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Economic Hardship, Sleep, and Self-Rated Health American Journal of Health Economics (IF 1.973) Pub Date : 2022-03-01 Helmut Farbmacher,Maximilian Hartmann,Heinrich Kögel
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The Demand for Individual Insurance American Journal of Health Economics (IF 1.973) Pub Date : 2022-03-01 Conor Ryan,Roger Feldman,Stephen Parente
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Physician Competition And Low-Value Health Care American Journal of Health Economics (IF 1.973) Pub Date : 2022-03-01 Anthony Scott,Jinhu Li,Hugh Gravelle,Matthew McGrail
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The Effects of Medicare on Health-Care Utilization and Spending Among the Elderly American Journal of Health Economics (IF 1.973) Pub Date : 2022-03-01 Pinka Chatterji,Tu Nguyen,Bariş K. Yörük
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The Extent of Externalities from Medicare Payment Policy American Journal of Health Economics (IF 1.973) Pub Date : 2022-03-01 Alice J. Chen,Michael R. Richards,Christopher M. Whaley,Xiaoxi Zhao
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Effects of the Minimum Wage on Child Health American Journal of Health Economics (IF 1.973) Pub Date : 2022-02-03 George L. Wehby,Robert Kaestner,Wei Lyu,Dhaval Dave
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Do class size reductions protect students from infectious disease? Lessons for Covid-19 policy from flu epidemic in Tokyo Metropolitan Area American Journal of Health Economics (IF 1.973) Pub Date : 2022-02-02 Masato Oikawa,Ryuichi Tanaka,Shun-ichiro Bessho,Haruko Noguchi
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The Effect of the Minimum Wage on Employer-Sponsored Insurance for Low-Income Workers and Dependents American Journal of Health Economics (IF 1.973) Pub Date : 2022-01-01 Michael S. Dworsky,Christine Eibner,Xiaoyu Nie,Jeffrey B. Wenger
Economic theory suggests that a binding minimum wage increase may reduce the generosity of employer-sponsored insurance (ESI) or other fringe benefits, yet previous empirical studies reach conflicting conclusions about the existence of a trade-off between minimum wages and ESI. We study whether recent state and federal minimum wage increases affect the level or the source of health insurance coverage
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Policy-Induced Substitution to Illicit Drugs and Implications for Law Enforcement Activity American Journal of Health Economics (IF 1.973) Pub Date : 2022-01-01 Justine Mallatt
US states have implemented many policies to lessen the severity of the opioid crisis. This study investigates prescription drug monitoring programs, the reformulation of OxyContin, and Pill Mill laws on illicit drug possession and sellers. I perform difference-in-differences analyses to study policy-induced substitution to heroin and illicit opioids as measured through rates of heroin and diverted
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The Effects of State Scope of Practice Laws on the Labor Supply of Advanced Practice Registered Nurses American Journal of Health Economics (IF 1.973) Pub Date : 2022-01-01 Sara Markowitz,E. Kathleen Adams
This paper studies the effects of changes in states’ scope of practice (SOP) laws for advanced practice registered nurses (APRNs) on individual labor supply decisions. Restrictive SOP impose costs and other barriers to practice that may affect these decisions. Using survey data on APRNs, we analyze employment in nursing, work hours, part-time work status, multiple job holding, self-employment, wages
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Immigration Enforcement and Infant Health American Journal of Health Economics (IF 1.973) Pub Date : 2021-12-13 Catalina Amuedo-Dorantes,Brandyn Churchill,Yang Song
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The Ohio Vaccine Lottery and Starting Vaccination Rates American Journal of Health Economics (IF 1.973) Pub Date : 2021-12-13 Margaret Brehm,Paul Brehm,Martin Saavedra
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Do opioid prescriptions lead to fatal car crashes? American Journal of Health Economics (IF 1.973) Pub Date : 2021-12-13 Michael R. Betz,Lauren E. Jones
