Health Insurance and Mortality: Experimental Evidence from Taxpayer Outreach

Author:

Goldin Jacob1,Lurie Ithai Z2,McCubbin Janet2

Affiliation:

1. Stanford University and National Bureau of Economic Research

2. Office of Tax Analysis, U.S. Department of the Treasury

Abstract

Abstract We evaluate a randomized outreach study in which the IRS sent informational letters to 3.9 million households that paid a tax penalty for lacking health insurance coverage under the Affordable Care Act. Drawing on administrative data, we study the effect of this intervention on taxpayers’ subsequent health insurance enrollment and mortality. We find the intervention led to increased coverage during the subsequent two years and reduced mortality among middle-aged adults over the same time period. The results provide experimental evidence that health insurance coverage can reduce mortality in the United States.

Publisher

Oxford University Press (OUP)

Subject

Economics and Econometrics

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