The ACA Medicaid Expansion in Michigan and Financial Health

46 Pages Posted: 17 Sep 2018 Last revised: 16 Jun 2021

See all articles by Sarah Miller

Sarah Miller

University of Michigan at Ann Arbor

Luojia Hu

Federal Reserve Bank of Chicago

Robert Kaestner

University of Chicago; National Bureau of Economic Research (NBER)

Bhashkar Mazumder

Federal Reserve Bank of Chicago

Ashley Wong

Federal Reserve Bank of Chicago

Date Written: September 2018

Abstract

This article examines how the financial health changes following an individual’s enrollment in Michigan’s Medicaid program (Healthy Michigan Program, HMP). We use unique data that links credit reports of HMP enrollees to Medicaid administrative data on enrollment and use of health care services. We find that Medicaid enrollment is associated with large improvements in several measures of financial health, including reductions in unpaid bills, medical bills, over limit credit card spending, and public records (such as evictions, judgments, and bankruptcies). These improvements are apparent across several subgroups, although individuals with greater medical need, such as those with chronic illnesses, experience the largest benefits.

Suggested Citation

Miller, Sarah and Hu, Luojia and Kaestner, Robert and Mazumder, Bhashkar and Wong, Ashley, The ACA Medicaid Expansion in Michigan and Financial Health (September 2018). NBER Working Paper No. w25053, Available at SSRN: https://ssrn.com/abstract=3250599

Sarah Miller (Contact Author)

University of Michigan at Ann Arbor ( email )

500 S. State Street
Ann Arbor, MI 48109
United States

HOME PAGE: http://www-personal.umich.edu/~mille/

Luojia Hu

Federal Reserve Bank of Chicago ( email )

230 South LaSalle Street
Chicago, IL 60604
United States

Robert Kaestner

University of Chicago ( email )

1155 East 60th Street
Chicago, IL 60637
United States

National Bureau of Economic Research (NBER)

5 Hanover Square 16th floor
New York, NY 10004
United States

Bhashkar Mazumder

Federal Reserve Bank of Chicago ( email )

230 South LaSalle Street
Chicago, IL 60604
United States

Ashley Wong

Federal Reserve Bank of Chicago ( email )

230 South LaSalle Street
Chicago, IL 60604
United States

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