Interesting Phenomena

According to the New York Fed Reserve Bank the PPACA appears to be doing what it was intended to do besides grant more people healthcare. States that opted into the Medicaid expansion and the PPACA have experienced a decrease in the number of billings going to collection agencies.

Per Capita Collection Balances

“We see that between 2009 and 2015, the series is statistically and economically indistinguishable from zero in every quarter, which is consistent with the constant and parallel trends of the series in the first chart. This means that collections in counties that did not expand Medicaid grew along similar trends as in counties that did. However, starting in the first quarter of 2015, the difference in differences turns sharply negative. By the fourth quarter of 2015, the chart indicates that, on average, collections declined by more than $100 per capita in the counties most affected by the Medicaid expansion relative to less affected counties. This is a sizable decline, given that the mean of collection balances over our sample period is $280 (and the standard deviation is $186). Note that the declines do not start as soon as the ACA is implemented (in the first quarter of 2014)—this should not be surprising since bills can take many months to enter collections.”

Change in Per Capita Collection Balances

States opting out of the Medicaid expansion and the PPACA experienced a continued rise in collection agency balances.

Hat Tip to Nancy Letourneau at the Washington Monthly who points out Obamacare’s Success in Protecting our Finances