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Hospital Avoidance and Unintended Deaths during the COVID-19 Pandemic American Journal of Health Economics (IF 1.973) Pub Date : 2021-11-01 Jonathan Zhang
The COVID-19 pandemic significantly altered individual behaviors, including the consumption of health care. I study utilization and mortality in the largest integrated health-care system in the United States, the Veterans Health Administration, and find that between the middle of March and the beginning of May 2020, emergency department and inpatient hospital visits declined by 37 percent and 46 percent
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Does particulate matter affect cognitive performance? Evidence from the city of Seoul American Journal of Health Economics (IF 1.973) Pub Date : 2021-11-01 Hyunkuk Cho
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Tracking Public and Private Responses to the COVID-19 Epidemic American Journal of Health Economics (IF 1.973) Pub Date : 2021-11-01 Sumedha Gupta,Thuy Nguyen,Shyam Raman,Byungkyu Lee,Felipe Lozano-Rojas,Ana Bento,Kosali Simon,Coady Wing
This paper examines the determinants of social distancing during the shutdown phase of the COVID-19 epidemic. We classify state and local government actions, and we study multiple proxies for social distancing based on data from smart devices. Mobility fell substantially in all states, even ones that did not adopt major distancing mandates. Most of the fall in mobility occurred prior to the most stringent
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Does Information Disclosure Improve Consumer Knowledge? American Journal of Health Economics (IF 1.973) Pub Date : 2021-11-01 John Cawley,Alex M. Susskind,Barton Willage
We estimate the impact of information disclosure on consumer knowledge in an important context: the calorie content of restaurant food. We conduct a randomized controlled experiment of calorie labels on restaurant menus, and find that information disclosure improves consumer knowledge but does not eliminate the problem of imperfect information. Calorie labels improve consumers’ post-meal estimates
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Improving the Performance of Risk Adjustment Systems: Constrained Regressions, Reinsurance, and Variable Selection. American Journal of Health Economics (IF 1.973) Pub Date : 2021-10-04 Thomas G McGuire,Anna L Zink,Sherri Rose
Modifications of risk-adjustment systems used to pay health plans in individual health insurance markets typically seek to reduce selection incentives at the individual and group levels by adding variables to the payment formula. Adding variables can be costly and lead to unintended incentives for upcoding or service utilization. While these drawbacks are recognized, they are hard to quantify and difficult
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Tiered Cost-Sharing for Primary Care Gatekeeper Clinics American Journal of Health Economics (IF 1.973) Pub Date : 2021-06-01 Bryan E. Dowd,Tsan-yao Huang,Tim McDonald
Efforts to improve the efficiency of the US health-care system involve both provider payment reform and efforts to give consumers the information they need to choose efficient providers and a financial incentive to do so. An example of the latter type of initiative is tiered cost-sharing. We analyze data from a long-standing tiered cost-sharing system for primary care gatekeeper clinics. These clinics
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What to Expect When It Gets Hotter American Journal of Health Economics (IF 1.973) Pub Date : 2021-06-01 Jiyoon Kim,Ajin Lee,Maya Rossin-Slater
We use temperature variation within narrowly defined geographic and demographic cells to show that exposure to extreme temperature increases the risk of maternal hospitalization during pregnancy. This effect is driven by emergency hospitalizations for various pregnancy complications, suggesting that it represents a deterioration in underlying maternal health rather than a change in women’s ability
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Reducing Readmissions by Addressing the Social Determinants of Health American Journal of Health Economics (IF 1.973) Pub Date : 2021-01-01 William N. Evans,Sarah Kroeger,Elizabeth L. Munnich,Grace Ortuzar,Kathryn L. Wagner
