{"id":"https://openalex.org/W4388022554","doi":"https://doi.org/10.1111/ssqu.13318","title":"Medicaid expansions and private insurance \u201ccrowd\u2010out\u201d (1999\u20132019)","display_name":"Medicaid expansions and private insurance \u201ccrowd\u2010out\u201d (1999\u20132019)","publication_year":2023,"publication_date":"2023-10-29","ids":{"openalex":"https://openalex.org/W4388022554","doi":"https://doi.org/10.1111/ssqu.13318","pmid":"https://pubmed.ncbi.nlm.nih.gov/38737786","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11086973"},"language":"en","primary_location":{"id":"doi:10.1111/ssqu.13318","doi":"https://doi.org/10.1111/ssqu.13318","is_oa":true,"landing_page_url":"https://doi.org/10.1111/ssqu.13318","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ssqu.13318","source":{"id":"https://openalex.org/S76728445","display_name":"Social Science Quarterly","issn_l":"0038-4941","issn":["0038-4941","1540-6237"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","jufo-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Social Science Quarterly","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ssqu.13318","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012521067","display_name":"Jason Semprini","orcid":"https://orcid.org/0000-0002-0375-8090","observed_orcids":["https://orcid.org/0000-0002-0375-8090"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jason Semprini","raw_affiliation_strings":["University of Iowa College of Public Health; Department of Health Management and Policy","Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, Iowa, USA"],"raw_orcid":"https://orcid.org/0000-0002-0375-8090","affiliations":[{"raw_affiliation_string":"University of Iowa College of Public Health; Department of Health Management and Policy","institution_ids":["https://openalex.org/I126307644"]},{"raw_affiliation_string":"Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, Iowa, USA","institution_ids":["https://openalex.org/I126307644"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5012521067"],"corresponding_institution_ids":["https://openalex.org/I126307644"],"apc_list":{"value":2730,"currency":"USD","value_usd":2730},"apc_paid":{"value":2730,"currency":"USD","value_usd":2730},"fwci":0.4063,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.7173759,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":94,"max":96},"biblio":{"volume":"104","issue":"7","first_page":"1329","last_page":"1342"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10443","display_name":"Social Policy and Reform Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3320","display_name":"Political Science and International Relations"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicaid-expansion","display_name":"Medicaid expansion","score":0.9959999918937683},{"id":"https://openalex.org/keywords/private-health-insurance","display_name":"private health insurance","score":0.7649999856948853},{"id":"https://openalex.org/keywords/health-insurance-coverage","display_name":"health insurance coverage","score":0.8740000128746033},{"id":"https://openalex.org/keywords/affordable-care-act","display_name":"Affordable Care Act","score":0.7369999885559082},{"id":"https://openalex.org/keywords/staggered-treatment-effects","display_name":"staggered treatment effects","score":0.6729999780654907},{"id":"https://openalex.org/keywords/staggered-difference-in-differences","display_name":"staggered difference-in-differences","score":0.7570000290870667},{"id":"https://openalex.org/keywords/treatment-heterogeneity","display_name":"treatment effect heterogeneity","score":0.6359999775886536},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.4950000047683716}],"concepts":[{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.9273474812507629},{"id":"https://openalex.org/C8031360","wikidata":"https://www.wikidata.org/wiki/Q1071788","display_name":"Crowding out","level":2,"score":0.7670304775238037},{"id":"https://openalex.org/C3020096462","wikidata":"https://www.wikidata.org/wiki/Q43183","display_name":"Private insurance","level":4,"score":0.6505932211875916},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.576242983341217},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.5691069960594177},{"id":"https://openalex.org/C52130261","wikidata":"https://www.wikidata.org/wiki/Q39825","display_name":"Census","level":3,"score":0.5544605851173401},{"id":"https://openalex.org/C100243477","wikidata":"https://www.wikidata.org/wiki/Q12002092","display_name":"Welfare","level":2,"score":0.4768482446670532},{"id":"https://openalex.org/C28719098","wikidata":"https://www.wikidata.org/wiki/Q44946","display_name":"Point (geometry)","level":2,"score":0.41619035601615906},{"id":"https://openalex.org/C4249254","wikidata":"https://www.wikidata.org/wiki/Q3044431","display_name":"Demographic economics","level":1,"score":0.40045809745788574},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3585776388645172},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.3360865116119385},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3208240270614624},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.31259456276893616},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.25462064146995544},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.23204970359802246},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.1565295159816742},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.150816410779953},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.12482637166976929},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.09088894724845886},{"id":"https://openalex.org/C556758197","wikidata":"https://www.wikidata.org/wiki/Q580018","display_name":"Monetary economics","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C2524010","wikidata":"https://www.wikidata.org/wiki/Q8087","display_name":"Geometry","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1111/ssqu.13318","doi":"https://doi.org/10.1111/ssqu.13318","is_oa":true,"landing_page_url":"https://doi.org/10.1111/ssqu.13318","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ssqu.13318","source":{"id":"https://openalex.org/S76728445","display_name":"Social Science Quarterly","issn_l":"0038-4941","issn":["0038-4941","1540-6237"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","jufo-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Social Science Quarterly","raw_type":"journal-article"},{"id":"doi:10.1101/2023.05.22.23290306","doi":"https://doi.org/10.1101/2023.05.22.23290306","is_oa":true,"landing_page_url":"https://doi.org/10.1101/2023.05.22.23290306","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2023/05/28/2023.05.22.23290306.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},{"id":"pmid:38737786","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38737786","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Social science quarterly","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11086973","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11086973","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11086973/pdf/nihms-1941449.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Soc Sci Q","raw_type":"Text"},{"id":"pmh:oai:digitalcommons.dmu.edu:fac_ph-1019","doi":null,"is_oa":false,"landing_page_url":"https://digitalcommons.dmu.edu/fac_ph/20","pdf_url":null,"source":{"id":"https://openalex.org/S7407097582","display_name":"DigitalCommons@DMU","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I94975175","host_organization_name":"Des Moines University","host_organization_lineage":["https://openalex.org/I94975175"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Public Health","raw_type":"text"}],"best_oa_location":{"id":"doi:10.1111/ssqu.13318","doi":"https://doi.org/10.1111/ssqu.13318","is_oa":true,"landing_page_url":"https://doi.org/10.1111/ssqu.13318","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ssqu.13318","source":{"id":"https://openalex.org/S76728445","display_name":"Social Science Quarterly","issn_l":"0038-4941","issn":["0038-4941","1540-6237"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","jufo-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Social Science Quarterly","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G4400346228","display_name":"Evaluating the Impact of Medicaid Dental Coverage on Early-Stage Oral Cancer Detection","funder_award_id":"F31DE032250","funder_id":"https://openalex.org/F4320337365","funder_display_name":"National Institute of Dental and Craniofacial Research"},{"id":"https://openalex.org/G5348310069","display_name":null,"funder_award_id":"NIDCR 1F31DE032250-01","funder_id":"https://openalex.org/F4320337365","funder_display_name":"National Institute of Dental and Craniofacial Research"}],"funders":[{"id":"https://openalex.org/F4320337365","display_name":"National Institute of Dental and Craniofacial