3月16日高级经济学讲座第171期
(编辑：山东大学 日期：2017年03月08日 浏览：次
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一、报告题目
Health Insurance and Birth Outcomes: Evidence from the Affordable Care Act
二、报告人
马芥，西安交通大学金禾经济研究中心研究员，印第安纳大学经济学博士，主要研究领域为健康经济学， 医疗卫生政策，应用计量经济学。其研究成果发表在New England Journal of Medicine等知名学术期刊。
三、报告时间
2017年3月16日（周四）下午3:30
四、报告地点
中心校区知新楼B423聚贤报告厅
五、报告摘要
The Affordable Care Act young adult provision allows young adults to stay on parents’ private insurance plans until age 26 and has been shown to expand private health insurance coverage for the 19-26 age group. Prior research also shows that extending health insurance to young adults may reduce births. This paper uses birth certificate data with rich demographic and health data to examine how health insurance affects birth outcomes, by affecting the composition of births as well as health care receipt during pregnancy. Our analysis shows that the expanded insurance reduced fertility of the age group 24-25 by 2.57%, using those aged 27-28 as a control group. Heterogeneity in the fertility response caused composition to shift, such that the provision increased the share of children born to unmarried, minority, or less educated mothers. This shift in the maternal characteristics would have a negative implication on average health of infants born to women in the treatment age group. However, as the provision resulted in expanded private insurance during pregnancy, we also found evidence for improved prenatal care-a higher proportion of mothers starting prenatal visits in the first trimester, and lowered maternal smoking, gestational diabetes and hypertension. The combined effect of the mother’s composition shifts and improved prenatal is that the provision did not have a substantial net effect on birth outcomes.
六、主办单位
山东大学经济学院
Health Insurance and Birth Outcomes: Evidence from the Affordable Care Act
二、报告人
马芥，西安交通大学金禾经济研究中心研究员，印第安纳大学经济学博士，主要研究领域为健康经济学， 医疗卫生政策，应用计量经济学。其研究成果发表在New England Journal of Medicine等知名学术期刊。
三、报告时间
2017年3月16日（周四）下午3:30
四、报告地点
中心校区知新楼B423聚贤报告厅
五、报告摘要
The Affordable Care Act young adult provision allows young adults to stay on parents’ private insurance plans until age 26 and has been shown to expand private health insurance coverage for the 19-26 age group. Prior research also shows that extending health insurance to young adults may reduce births. This paper uses birth certificate data with rich demographic and health data to examine how health insurance affects birth outcomes, by affecting the composition of births as well as health care receipt during pregnancy. Our analysis shows that the expanded insurance reduced fertility of the age group 24-25 by 2.57%, using those aged 27-28 as a control group. Heterogeneity in the fertility response caused composition to shift, such that the provision increased the share of children born to unmarried, minority, or less educated mothers. This shift in the maternal characteristics would have a negative implication on average health of infants born to women in the treatment age group. However, as the provision resulted in expanded private insurance during pregnancy, we also found evidence for improved prenatal care-a higher proportion of mothers starting prenatal visits in the first trimester, and lowered maternal smoking, gestational diabetes and hypertension. The combined effect of the mother’s composition shifts and improved prenatal is that the provision did not have a substantial net effect on birth outcomes.
六、主办单位
山东大学经济学院
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