Hospital readmissions generate enormous costs and are the subject of increased scrutiny among US lawmakers. The Affordable Care Act created the Community-Based Care Transitions Program (CCTP) to test models for improving care transitions after hospital discharge with the goal of reducing 30-day Medicare hospital readmission rates by 20 percent. Few of these demonstrations showed sustained reductions
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Insurance Coverage, Provider Contact, and Take-Up of the HPV Vaccine American Journal of Health Economics (IF 1.973) Pub Date : 2020-12-15 Brandyn Churchill
Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States and the single biggest cause of cervical cancer, as well as certain cancers of the head and throat, anus, vulva, vagina, and penis. Between 2008 and 2012 nearly 40,000 people annually were diagnosed with an HPV-related cancer. Despite these staggering numbers and the existence of a highly effective vaccine
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Substance use disorder treatment centers and residential property values American Journal of Health Economics (IF 1.973) Pub Date : 2020-12-15 Brady Horn,Aakrit Joshi,Johanna Catherine Maclean
Substance use disorders (SUDs) are a major social concern. There is an extensive economic literature estimating the social costs associated with SUDs in terms of health care, labor market outcomes, and crime. However, beyond anecdotal claims that SUD treatment centers (SUDTCs), settings in which patients receive care, reduce residential property values, there is little empirical work on this question
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Health Insurance Coverage from Administrative Tax Data American Journal of Health Economics (IF 1.973) Pub Date : 2020-10-19 Ithai Z. Lurie,James Pearce
The Current Population Survey provides official estimates of the number of people covered by health insurance and the number of uninsured in the United States. This type of survey data are also used to study the effects of policy changes on health insurance coverage. However, there is evidence that individuals sometimes misreport health insurance coverage, which might bias findings that use survey
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The Evolving Consequences of OxyContin Reformulation on Drug Overdoses American Journal of Health Economics (IF 1.973) Pub Date : 2020-09-23 David Powell, Rosalie Liccardo Pacula
Recent evidence suggests that the short-term transition of the opioid crisis from prescription opioids to heroin can be attributed to the reformulation of OxyContin, which substantially reduced access to abusable prescription opioids. In this paper, we find that over a longer time horizon, reformulation stimulated illicit drug markets to grow and evolve. We compare overdose trajectories in areas more
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The Effects of Medicare Payment Changes on Nursing Home Staffing American Journal of Health Economics (IF 1.973) Pub Date : 2020-09-22 Daifeng He, Peter McHenry, Jennifer M. Mellor
In light of persistent shortcomings in nursing home care quality and evidence that lower nurse staffing levels could be harmful to residents, we examine whether staffing levels are affected by changes in Medicare reimbursement rates. We exploit a 2006 change in Medicare’s methodology for adjusting provider payments for geographic differences in costs, a change that generated plausibly exogenous variation
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Exploiting incomplete information in risk adjustment using constrained regression American Journal of Health Economics (IF 1.973) Pub Date : 2020-09-16 Richard C. van Kleef, Frank Eijkenaar, René C. J. A. van Vliet, Mark M. J. Nielen
Health insurance markets with regulated premiums typically include risk adjustment (RA) to mitigate selection incentives. Even the most sophisticated RA models, however, tend to undercompensate (overcompensate) insurers for people in poor (good) health. One reason RA models are imperfect is that some predictors cannot serve as risk adjustor because they are not available for the entire population.
