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Quantifying the Impact of the Affordable Care Act

The Affordable Care Act represented arguably the largest change in federal health policy since the creation of the Medicare and Medicaid programs in the 1960s, expanding coverage to approximately 40 million people who were previously uninsured. In a series of papers published in the Quarterly Journal of Economics, New England Journal of Medicine, AEJ: Applied Economics, Journal of Public Economics, and other outlets, Associate Professor Sarah Miller and her co-author Dr. Lara R. Wherry quantify the impact of this policy on the predominantly low-income population who gained coverage as a result of the reform's resultant changes in Medicaid eligibility. Their work has shown that 1) low-income adults who gained coverage through the ACA Medicaid expansions experienced reduced mortality rates and that the failure of some states to adopt these expansions cost approximately 4,800 deaths per year in those states; 2) low-income adults who gained coverage through these expansions experienced improved access to medical care and improved financial outcomes; 3) the expansion of coverage to these individuals did not crowd out care provided to population who were unaffected, such as those in Medicare. This work has garnered over 1,800 citations and has been discussed in numerous high-profile media outlets and policy documents.