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Economics of Means-Tested Transfer Programs in the United States, Volume I$
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Robert A. Moffitt

Print publication date: 2016

Print ISBN-13: 9780226370477

Published to Chicago Scholarship Online: May 2017

DOI: 10.7208/chicago/9780226370507.001.0001

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PRINTED FROM CHICAGO SCHOLARSHIP ONLINE (www.chicago.universitypressscholarship.com). (c) Copyright University of Chicago Press, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in CHSO for personal use.date: 27 May 2022

The Medicaid Program

The Medicaid Program

Chapter:
(p.21) 1 The Medicaid Program
Source:
Economics of Means-Tested Transfer Programs in the United States, Volume I
Author(s):

Thomas Buchmueller

John C. Ham

Lara D. Shore-Sheppard

Publisher:
University of Chicago Press
DOI:10.7208/chicago/9780226370507.003.0002

In both its costs and the number of its enrollees, Medicaid is the largest means-tested transfer program in the United States. It is also a fundamental part of the health care system, providing health insurance to low-income families, indigent seniors, disabled adults and, in some states, low-income adults more broadly. This paper reviews the history and structure of the Medicaid program and the large body of economic research that it has spawned in the nearly half century since it was established. We begin by summarizing the program’s history, goals and current rules. We then present program statistics, mainly related to enrollment and expenditures. Finally we turn to the research on the impact of Medicaid on a broad range of outcomes, discussing theoretical and methodological issues important for understanding these effects and reviewing the empirical literature, describing what has been learned thus far, investigating areas where studies seem to reach different conclusions and pointing to areas where we believe additional research would be fruitful.

Keywords:   Affordable Care Act, Children’s Health Insurance Program, eligibility, take-up, crowd-out, health care utilization, health, provider reimbursement, labor supply

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