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The Impact of the ACA Medicaid Expansion on Disability Program Applications American Journal of Health Economics (IF 1.973) Pub Date : 2020-09-16 Lucie Schmidt, Lara D. Shore-Sheppard, Tara Watson
The Affordable Care Act (ACA) expanded the availability of public health insurance, decreasing the relative benefit of participating in disability programs but also lowering the cost of exiting the labor market to apply for disability benefits. In this paper, we explore the impact of expanded access to Medicaid through the ACA on applications to the Supplemental Security Income (SSI) and Social Security
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Are Doctors Better Health Ministers? American Journal of Health Economics (IF 1.973) Pub Date : 2020-09-16 Adam Pilny, Felix Roesel
Appointing or electing professionals to be public officials is a double-edged sword. Experts can use their rich knowledge to implement reforms, but they can also favor their own profession. In this study, we compare physician-trained state health ministers to ministers of other professions in Germany during 1955–2017. German state health ministers have great power to determine hospital capacities and
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The Good Outcome of Bad News. A Field Experiment on Formatting Breast Cancer Screening Invitation Letters American Journal of Health Economics (IF 1.973) Pub Date : 2020-06-01 Marco Bertoni, Luca Corazzini, Silvana Robone
By favoring early diagnosis, mammography screening decreases breast cancer mortality and treatment costs. However, participation in public screening programs is low in many countries. We ran a randomized field experiment to assess whether costless manipulations of the informational content (restricted or enhanced information) and the framing (gain or loss framing) of the invitation letter to the breast
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An Apple a Day? Adult Food Stamp Eligibility and Health Care Utilization Among Immigrants American Journal of Health Economics (IF 1.973) Pub Date : 2020-06-01 Chloe N. East, Andrew I. Friedson
In this study, we document the effect of food stamp access on adult health-care utilization. While the Food Stamp Program is one of the largest safety net programs in the United States today, the universal nature of the program across geographic areas and over time limits the potential for quasi-experimental analysis. To circumvent this issue, we use variation in documented immigrants’ eligibility
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Does Multispecialty Practice Enhance Physician Market Power? American Journal of Health Economics (IF 1.973) Pub Date : 2020-06-01 Laurence C. Baker, M. Kate Bundorf, Daniel P. Kessler
In health care, vertical integration—common ownership of producers of complementary services—may have both pro- and anticompetitive effects. We use data on 40 million commercially insured individuals from the Health Care Cost Institute to construct price indices for office visits to general practice and specialist physicians for the years 2008–12. Controlling for generalist market concentration, we
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Macroeconomic Shocks, Job Security and Health: Evidence from the Mining Industry American Journal of Health Economics (IF 1.973) Pub Date : 2020-06-01 David W. Johnston, Michael A. Shields, Agne Suziedelyte
How do exogenous changes in the macroeconomic environment affect workers’ perceived job security, and consequently, their mental and physical health? To answer this question, we exploit variation in world commodity prices over the period 2001–17 and analyze panel data that include detailed classifications of mining workers. We find that commodity price increases cause increases in perceived job security
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The Role of Neonatal Health in the Incidence of Childhood Disability American Journal of Health Economics (IF 1.973) Pub Date : 2020-03-18 Todd Elder, David Figlio, Scott Imberman, Claudia Persico
We use linked birth and education records for all children born in Florida between 1992 and 2002 to assess the effects of neonatal health on the identification of childhood disabilities. We find that several measures of neonatal health are associated with disability incidence, although birth weight plays the most empirically relevant role. Using large samples of siblings and twins, we find that infant
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Giving Teens a Boost? Effects of Adolescent Meningococcal Vaccine Recommendations American Journal of Health Economics (IF 1.973) Pub Date : 2020-03-18 Emily C. Lawler
This study provides the first quasi-experimental evidence on the effects of nonbinding vaccine recommendations targeted at high school–aged adolescents. Using data from the National Immunization Survey–Teen and the Centers for Disease Control’s disease surveillance system, I find that these simple recommendations significantly increased meningococcal vaccination rates among the targeted population
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Does Prenatal WIC Participation Improve Child Outcomes? American Journal of Health Economics (IF 1.973) Pub Date : 2020-03-12 Anna Chorniy, Janet Currie, Lyudmyla Sonchak
