The Effect Of Expansions In Medicaid Eligibility On Hospital Financial Performance: Evidence From Medicare Cost Reports, Kevin Wu
School of Arts & Sciences Theses
Expansions in Medicaid eligibility and effects on profitability for different hospitals are examined using data from Medicare Cost Reports and difference-in-differences analysis. Critical access and disproportionate share hospitals are associated with the largest profitability gains from these expansions. Results imply that vulnerable hospitals are affected most by changes to Medicaid.
Evaluating The Effects Of Nutritional Intake During Adolescence On Educational Attainment And Labor Market Earnings As An Adult, 2018 Claremont McKenna College
Evaluating The Effects Of Nutritional Intake During Adolescence On Educational Attainment And Labor Market Earnings As An Adult, Mikaela Connell
CMC Senior Theses
In this thesis, I analyze whether nutritional intake at the time of adolescence can impact academic attainment and earnings later on in life. Millions of children in the United States are living in food insecure households and do not have access to an adequate nutritious diet. Since adolescence is a time period of intense growth and development, it is essential to meet nutritional needs at this time. Using data from the Longitudinal Study of Adolescent to Adult Health (Add Health), I measure the nutrition of a nationally representative sample of youth in the United States through their daily food intake ...
The Effect Of Fast Food Restaurants On Type 2 Diabetes Rates, 2018 Claremont McKenna College
The Effect Of Fast Food Restaurants On Type 2 Diabetes Rates, Grace Bailey
CMC Senior Theses
This paper conducts an analysis of county level data to determine the effect of fast food restaurants on type 2 diabetes rates. Due to endogeneity concerns with respect to the location of fast food restaurants, this paper follows the work of Dunn (2010) and uses the number of interstate exits in a given county to serve as an instrument for fast food restaurants. The strength of the instrument, which is theoretically and empirically tested in this paper, imposes some restraints on the interpretation of the findings. Using the Two-Stage Least Squares estimation method, I find that the presence of fast ...
The Political Economy Of Preparedness: Geographic Variation In Financing, Capabilities And Costs, 2017 University of Kentucky
The Political Economy Of Preparedness: Geographic Variation In Financing, Capabilities And Costs, Glen P. Mays
Actavis And Error Costs: A Reply To Critics, 2017 University of California - Berkeley
Actavis And Error Costs: A Reply To Critics, Aaron S. Edlin, C. Scott Hemphill, Herbert J. Hovenkamp, Carl Shapiro
The Supreme Court’s opinion in Federal Trade Commission v. Actavis, Inc. provided fundamental guidance about how courts should handle antitrust challenges to reverse payment patent settlements. In our previous article, Activating Actavis, we identified and operationalized the essential features of the Court’s analysis. Our analysis has been challenged by four economists, who argue that our approach might condemn procompetitive settlements.As we explain in this reply, such settlements are feasible, however, only under special circumstances. Moreover, even where feasible, the parties would not actually choose such a settlement in equilibrium. These considerations, and others discussed in the reply ...
The Long Term Health Effects Of Fetal Malnutrition: Evidence From The 1959–1961 China Great Leap Forward Famine, 2017 Singapore Management University
The Long Term Health Effects Of Fetal Malnutrition: Evidence From The 1959–1961 China Great Leap Forward Famine, Seonghoon Kim, Belton Fleisher, Jessica Ya Sun
Research Collection School Of Economics
We report evidence of long-term adverse health impacts of in utero exposure to malnutrition based on survivors in their 50s who were born during the China Famine that occurred in the years 1959-1961. We take advantage of recently available data provided by the China Health and Retirement Longitudinal Study (CHARLS) to corroborate evidence supporting the Fetal Origin Hypothesis. We find that fetal exposure to malnutrition has large and long-lasting impacts on both physical health and cognitive abilities, including the risks of suffering a stroke, physical disabilities in speech, walking and vision, and measures of mental acuity. Our findings on the ...
