273114 Relevance of institutional rules for Medicaid crowd-out estimates

Wednesday, October 31, 2012 : 8:50 AM - 9:10 AM

Eric Seiber, PhD , College of Public Health, The Ohio State University, Columbus, OH
Crowd-out refers to the degree which expansions of eligibility for public insurance lead individuals to substitute public coverage for private coverage. The Affordable Care Act includes a large Medicaid expansion in 2014. As a result of this expansion, enrollment in public insurance programs will grow substantially, which continues to cause concerns among policy makers about the extent to which public insurance is “crowding out” private insurance.

This presentation will highlight the importance of institutional rules for crowd-out estimates, focusing on Medicaid's role as insures or last resort. Federal and state surveys frequently allow multiple forms of insurance coverage. This presentation will demonstrate that the treatment of respondents with “dual” coverage can produce important policy differences for crowd-out estimates.

Learning Objectives:
Following this presentation, audience members will be able to: 1. Describe the policy implications of public-private crowd-out 2. Explain the concept of “insurer of last resort”. 3. Describe the sensitivity of crowd-out estimates to the treatment of dual insurance coverage.

Keywords: Medicare/Medicaid, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I actively publish on the topic and collaborate with state agency researchers producing crowd-out estimates.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.