Using the 2010–2015 Medical Expenditure Panel Survey-Insurance Component, this study investigates the effect of the Affordable Care Act’s Medicaid eligibility expansion on four employer-sponsored insurance (ESI) outcomes: offers of health insurance, eligibility, take-up, and the out-of-pocket premium paid by employees for single coverage. Using a difference-in-differences identification strategy, we cannot reject the hypothesis of a zero effect of the Medicaid eligibility expansion on an establishment’s probability of offering ESI, the percentage of an establishment’s workforce that takes up coverage, or the out-of-pocket premium for single coverage. We find some evidence suggestive of an inverse relationship between the expansion of Medicaid and the percentage of an establishment’s workers eligible for ESI. In line with other employer- and individual-level studies of the effect of the ACA on employment-related outcomes, we find that employer provision of health insurance was largely unaffected by the Medicaid expansions.

中文翻译：

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医疗补助扩张对雇主提供健康保险的影响。

本研究使用2010-2015年医疗支出小组调查-保险部分，研究了《平价医疗法案》的医疗补助资格扩展对四个雇主赞助的保险（ESI）结果的影响：健康保险，资格，接受保险和员工为单项保险支付的自付费用。使用差异识别策略，我们不能拒绝医疗补助资格扩展对企业提供ESI的可能性，企业覆盖工作人员的百分比或现金自付零影响的假设。单次保险费。我们发现一些证据表明，医疗补助金的扩张与符合ESI资格的企业所占百分比之间存在反比关系。