of both federally funded insurance expansions was to increase the profits generated and prices charged by the hospitals providing such services.
机译：2010年患者保护和实惠的护理法案（ACA）分别通过基于收入的补贴和基于收入的资格扩展，扩大了对低收入个人的私营和公共卫生保险的机会。在本文中，我们从2009年到2015年使用医院的宇宙，以表征这些扩展如何影响医院访问的融资，以及价格，利用和潜在溢出效果。保险覆盖范围扩张在应付人员的组成和适度增加的住院门诊服务时产生了转变。虽然令人担忧的是提出了这些利用的转变可能导致已经被保险人口（例如Medicare Rearlees）的负溢出渗透，但我们发现已经被保险的人经历的护理质量没有重大变化。联邦政府资助的保险扩展的主要结果是增加所产生的利润和提供提供此类服务的收费价格。

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