Defragmenting Delivery Systems That Drive Population Health, 2017 University of Kentucky
Defragmenting Delivery Systems That Drive Population Health, Glen P. Mays
Building System Capital For Population Health Improvement: Networks, Incentives, And Leadership, 2017 University of Kentucky
Building System Capital For Population Health Improvement: Networks, Incentives, And Leadership, Glen P. Mays
Public Health Systems As Dissemination & Implementation Mechanisms, 2017 University of Kentucky
Public Health Systems As Dissemination & Implementation Mechanisms, Glen P. Mays
Networks In Aca Marketplaces Are Narrower For Mental Health Care Than For Primary Care, 2017 University of Pennsylvania
Networks In Aca Marketplaces Are Narrower For Mental Health Care Than For Primary Care, Jane M. Zhu, Yuehan Zhang, Daniel Polsky
In 2016, ACA marketplace plans offered provider networks that were far narrower for mental health care than for primary care. On average, plan networks included 24 percent of all primary care providers and 11 percent of all mental health care providers in a given market. Just 43 percent of psychiatrists and 19 percent of nonphysician mental health providers participate in any network. These findings raise important questions about network sufficiency, consumer choice, and access to mental health care in marketplace plans.
Narrow Networks On The Individual Marketplace In 2017, 2017 University of Pennsylvania
Narrow Networks On The Individual Marketplace In 2017, Daniel Polsky, Janet Weiner, Yuehan Zhang
This Issue Brief describes the breadth of physician networks on the ACA marketplaces in 2017. We find that the overall rate of narrow networks is 21%, which is a decline since 2014 (31%) and 2016 (25%). Narrow networks are concentrated in plans sold on state-based marketplaces, at 42%, compared to 10% of plans on federally-facilitated marketplaces. Issuers that have traditionally offered Medicaid coverage have the highest prevalence of narrow network plans at 36%, with regional/local plans and provider-based plans close behind at 27% and 30%. We also find large differences in narrow networks by state and by plan type.
Stabilizing Individual Health Insurance Markets With Subsidized Reinsurance, 2017 University of Pennsylvania
Stabilizing Individual Health Insurance Markets With Subsidized Reinsurance, Scott E. Harrington
Subsidized reinsurance represents a potentially important tool to help stabilize individual health insurance markets. This brief describes alternative forms of subsidized reinsurance and the mechanisms by which they spread risk and reduce premiums. It summarizes specific state initiatives and Congressional proposals that include subsidized reinsurance. It compares approaches to each other and to more direct subsidies of individual market enrollment. For a given amount of funding, a particular program’s efficacy will depend on how it affects insurers’ risk and the risk margins built into premiums, incentives for selecting or avoiding risks, incentives for coordinating and managing care, and the ...
Wealth Disparities For Early Childhood Anthropometrics And Skills: Evidence From Chilean Longitudinal Data, 2017 University of Pennsylvania
Wealth Disparities For Early Childhood Anthropometrics And Skills: Evidence From Chilean Longitudinal Data, Jere R. Behrman, Dante Contreras, Isidora Palma, Esteban Puentes
Population Center Working Papers (PSC/PARC)
We study wealth disparities in the formation of anthropometrics, cognitive skills and socio-emotional skills. We use a sample of preschool and early school children in Chile. We extend the previous literature by using longitudinal data, which allow us to study the dynamics of child growth and skills formation. Also, we include information on mother's and father's schooling attainment and mother's cognitive ability. We find that there are no significant anthropometric differences favoring the better-off at birth (and indeed length differences at birth to the disadvantage of the better-off), but during the first 30 months of life wealth ...
Sources Of Health Financing And Health Outcomes: A Panel Data Analysis, 2017 Singapore Management University
Sources Of Health Financing And Health Outcomes: A Panel Data Analysis, Tomoki Fujii
Research Collection School Of Economics
We study the differential impacts of public and private sources of health spending on health outcomes using a triple difference approach. We find that private health spending has on average a higher health-promoting effect than public health spending. This result is robust with respect to the choice of outcome measure and covariates in the regression and driven primarily by the countries with ineffective governments. Once we restrict our sample to countries with effective governments, private health spending is no better than public health spending for improving the health outcome.