Research","ror":"https://ror.org/004a2wv92"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4388022554.pdf","grobid_xml":"https://content.openalex.org/works/W4388022554.grobid-xml"},"referenced_works_count":45,"referenced_works":["https://openalex.org/W88218350","https://openalex.org/W1923668522","https://openalex.org/W1968709126","https://openalex.org/W2033939446","https://openalex.org/W2074140245","https://openalex.org/W2088370899","https://openalex.org/W2140966626","https://openalex.org/W2144206754","https://openalex.org/W2200188590","https://openalex.org/W2203007117","https://openalex.org/W2205189950","https://openalex.org/W2228223121","https://openalex.org/W2319594545","https://openalex.org/W2342442624","https://openalex.org/W2519716590","https://openalex.org/W2572033596","https://openalex.org/W2741109603","https://openalex.org/W2783319287","https://openalex.org/W2791859701","https://openalex.org/W2806855592","https://openalex.org/W2810697466","https://openalex.org/W2948878644","https://openalex.org/W2951689186","https://openalex.org/W2969098318","https://openalex.org/W2979586175","https://openalex.org/W2992068980","https://openalex.org/W3009762087","https://openalex.org/W3011254225","https://openalex.org/W3045844850","https://openalex.org/W3100880455","https://openalex.org/W3112066496","https://openalex.org/W3113269512","https://openalex.org/W3165441439","https://openalex.org/W3185666761","https://openalex.org/W3188377064","https://openalex.org/W3205468308","https://openalex.org/W4226085759","https://openalex.org/W4226162300","https://openalex.org/W4251215198","https://openalex.org/W4300538735","https://openalex.org/W4303444844","https://openalex.org/W4320855218","https://openalex.org/W4367597202","https://openalex.org/W4389683481","https://openalex.org/W6770386904"],"related_works":["https://openalex.org/W1588013355","https://openalex.org/W88218350","https://openalex.org/W2074140245","https://openalex.org/W4389683481","https://openalex.org/W4241944916","https://openalex.org/W1973354508","https://openalex.org/W2524250550","https://openalex.org/W2088370899","https://openalex.org/W7214724320","https://openalex.org/W7099242128"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Recent":[2],"Medicaid":[3,33,112,144],"expansions":[4,34,145],"have":[5,160],"rekindled":[6],"the":[7,36,45,168],"debate":[8],"around":[9],"private":[10,58,122,147],"insurance":[11,59,123,148],"\u201ccrowd\u2010out.\u201d":[12],"Prior":[13],"research":[14,151,191],"is":[15],"limited":[16],"by":[17,28],"short\u2010time":[18],"horizons":[19],"and":[20,53,87,102,192],"state\u2010specific":[21],"analyses.":[22],"Our":[23,108],"study":[24],"overcomes":[25],"these":[26],"limitations":[27],"evaluating":[29],"20":[30],"years":[31,66,140],"of":[32,55,62,90,182],"across":[35],"entire":[37],"United":[38],"States.":[39],"Methods":[40],"We":[41,95,129],"obtain":[42],"data":[43],"from":[44,92],"U.S.":[46,51],"Census":[47],"Bureau":[48],"for":[49,57,65,98,189],"all":[50],"states":[52],"District":[54],"Columbia":[56],"coverage":[60],"rates":[61,124],"adults":[63],"18\u201364":[64],"1999\u20132019.":[67],"After":[68],"estimating":[69],"a":[70,117,183],"na\u00efve,":[71],"staggered":[72,93],"Two\u2010way":[73],"fixed":[74],"effects":[75,104],"difference\u2010in\u2010differences":[76],"regression":[77],"model,":[78],"we":[79,187],"implement":[80],"four":[81],"novel":[82],"econometric":[83],"methods":[84],"to":[85,173],"diagnose":[86],"overcome":[88],"threats":[89],"bias":[91],"designs.":[94],"also":[96,130],"test":[97],"pre\u2010treatment":[99],"differential":[100],"trends":[101],"heterogenous":[103],"over":[105,134],"time.":[106],"Results":[107],"findings":[109],"suggest":[110],"that":[111],"expansion":[113],"was":[114],"associated":[115],"with":[116,136],"1.5":[118],"percent\u2010point":[119,185],"decline":[120],"in":[121],"(":[125],"p":[126],"<":[127],"0.001).":[128],"observe":[131],"significant":[132],"heterogeneity":[133],"time,":[135],"estimates":[137],"peaking":[138],"4":[139],"after":[141],"expansion.":[142],"Conclusions":[143],"reduced":[146],"rates.":[149],"Future":[150],"should":[152,170],"assess":[153],"whether":[154],"or":[155,164],"how":[156],"this":[157],"crowd\u2010out":[158,169],"may":[159],"affected":[161],"consumer":[162],"welfare":[163],"government":[165],"budgets.":[166],"Recognizing":[167],"enable":[171],"policymakers":[172],"make":[174],"informed":[175],"decisions":[176],"regarding":[177],"healthcare":[178],"policy.":[179],"The":[180],"importance":[181],"1\u20102":[184],"crowd\u2010out,":[186],"leave":[188],"future":[190],"debate.":[193]},"counts_by_year":[{"year":2024,"cited_by_count":2}],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2023-11-01T00:00:00"}