Andrew I. Friedson
Department of Economics
University of Colorado Denver
Lawrence Street Center 460T
Campus Box 181
P.O. Box 173364
Denver, CO 80217-3364
Institutional Affiliation: University of Colorado Denver
Information about this author at RePEc
NBER Working Papers and Publications
|April 2018||Ambulance Utilization in New York City after the Implementation of the Affordable Care Act|
with Charles Courtemanche, Daniel I. Rees: w24480
Expanding insurance coverage could, by insulating patients from having to pay full cost, encourage the utilization of arguably unnecessary medical services. It could also eliminate (or at least diminish) the need for emergency services through increasing access to preventive care. Using publicly available data from New York City for the period 2013-2016, we explore the effect of the Affordable Care Act (ACA) on the volume and composition of ambulance dispatches. Consistent with the argument that expanding insurance coverage encourages the utilization of unnecessary medical services, we find that, as compared to dispatches for more severe injuries, dispatches for minor injuries rose sharply after the implementation of the ACA. By contrast, dispatches for pre-labor pregnancy complication...
|August 2017||The Affordable Care Act and Ambulance Response Times|
with Charles Courtemanche, Andrew P. Koller, Daniel I. Rees: w23722
This study contributes to the literature on supply-side adjustments to insurance expansions by examining the effect of the Affordable Care Act (ACA) on ambulance response times. Exploiting temporal and geographic variation in the implementation of the ACA as well as pre-treatment differences in uninsured rates, we estimate that the expansions of private and Medicaid coverage under the ACA combined to slow ambulance response times by an average of 19%. We conclude that, through extending coverage to individuals who, in its absence, would not have availed themselves of emergency medical services, the ACA added strain to emergency response systems.