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Full-Text Articles in Social and Behavioral Sciences

Mental Health Is Wealth Too: Did The Affordable Care Act Medicaid Expansion Improve Mental Health Outcomes?, Dereck Wang Jun 2022

Mental Health Is Wealth Too: Did The Affordable Care Act Medicaid Expansion Improve Mental Health Outcomes?, Dereck Wang

Honors Theses

The ongoing COVID-19 pandemic has greatly exacerbated mental health, which has long been a growing problem in the United States; poor mental health not only jeopardizes the well-being of Americans but also has severe implications for America’s economy. Not only do mental health conditions have significant costs of treatment, but the absenteeism, presenteeism, early retirement, and mortality stemming from poor mental health also severely impact productivity. One health policy that could alleviate this problem is Medicaid expansion. The Affordable Care Act gave states the choice to expand Medicaid eligibility for individuals with incomes up to 138% of the federal poverty …


Three Essays In Healthcare Economics And Policy Analysis, Tuyen Pham Jan 2022

Three Essays In Healthcare Economics And Policy Analysis, Tuyen Pham

Graduate Theses, Dissertations, and Problem Reports

This dissertation research consists of three essays on healthcare economics and policy analysis. Chapter 1 investigates and explains the failure of a proposition on limiting dialysis clinic profits in California in 2018. The proposition would have required dialysis clinics to issue refunds to patients or their payers for revenue that exceeds 115% of the direct cost of treatment. In this chapter, a conceptual framework of how voters weigh costs and benefits is developed and two different empirical approaches, simple OLS and Double Post LASSO, are employed to identify key determinants of the voting outcome. The empirical results suggest that counties …


Effect Of The Affordable Care Act Medicaid Expansion On Labor Participation Of Female Registered Nurses In Outpatient Care, Deborah R. Weissner Aug 2020

Effect Of The Affordable Care Act Medicaid Expansion On Labor Participation Of Female Registered Nurses In Outpatient Care, Deborah R. Weissner

Theses and Dissertations

Medicaid expansions were used to examine the effects of a surge in demand for primary care on the labor participation of registered nurses (RN) in outpatient settings relative to hospitals. Using difference-in-differences and two-way fixed effects with the American Community Survey Public Use Microdata Sample single-year 2010 through 2017 files, I find an increase in the probability of an RN working in an outpatient setting among (1) young, unmarried RNs with a maximum household income of 501 percent of the federal poverty level and (2) young unmarried RNs who have at least one child under age 6. These results are …


The Aca's Dependent Coverage Mandate: An Investigation Of Its Effects On Mortality With Regard To Race, Jack W. Derwin Jan 2020

The Aca's Dependent Coverage Mandate: An Investigation Of Its Effects On Mortality With Regard To Race, Jack W. Derwin

Honors Papers

I add to literature investigating the effects of the Affordable Care Act’s (ACA) dependent coverage mandate (DCM). I examine how the mandate, which increased health insurance coverage for 19 to 25 year-olds, impacted short-run mortality rates for the affected age group. Unlike previous research, I examine if and how young adult mortality was affected differentially by race. I use data from the CDC’s “WONDER” database to conduct difference-in-difference analysis to assess the effects of the policy change on mortality. I find that the DCM had a significant negative impact on mortality rates for the affected age group as a whole, …


Effects Of Innovations In Health Care Provision And Financing, Hoda Nouri Khajavi Sep 2019

Effects Of Innovations In Health Care Provision And Financing, Hoda Nouri Khajavi

Dissertations, Theses, and Capstone Projects

This dissertation consists of four chapters that study the impacts of innovations in health care provision and financing. The relentless rise in US health care costs has led the Centers for Medicare and Medicaid Services to launch various pilot programs to create financial incentives for health care providers, suppliers, and local communities to improve the efficiency of the health care system. The fist chapter of this manuscript reviews the main pilot programs implemented and/or funded by the Centers for Medicare and Medicaid Services since the 111th United States Congress passed the Patient Protection and Affordable Care Act, also known as …


The Effects Of The Affordable Care Act Medicaid Expansion On Breast And Cervical Cancer Screening Rates On Low-Income Childless Women, Michelle Raissa Kobou Wafo May 2019

The Effects Of The Affordable Care Act Medicaid Expansion On Breast And Cervical Cancer Screening Rates On Low-Income Childless Women, Michelle Raissa Kobou Wafo

Economics

In 2010, the Obama administration passed the Patient Protection and Affordable Care Act (ACA) commonly known as Obamacare. However, it is in 2014 that several key parts of the ACA went into effect. Among those key parts is the Medicaid expansion program. States that chose to adopt the policy, expanded Medicaid access to everyone under 138 percent of the federal poverty line. This extension had the largest impact on childless adults who previously were not covered by the program. Moreover, ACA made it mandatory for all health plans (private and public) to include the ten essential health benefits in their …


Effects The 2014 Medicaid Expansion On Seat Belt Use: An Investigation Into Moral Hazard, Paul Pangburn May 2019

Effects The 2014 Medicaid Expansion On Seat Belt Use: An Investigation Into Moral Hazard, Paul Pangburn

Economics

Under the Patient Protection and Affordable Care Act, signed into law by President Obama in 2010, health insurance coverage was expanded to 20 million previously uninsured people. Of these, 14.5 million were Medicaid eligible. Moral Hazard, a common research topic in insurance, is defined as when the private actions of an individual in a risk-sharing situation influence the probability of the outcome. There are two types of moral hazard, called ex-post moral hazard and ex-ante moral hazard. In the case of health insurance, ex-post moral hazard is when a health behavior changes after an individual becomes insured. Ex-ante moral hazard, …


The Effect Of The Dependent Coverage Provision Of The Affordable Care Act On Opioid Use And Abuse, Christian Carrillo Feb 2019

The Effect Of The Dependent Coverage Provision Of The Affordable Care Act On Opioid Use And Abuse, Christian Carrillo

Theses and Dissertations

The non-medical use of prescription opioids has become the fastest growing drug problem in the United States. This paper examines the effect of the ACA's dependent coverage provision on the prevalence of prescription opioid misuse and abuse along with the mechanism driving the results.