A large body of literature documents positive effects of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) on birth outcomes, and separately connects health at birth and future outcomes. But little research investigates the link between prenatal WIC participation and childhood outcomes. We explore this question using a unique data set from South Carolina that links administrative
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Healthy Babies: Does Prenatal Care Really Matter? American Journal of Health Economics (IF 1.973) Pub Date : 2020-03-09 Ji Yan
The recent economic literature on child development has underscored the importance of giving babies a healthy start. Despite the widespread use of prenatal care, whether this early investment improves infant health is not well understood. This study provides new causal evidence on this crucial issue using 1.4 million sibling births. The baseline within-family analysis shows a modest effect of prenatal
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Reinsurance, Repayments, and Risk Adjustment in Individual Health Insurance: Germany, The Netherlands and the U.S. Marketplaces American Journal of Health Economics (IF 1.973) Pub Date : 2020-01-01 Thomas G. McGuire, Sonja Schillo, Richard C. van Kleef
Reinsurance can complement risk adjustment of health plan payments to improve fit of payments to plan spending at the individual and group level. This paper proposes three improvements in health plan payment systems using reinsurance. First, we base reinsurance payments on spending not accounted for by the risk adjustment system, rather than just high spending. Second, we propose pairing reinsurance
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Does Medicare Reduce Medical Debt? American Journal of Health Economics (IF 1.973) Pub Date : 2020-01-01 Kyle J. Caswell, John H. Goddeeris
We study the effect of Medicare on financial strain, measured by annual changes in medical debt in collections, using credit bureau data. We exploit the program’s eligibility age at 65 and compare the experiences of those just under and over age 65 using a regression discontinuity design. We find that during our baseline study period Medicare reduced the annual probability of large medical collections
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The Effects of Skilled Nursing Facility Care: Regression Discontinuity Evidence from Medicare American Journal of Health Economics (IF 1.973) Pub Date : 2020-01-01 Liam Rose
Among the elderly population that is hospitalized, about 20 percent are discharged to skilled nursing facilities (SNFs), at a cost of over $30 billion annually. SNFs provide high-level care in an outpatient setting with the intent of reducing individuals’ time in the hospital and preventing readmissions. I leverage a Medicare policy that induces a discontinuity in the probability of being transferred
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How Does the Type of Remuneration Affect Physician Behaviour? Fixed Salary versus Fee-For-Service American Journal of Health Economics (IF 1.973) Pub Date : 2020-01-01 Kurt R. Brekke, Tor Helge Holmås, Karin Monstad, Odd Rune Straume
We analyse the effects of two different types of physician remuneration - fee-for-service and fixed salary - on the treatment decisions of general practitioners (GPs) and on patients´ health outcomes. Using rich Norwegian register data during the period 2009-2013, we focus on GP locums working in a succession of temporary positions, which allows us to observe the same GPs working under different remuneration
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Impact of Comprehensive Smoking Bans on the Health of Infants and Children American Journal of Health Economics (IF 1.973) Pub Date : 2020-01-01 Kerry Anne McGeary, Dhaval Dave, Brandy Lipton, Timothy Roeper
As evidence of the negative effects of environmental tobacco smoke (ETS) has mounted, an increasingly popular public policy response has been to impose restrictions on smoking through 100 percent smoke-free bans (comprehensive smoking bans). Yet sparse information exists regarding the impact these smoking bans at the state and local levels have on the health of children and infants. A rationale for
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Should We Do More To Police Medicaid Fraud? Evidence on the Intended and Unintended Consequences of Expanded Enforcement American Journal of Health Economics (IF 1.973) Pub Date : 2019-10-01 Victoria Perez, Coady Wing
Medicaid Fraud Control Units (MFCUs) are state agencies that investigate and prosecute health care provider fraud, using billing data to decide who to investigate. In particular, providers that submit a large number of claims for a set of fraud prone services are more likely to be investigated. We study the effect of within-state changes in MFCU spending on enforcement outcomes and hospital treatment
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Why Don't Commercial Health Plans Use Prospective Payment? American Journal of Health Economics (IF 1.973) Pub Date : 2019-10-01 Laurence Baker, M. Kate Bundorf, Aileen Devlin, Daniel P. Kessler
