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The Effect Of Expansions In Medicaid Eligibility On Hospital Financial Performance: Evidence From Medicare Cost Reports, Kevin Wu 2018 CUNY Hunter College

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, Mikaela Connell 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, Grace Bailey 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, Glen P. Mays 2017 University of Kentucky

The Political Economy Of Preparedness: Geographic Variation In Financing, Capabilities And Costs, Glen P. Mays

Glen Mays

OBJECTIVES: Preparedness for health emergencies, outbreaks and disasters varies widely across the U.S., but the causes and consequences of these inequities are poorly understood.  This study uses the National Health Security Preparedness Index to examine how financing mechanisms and health insurance coverage influence preparedness across U.S. states.  METHODS: The Preparedness Index aggregates data from national household surveys, medical records, safety inspection results, and health agency surveys to produce composite measures of preparedness for each U.S. state and the nation overall.  We linked annual Index composite measures for each state and year 2013-16 with contemporaneous measures of federal ...


Evaluation Of The Cost And Effectiveness Of Direct Nutrition Education To Low-Income Audiences In Iowa: Efnep And Snap-Ed Graduates Practicing Optimal Nutritional Behaviors (Onb), Christine Hradek, Helen H. Jensen, Nicole Schimerowski Miller, Miyoung Oh 2017 Iowa State University

Evaluation Of The Cost And Effectiveness Of Direct Nutrition Education To Low-Income Audiences In Iowa: Efnep And Snap-Ed Graduates Practicing Optimal Nutritional Behaviors (Onb), Christine Hradek, Helen H. Jensen, Nicole Schimerowski Miller, Miyoung Oh

CARD Staff Reports

The Expanded Food and Nutrition Education Program (EFNEP) and the Family Nutrition Program (FNP) (the Supplemental Nutrition Assistance Program-Education, or SNAP-Ed in Iowa) are community outreach programs in Iowa designed to help teens and adults who have limited income and are parenting acquire the knowledge, skills, attitudes, and practices to improve total family diet and nutritional well-being. This study uses current information on Iowa’s EFNEP and FNP today to evaluate the costs and benefits of the two related programs and provides updated information to a study conducted in Iowa from 1998 to 2000.

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Actavis And Error Costs: A Reply To Critics, Aaron S. Edlin, C. Scott Hemphill, Herbert J. Hovenkamp, Carl Shapiro 2017 University of California - Berkeley

Actavis And Error Costs: A Reply To Critics, Aaron S. Edlin, C. Scott Hemphill, Herbert J. Hovenkamp, Carl Shapiro

Aaron Edlin

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 ...


Survey Data On Vietnamese Propensity To Attend Periodic General Health Examinations, Quan-Hoang Vuong 2017 Universite Libre de Bruxelles

Survey Data On Vietnamese Propensity To Attend Periodic General Health Examinations, Quan-Hoang Vuong

Quan-Hoang Vuong

As general living standards rise, so does the demand for periodic general health examinations (GHEs). Research on the subject, however, has reached opposing conclusions on the value of GHEs, although methodological limitations in previous works make these differences hard to resolve. Here, we present data from a socio-demographic survey of behaviours and tendencies concerning periodic GHE attendance in Vietnam. These data are shown to be suitable for evaluating the impact of demographic and socio-economic elements on regular health examinations. By presenting the methods used in this survey and by describing the enquiries mentioned in the dataset, this article aims to ...


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 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, Glen P. Mays 2017 University of Kentucky

Defragmenting Delivery Systems That Drive Population Health, Glen P. Mays

Glen Mays

This session profiles research from the Robert Wood Johnson Foundation's Systems for Action national research program, which tests mechanisms for reducing fragmentation across medical, social, and public health delivery systems.


Building System Capital For Population Health Improvement: Networks, Incentives, And Leadership, Glen P. Mays 2017 University of Kentucky

Building System Capital For Population Health Improvement: Networks, Incentives, And Leadership, Glen P. Mays

Glen Mays

This session reviews research on population health improvement strategies, with a focus on the role of community networks, organizational incentives, and leadership.


Public Health Systems As Dissemination & Implementation Mechanisms, Glen P. Mays 2017 University of Kentucky

Public Health Systems As Dissemination & Implementation Mechanisms, Glen P. Mays

Glen Mays

This session reviews research evaluating community-based public health systems as dissemination and implementation mechanisms for research-tested health interventions.


Networks In Aca Marketplaces Are Narrower For Mental Health Care Than For Primary Care, Jane M. Zhu, Yuehan Zhang, Daniel Polsky 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

Research Briefs

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, Daniel Polsky, Janet Weiner, Yuehan Zhang 2017 University of Pennsylvania

Narrow Networks On The Individual Marketplace In 2017, Daniel Polsky, Janet Weiner, Yuehan Zhang

Issue Briefs

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, Scott E. Harrington 2017 University of Pennsylvania

Stabilizing Individual Health Insurance Markets With Subsidized Reinsurance, Scott E. Harrington

Issue Briefs

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, Jere R. Behrman, Dante Contreras, Isidora Palma, Esteban Puentes 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, Tomoki FUJII 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, Jenifer Hartman 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, Mohammad Mainul Hoque, Elizabeth M. King, Claudio M. Montenegro, Peter Orazem 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, Konstantinos Panitsas Mr 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, Korvin Vicente 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.


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