Affordable Care Act, Physicians’ Location Choices, and Care Access Disparity

主讲人 Lin Lin 简介 <p>The implementation of the Affordable Care Act (ACA) has led to significant increases in health insurance enrollment among low- and moderate-income populations, particularly in disadvantaged areas. Exploiting geographic variations in ACA-induced enrollment changes, we use a dyadic Difference-in-Differences regression model with continuous treatment to estimate whether, and to what extent, health insurance enrollment gains, particularly private insurance and Medicaid, affect physicians' location choices and, consequently, reshape spatial disparities in physician access. We find that an increase in private insurance enrollment in a location attracts physicians through relocation, whereas an increase in Medicaid enrollment tends to deter them, particularly among those with greater experience or from top-tier medical programs. The discouraging effect of Medicaid is largely due to its low reimbursement rates, while the appeal of private insurance is driven by physicians' desire to serve a broader patient market. In sum, our simulations, based on reduced-form estimates and a discrete choice model, suggest that ACA insurance expansions may have inadvertently exacerbated disparities in physician access in disadvantaged areas. Regarding other medical providers, we find that the ACA health insurance expansion similarly influences the geographic distribution of physician assistants and nurses, but has no significant effect on medical institutions such as physician organizations, hospitals, and health centers.</p>
时间 2025-10-30 (Thursday) 16:40-18:00 地点 Room N302, Economics Building
讲座语言 English 主办单位 厦门大学经济学院、王亚南经济研究院、邹至庄经济研究院
承办单位 类型 系列讲座
联系人信息 林老师,2180723,yurenlin@xmu.edu.cn 主持人 Kent Zhao 赵敏强
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主讲人简介 <p>Lin Lin is an Assistant Professor at the School of Public Management, East China Normal University. She holds a Ph.D. in Economics from The Ohio State University, as well as a Bachelor's and Master's degree in Finance from Renmin University of China. Her research focuses on labor and health economics, development economics, and social security, with particular emphasis on key issues amidst national development transitions, such as healthcare reform, medical supply in underserved areas, social security for vulnerable groups, and other development-related topics. Her work has been published in leading peer-reviewed journals including World Development, Health Economics, Economics and Human Biology, and The Journal of the Economics of Ageing.</p> 期数 高级经济学系列讲座2025年秋季学期第二讲(总494讲)
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