One of the key terms in contracts between hospitals and insurers is how the parties apportion the financial risk of treating unexpectedly costly patients. “Prospective” payment contracts give hospitals a lump-sum amount, depending on the medical condition of the patient, with limited adjustment for the level of services provided. We use data from the Medicare Prospective Payment System and commercial
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Health Insurance and Early Retirement Plans: Evidence from the Affordable Care Act American Journal of Health Economics (IF 1.973) Pub Date : 2019-10-01 Padmaja Ayyagari
Understanding how individuals make retirement plans is key to designing effective policy. In particular, access to affordable insurance during retirement can play an important role in the labor supply decisions of older adults. In this study, I examine the impact of the 2010 Affordable Care Act (ACA) on the retirement plans of older adults. The ACA includes several provisions that significantly increase
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Revisiting the Effects of Tobacco Retailer Compliance Inspections on Youth Tobacco Use American Journal of Health Economics (IF 1.973) Pub Date : 2019-10-01 Bo Feng, Michael F. Pesko
We evaluate the effect of the first six years of the Food and Drug Administration's compliance check program, which includes underage buyer “sting” inspections, on youth cigarette purchasing and tobacco use patterns. Abouk and Adams (2017b) studied the first three years of the program using Monitoring the Future and found evidence that the program changed purchasing patterns and decreased cigarette
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The Distortionary Effects of the Health Insurance Tax Exclusion American Journal of Health Economics (IF 1.973) Pub Date : 2019-10-01 David Powell
The tax exclusion of health insurance premiums represents the largest source of tax expenditures in the United States while reducing the after-tax price of insurance for the majority of households. This paper provides theoretical and empirical evidence about the tax subsidy's effects on a host of outcomes, including coverage generosity, the cost-sharing schedule, the distribution of medical care expenditures
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Discrimination in Health Care: A Field Experiment on the Impact of Patients' Socio-Economic Status on Access to Care American Journal of Health Economics (IF 1.973) Pub Date : 2019-10-01 Silvia Angerer, Christian Waibel, Harald Stummer
We employ a large-scale field experiment to investigate the impact of patients’ socioeconomic status on access to care. We request an appointment at more than 1,200 physicians in Austria, varying the educational level of the patient. Our results show that overall patients with a university degree receive an appointment significantly more often than patients without a degree. Differentiating between
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Baby Boomlets and Baby Health: Hospital Crowdedness, Hospital Spending, and Infant Health American Journal of Health Economics (IF 1.973) Pub Date : 2019-07-01 Mindy Marks, Moonkyung Kate Choi
To identify the causal relationship between health-care spending and infant health, we employ the following source of identifying variation: hospital crowdedness measured in its simplest form, by the number of infants born on a given day in a given hospital. The thought experiment is during a crowded time; infants receive less medical care because resource constraints are binding. Using detailed information
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The Impact of Women's Health Clinic Closures on Fertility American Journal of Health Economics (IF 1.973) Pub Date : 2019-07-01 Yao Lu, David J. G. Slusky
In recent years, the government of Texas has enacted multiple restrictions and funding limitations on women's health organizations affiliated with the provision of abortion services. These policies have caused numerous clinic closures throughout the state, drastically reducing access to reproductive health care. We study the impact of these clinic closures on fertility rates by combining quarterly
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Health Returns to Pharmaceutical Innovation in the Market for Oral Chemotherapy in Response to Insurance Coverage Expansion American Journal of Health Economics (IF 1.973) Pub Date : 2019-07-01 Caroline Savage Bennette, Anirban Basu, Scott D. Ramsey, Zachary Helms, Peter B. Bach
We estimated the average returns, in terms of patient survival, to the marginal innovations in the oral chemotherapy market induced by Part D expansion of oral chemotherapy coverage for elderly individuals by mandating inclusion of “all or substantially all” oral anticancer medications on plans’ formularies. We exploited exogenous variation in the age of diagnosis for different cancer sites—and therefore
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Smoke Gets in Your Eyes: Medical Marijuana Laws and Tobacco Cigarette Use American Journal of Health Economics (IF 1.973) Pub Date : 2019-07-01 Anna Choi, Dhaval Dave, Joseph J. Sabia
The public health costs of tobacco consumption have been documented to be substantially larger than those of marijuana use. This study is the first to investigate the impact of medical marijuana laws (MMLs) on tobacco cigarette consumption. First, using data from the National Survey of Drug Use and Health (NSDUH), we establish that MMLs induce a 2 to 3 percentage point increase in adult marijuana consumption