The Pricing Impact Of Decreasing Competitiveness Of The Health Insurance Market, Lauren N. Patterson May 2018

The Pricing Impact Of Decreasing Competitiveness Of The Health Insurance Market, Lauren N. Patterson

Chancellor’s Honors Program Projects

No abstract provided.


The Effect Of Health Insurance On Young Adults' Labor Market Outcomes: Evidence From The Affordable Care Act's Dependent Coverage Expansion, Quazi Hassan Dec 2016

The Effect Of Health Insurance On Young Adults' Labor Market Outcomes: Evidence From The Affordable Care Act's Dependent Coverage Expansion, Quazi Hassan

Theses and Dissertations

The Affordable Care Act’s dependent coverage mandate extended young adults’ parental coverage to age 26. I study the expansion’s impact on young adults’ labor market outcomes using a control function method. Following the expansion, I find dependent coverage lowered labor force participation, lowered incomes, and mixed evidence regarding labor supply.


The Affordable Care Act And Health Care In America, Michael Ryan May 2016

The Affordable Care Act And Health Care In America, Michael Ryan

Undergraduate Honors Capstone Projects

What you are about to read is a final project meant to incorporate ideas from my undergraduate coursework with my interests in medicine and economics. Issues in health care, especially insurance, fascinate me and I chose to use my Honors Capstone Project as an opportunity to further my understanding of issues important to me as both a future physician and businessman. The purpose of this paper is to practice critical and analytical thinking skills by exploring some of the challenging issues surrounding American health insurance and the Affordable Care Act while also gaining a deeper understanding of the nuances of …


The Effect Of Medicaid Expansion On Emergency Department Utilization In Kentucky., Anmol Kanotra May 2016

The Effect Of Medicaid Expansion On Emergency Department Utilization In Kentucky., Anmol Kanotra

College of Arts & Sciences Senior Honors Theses

This paper analyzes the impact of a major healthcare reform in Kentucky on outpatient emergency department (ED) visits. I exploit the variation in treatment intensity across counties to determine the effect of expanded Medicaid coverage on Medicaid ED usage rate. I find that there was an insignificant 1 percent increase in ED usage following expansion when utilizing fixed effects. Counties with a high percentage of females experience significantly higher ED rates. Additionally, counties with a lower percentage of children under 21 have higher ED rates.


The Effect Of Health Insurance On Out Of Pocket Expenditure, Andrew M. Bean Apr 2016

The Effect Of Health Insurance On Out Of Pocket Expenditure, Andrew M. Bean

Theses and Dissertations

The dependent care provision of the Affordable Care Act went into effect September 2010. This change in insurance policy can be used as a natural experiment to examine the effect of health insurance on healthcare expenditures using a control function two-part model to address endogeneity.


Financial Implications Of The Medicaid Expansion For Academic Medical Centers, Madeleine Oritt Jan 2016

Financial Implications Of The Medicaid Expansion For Academic Medical Centers, Madeleine Oritt

MPA/MPP/MPFM Capstone Projects

On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (ACA), with the goal of reforming the United States health care system and providing insurance for millions of uninsured citizens and residents. One component of the legislation was the expansion of Medicaid eligibility, which would extend to include all individuals “under age 65 whose family income is at or below 138 percent of the federal poverty guidelines ($14,484 for an individual and $29,726 for a family of four in 2011)” (NCSL, 2015). This provision was challenged in the United States Supreme Court, which ruled …


The Affordable Care Act: Five Years Later, Andrew Dana Izatt May 2015

The Affordable Care Act: Five Years Later, Andrew Dana Izatt

Undergraduate Honors Capstone Projects

The challenges facing the American health care system are well known and manifold. The United States pays substantially more for its health care than any other developed, industrialized nation. Per capita health care spending in 2012 was $8,745, up from $356 in 1970 without marked improvements in life expectancy, quality of life, or outcomes. But despite all of our health spending, large portions of our population go without health insurance. Being uninsured carries real consequences. A report published in the American Journal of Public Health, by researchers at Harvard Medical School, using statistics from the Centers for Disease Control and …


Essays On Health Insurance Reform, Brian James Fischer Jan 2014

Essays On Health Insurance Reform, Brian James Fischer

Legacy Theses & Dissertations (2009 - 2024)

Overlapping generations general equilibrium models are developed to study health insurance reforms in the U.S. The models share common features such as heterogeneity in health, medical expenditures, productivity, endogenous insurance decisions, and capture key aspects of the U.S. insurance system. Each model is calibrated to match the 2007 U.S. economy.


Health Insurance Exchanges: A Panacea Or A Band-Aid?, Luisa Sanchez De Tagle Jan 2012

Health Insurance Exchanges: A Panacea Or A Band-Aid?, Luisa Sanchez De Tagle

Electronic Theses and Dissertations

In 2010, the 111th Congress passed the first national health care reform in the United States, the Patient Protection and Affordable Care Act (ACA). This landmark legislation is intended to "fix" a health care system renowned for decreasing access and escalating costs. This paper examines one of the principal reforms in the ACA, the state health insurance exchanges. The author finds theoretical and empirical evidence to support the exchanges' potential (in conjunction with other relevant ACA reforms) to increase access, decrease insurers' excess profits and shift health care costs away from those least able to afford them. The exchanges fall …