Integrating Third Party Liability (Tpl) Across Medicaid Operations And Enterprise Systems In Massachusetts, 2017 University of Massachusetts Medical School
Integrating Third Party Liability (Tpl) Across Medicaid Operations And Enterprise Systems In Massachusetts, Jenifer Hartman
Commonwealth Medicine Publications
This poster highlights the results of a UMass Medical School partnership with MassHealth, the Massachusetts Medicaid program, to integrate third party liability (TPL) activities across all aspects of the Medicaid program. By embedding TPL at all stages of Medicaid operations and interfacing with all Medicaid systems, the partners optimized identification of and access to TPL sources for all Medicaid members.
The TPL activities include eligibility coordination, coverage coordination, payment coordination and recovery coordination. The partnership has achieved over $40 million in cost avoidance through the identification of missed Medicare benefits, over $64 million in cost avoidance over enhanced coordination of ...
Longevity And Lifetime Education: Global Evidence From 919 Surveys, 2017 Bangladesh Institute of Development Studies
Longevity And Lifetime Education: Global Evidence From 919 Surveys, Mohammad Mainul Hoque, Elizabeth M. King, Claudio M. Montenegro, Peter Orazem
Economics Working Papers
Data from 919 household surveys conducted between 1960 and 2012 spanning 147 countries are used to evaluate the relationship between rising life expectancy at birth and lifetime years of schooling for successive birth cohorts between 1905 and 1988. We find significant positive effects of increased life expectancy at birth on lifetime completed years of schooling in 95% of the surveys with significant negative effects found in only 2.3%.
Rising life expectancy at birth for a birth cohort has intergenerational benefits in that their children’s schooling also increases. Rising life expectancy at birth since 1905 can explain 70% of ...
Direct Effects Of Bundled Payments For Care Improvement Initiative: A County-Level Approach, 2017 City University of New York (CUNY)
Direct Effects Of Bundled Payments For Care Improvement Initiative: A County-Level Approach, Konstantinos Panitsas Mr
School of Arts & Sciences Theses
Implementing a nonlinear, Difference-in-Differences estimation method, I quantify the positive impact bundled payment reforms have on vulnerable population groups living in U.S. counties where this cost reducing initiative was implemented. I find statistically significant effects of this health-care initiative on the elderly and the economically disadvantaged individuals.
The Effect Of Paid Sick Leave On Physician Office-Based Visits, 2017 CUNY Hunter College
The Effect Of Paid Sick Leave On Physician Office-Based Visits, Korvin Vicente
School of Arts & Sciences Theses
This paper uses a balanced sample of workers from cross-sections of the National Health Interview Survey to estimate the causal effects of paid sick leave on the medical care seeking behavior of individuals, as measured by physician office-based visits.
Community Health Worker Support For Disadvantaged Patients With Multiple Chronic Diseases: A Randomized Clinical Trial, 2017 University of Pennsylvania
Community Health Worker Support For Disadvantaged Patients With Multiple Chronic Diseases: A Randomized Clinical Trial, Shreya Kangovi, Nandita Mitra, David Grande, Hairong Huo, Robyn A. Smith, Judith A. Long
In a randomized trial, a community health worker intervention reduced hospitalization and improved outcomes in uninsured or publicly insured patients with multiple chronic conditions such as diabetes, obesity, and smoking. Community health workers can improve health and lower costs, and provide a scalable strategy to improve population health.
A Paradigm Shift For Socioeconomic Justice And Health: From Focusing On Inequalities To Aiming At Sustainable Equity, 2017 University of California Berkeley
A Paradigm Shift For Socioeconomic Justice And Health: From Focusing On Inequalities To Aiming At Sustainable Equity, Juan E. Garay, David E. Chiriboga
Open Access Articles
OBJECTIVES: To measure the 'best possible health for all', incorporating sustainability, and to establish the magnitude of global health inequity.
STUDY DESIGN: Observational, retrospective.
METHODS: We identified countries with three criteria: (1) a healthy population-life expectancy above world average; (2) living conditions feasible to replicate worldwide-per-capita gross domestic product (GDP-pc) below the world average; and (3) sustainability-per-capita carbon dioxide emissions lower than the planetary pollution boundary. Using these healthy, feasible, and sustainable (HFS) countries as the gold standard, we estimated the burden of global health inequity (BGHiE) in terms of excess deaths, analyzing time-trends (1950-2012) by age, sex, and geographic ...