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Consumer Responses to Price Transparency Alone Versus Price Transparency Combined with Reference Pricing American Journal of Health Economics (IF 1.973) Pub Date : 2019-04-01 Christopher Whaley, Timothy Brown, James Robinson
Efforts to spur patient price shopping by providing access to price transparency tools have been met with limited success. One potential reason is the absence of financial incentives. This paper uses data from a large employer that implemented a price transparency platform and subsequently implemented a reference pricing program for laboratory and diagnostic imaging tests. We find no price shopping
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The Consequences of a Public Health Insurance Option: Evidence From Medicare Part D American Journal of Health Economics (IF 1.973) Pub Date : 2019-04-01 Daniel P. Miller, Jungwon Yeo
This paper structurally estimates a demand and supply model of Medicare Part D and evaluates counterfactual scenarios that introduce a public option competing alongside private insurers. The results show that a public option with a cost advantage expands coverage and crowds out private insurer enrollment, but has little effect on market premiums. Additional subsidy payments covering the expanded base
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Socioemotional Skills, Education, and Health-Related Outcomes of High-Ability Individuals American Journal of Health Economics (IF 1.973) Pub Date : 2019-04-01 Peter A. Savelyev, Kegon T. K. Tan
We use the high-IQ Terman sample to estimate relationships between education, socioemotional skills, and health-related outcomes that include health behaviors, lifestyles, and health measures across the life cycle. By both focusing on a high-IQ sample and controlling for IQ in regression models, we mitigate ability bias due to cognitive skill. In addition, we control for detailed personality measures
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The Comparative Advantage of Medicare Advantage American Journal of Health Economics (IF 1.973) Pub Date : 2019-04-01 Joseph P. Newhouse, Mary Beth Landrum, Mary Price, J. Michael McWilliams, John Hsu, Thomas G. McGuire
We ascertain the degree of service-level selection in Medicare Advantage (MA) using individual-level data on the 100 most frequent hierarchical coexisting conditions (HCCs) or combination of HCCs from two national insurers in 2012–13. We find differences in the distribution of beneficiaries across HCCs between traditional Medicare (TM) and MA, principally in the smaller share of MA enrollees with no
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Consumer Response to Composite Ratings of Nursing Home Quality. American Journal of Health Economics (IF 1.973) Pub Date : 2019-04-01 Marcelo Coca Perraillon,R Tamara Konetzka,Daifeng He,Rachel M Werner
Health-care report cards are intended to address information asymmetries and enable consumers to choose providers of better quality. However, the form of the information may matter to consumers. Nursing Home Compare, a website that publishes report cards for nursing homes, went from publishing a large set of indicators to a composite rating in which nursing homes are assigned one to five stars. We
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Are Booster Seats More Effective than Child Safety Seats or Seat Belts at Reducing Traffic Fatalities among Children? American Journal of Health Economics (IF 1.973) Pub Date : 2019-01-01 D. Mark Anderson, Sina Sandholt
In an effort to increase booster seat use among children, the National Highway Traffic Safety Administration is encouraging state legislators to promote stricter booster seat laws, yet there is a paucity of information on booster seat efficacy relative to other forms of restraint. Using data from the Fatality Analysis Reporting System for the period 2008–16, the current study examines the effectiveness
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The Effects of Graduation Requirements on Risky Health Behaviors of High School Students American Journal of Health Economics (IF 1.973) Pub Date : 2019-01-01 Zhuang Hao, Benjamin W. Cowan
Previous studies have shown that years of formal schooling attained affects health behaviors, but little is known about how the stringency of academic programs affects such behaviors, especially among youth. Using national survey data from the Youth Risk Behavior Surveillance System, we study the effects of mathematics and science high school graduation requirements (HSGR) on high school students’
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Short-Run Effects of Parental Job Loss on Child Health American Journal of Health Economics (IF 1.973) Pub Date : 2019-01-01 Jessamyn Schaller, Mariana Zerpa
Recent research suggests that parental job loss has negative effects on children's outcomes, including their academic achievement and long-run educational and labor market outcomes. In this paper we turn our attention to the effects of parental job loss on children's health. We combine health data from 16 waves of the Medical Expenditure Panel Survey, which allows us to use a fixed-effects specification