Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/215175 
Year of Publication: 
2019
Series/Report no.: 
IZA Discussion Papers No. 12779
Publisher: 
Institute of Labor Economics (IZA), Bonn
Abstract: 
In March 2015, the State of Hawaii stopped covering the majority of migrants from countries belonging to the Compact of Free Association (COFA) in its Medicaid program. COFA migrants were required to obtain private insurance in the exchanges established under the Affordable Care Act. Using statewide hospital discharge data, we show that Medicaid-funded hospitalizations and emergency room visits declined in this population by 31% and 19%. Utilization funded by private insurance did increase, but not enough to offset the declines in Medicaid-funded utilization. Finally, the expiration of benefits increased uninsured ER visits.
Subjects: 
immigration
health insurance
cost sharing
Medicaid
insurance exchange
JEL: 
I10
I14
J61
Document Type: 
Working Paper

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