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2023 Annual Conference

May 16–18, 2023

Palace Station Hotel & Casino, Las Vegas, NV, US

IMPORTANT NOTICE: The date, time, and room assignment of YOUR presentation is SUBJECT TO CHANGE.

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Confirm your place in the schedule by following the instructionss that were emailed to you. Each presentation must have a separate paid registration. Contact the ACCI office immedicately by email at admin@consumerinterests.org to report any conflict, all corrections to the details of the presentation (including author names and the order they are listed as this is how it will be in the final program), or if you have any questions. Please be sure to reference the session title(s), date(s), and time(s) when you contact us.

C3b Effects of the Earned Income Tax Credit on Health Care Utilization

Wednesday, May 17, 2023 at 10:45 AM–12:15 PM PDT
Room 3
Short Description

Out-of-pocket costs for health care expenditures contribute to a growing share of households’ consumption relative to income. Even among households with health insurance coverage, delaying of care due to out-of-pocket costs is commonly reported in surveys. This is because health plan deductibles introduce steep spot prices for cost-sharing early in coverage periods, which may drive people who are not financially prepared to defer care until they have the financial resources. Using restricted Medical Expenditure Panel Survey (MEPS) longitudinal data on monthly medical health care visits from 2010 to 2016, this study examines the relationship between monthly income changes due to Federal and State tax credit refunds and health care utilization among lower income adults. Estimates from a difference-in-differences framework show that increases in income tax refunds have no influence on the proportion of health care consumption in the months when these funds are typically received. Results were similar by health insurance cost sharing and for adults with lower amounts of liquid savings. Most people appear to incorporate tax refunds into their income expectations and appear to smooth health care consumption. This suggests health coverage may benefit from examining the heterogeneous effects of cost-sharing across the workforce.

Type of presentation

Accepted Oral Presentation

Submitter

Madeline Jones, University of Wisconsin-Madison

Authors

Madeline Reed Jones, University of Wisconsin-Madison
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