Open Access. Powered by Scholars. Published by Universities.®

Health Economics Commons

Open Access. Powered by Scholars. Published by Universities.®

1,140 Full-Text Articles 1,269 Authors 248,481 Downloads 105 Institutions

All Articles in Health Economics

Faceted Search

1,140 full-text articles. Page 5 of 47.

A Medicaid Compromise Expanded Coverage For Hoosiers, But Important Questions Linger, Robert W. Seifert 2018 University of Massachusett Medical School

A Medicaid Compromise Expanded Coverage For Hoosiers, But Important Questions Linger, Robert W. Seifert

Commonwealth Medicine Publications

In today’s polarized political environment, it is easy to forget that most policy decisions are not black or white, but rather some indeterminate shade of gray. A case in point is Indiana’s Medicaid waiver, which the federal government just approved for a three-year extension.


Impact Of Electrification On Children's Nutritional Status In Rural Bangladesh, Tomoki FUJII, Abu S. SHONCHOY, Sijia XU 2018 Singapore Management University

Impact Of Electrification On Children's Nutritional Status In Rural Bangladesh, Tomoki Fujii, Abu S. Shonchoy, Sijia Xu

Research Collection School Of Economics

Access to electricity has the potential to improve the nutritional status of children by a variety of pathways such as increased wealth, reduced fertility through the change in time use, spread of information through technology such as TV, and improved health care services. Yet, the relationship between electrification and children’s nutritional status is rarely explored in the literature. We attempt to fill this lacuna by offering microeconometric evidence from rural Bangladesh, where a rapid expansion of electrification and significant improvement in children’s nutritional status were observed in the past two decades. We find that access to electricity has ...


New Payment Methods And Delivery System Reforms Can Support Sustainable Funding For Community Health Worker Services, Katharine London 2018 University of Massachusetts Medical School

New Payment Methods And Delivery System Reforms Can Support Sustainable Funding For Community Health Worker Services, Katharine London

Commonwealth Medicine Publications

Extensive evidence shows that Community Health Workers (CHWs) can help health systems meet the triple aim: improve population health, improve quality of care and contain costs, while also promoting health equity and community engagement. However, most CHW programs are grant funded, and when the funding ends, the program ends.


Making The Case For Sustainable Funding For Community Health Worker Services: Talking To Payers And Providers, Katharine London 2018 University of Massachusetts Medical School

Making The Case For Sustainable Funding For Community Health Worker Services: Talking To Payers And Providers, Katharine London

Commonwealth Medicine Publications

In this presentation, Katharine London of the Center for Health Law and Economics makes her case for offering sustainable funding for community health worker services. Research has shown community health workers can have a distinct impact on health systems, helping them improve population health and contain costs, while also promoting health equity and community engagement.

This presentation was designed to assist CHWs and other advocates in engaging with policymakers and payers to support CHW sustainability and develop a financial plan for their CHW work. It was presented as part of a CHW Sustainability event held at the Families USA’s ...


The Kentucky Medicaid Waiver Penalizes Enrollees For Emergency Room “Misuse”, Rebecca Laes-Kushner 2018 University of Massachusetts Medical School

The Kentucky Medicaid Waiver Penalizes Enrollees For Emergency Room “Misuse”, Rebecca Laes-Kushner

Commonwealth Medicine Publications

Kentucky’s 1115 Medicaid Waiver, approved by CMS on January 12, 2018, uses small financial incentives and punishments to try to change the behavior of enrollees.

Enrollees in Kentucky’s Medicaid program, Kentucky HEALTH (Helping to Engage and Achieve Long Term Health), will receive virtual accounts, called a My Rewards Account, into which credits will be placed for their positive activities related to health (completing health risk assessment - $25) and careers (passing the GED - $50). The credits can be used to pay for certain services not covered by health plans, such as vision and dental services.

However, members’ accounts will ...


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.


Ethics And Cost-Effectiveness Of Naloxone, Allison Groch 2018 Augustana College, Rock Island Illinois

Ethics And Cost-Effectiveness Of Naloxone, Allison Groch

Augustana Center for the Study of Ethics Essay Contest

This essay discusses the ethical components involved with using, distributing, and making naloxone readily available for reversing opioid overdoses. The cost-effectiveness of naloxone is also discussed as a reason why naloxone should be widely used in order to help fight the opioid epidemic.


Characterizing The Economic Analysis Of Technology Appraisal In Global Health Systems, Hoyt Gong 2018 University of Pennsylvania

Characterizing The Economic Analysis Of Technology Appraisal In Global Health Systems, Hoyt Gong

Summer Program for Undergraduate Research (SPUR)

Global Health Technology Assessment (HTA) bodies vary in their scope and approach in Cost Effective Analyses (CEA) evaluating the clinical and economic efficacy of a proposed therapeutic against established metrics. This study characterized specific CEA approaches of various countries across standardized development indices and tested conditions of regression correlation against respective country health outcomes of interest. Additionally, we validate the existence of implicit and explicit values in country willingness-to-pay (WTP) thresholds and its statistically significance with country health expenditure and quality of care. Our multivariate regression models show that while CEA characteristics vary across countries, ultimate health outcomes are not ...


Out-Of-Pocket Cost For Individuals Being Treated For Opioid Dependence In Rutland County, Vermont, Christopher T. Veal 2018 University of Vermont Larner College of Medicine

Out-Of-Pocket Cost For Individuals Being Treated For Opioid Dependence In Rutland County, Vermont, Christopher T. Veal

Family Medicine Clerkship Student Projects

Each day more than 140 Americans die from drug overdoses, 91 specifically due to opioids. In Vermont, more than 50 people die each year from opioid poisoning. With insurance coverage being a critical component of Opioid Dependence Recovery, many people seeking treatment are unaware of the financial barriers to recovery- namely the out-of-pocket costs associated with treatment. This study sought to provide insight on the financial impact of Opioid Dependence Treatment on the patient, and provide financial assistance information to the Rutland County community.


Unveil The Mysterious Reality Of Management Healthcare In China: A Case Study On Institutional Arrangement, Yasha Zhang 2018 Claremont Colleges

Unveil The Mysterious Reality Of Management Healthcare In China: A Case Study On Institutional Arrangement, Yasha Zhang

Scripps Senior Theses

This thesis identifies and analyzes current problems in the healthcare market in China. Although many health indicators of China such as life expectancy and child mortality rates have improved significantly and suggest that the healthcare reform in China is successful, there have been many more reports of patient's violent attack towards the doctor, the sudden death of doctors, and decreasing doctor supplies that suggest otherwise. I observed that the relationship between doctors and patients are intense, doctors experience enormous working pressure, and many doctors are leaving the market. It makes me wonder how did government fail to improve its ...


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 ...


Willingness-To-Pay For Attributes Of Health Care Facilities In Rural Kentucky, Emmanuel Owusu-Amankwah 2018 University of Kentucky

Willingness-To-Pay For Attributes Of Health Care Facilities In Rural Kentucky, Emmanuel Owusu-Amankwah

Theses and Dissertations--Agricultural Economics

Background: As rural hospitals in Kentucky face insolvency, stakeholders must assess the value of rural hospitals as well as alternatives such as rural clinics and private physician offices.

Objective: To identify the value of attributes of healthcare facilities based on Kentucky’s rural residents’ willingness-to-pay (WTP).

Methods: A survey instrument was created and distributed to ten counties in rural Kentucky. A conditional logit model was used to obtain baseline values and then a mixed logit model was used to address heterogeneity among consumers in estimating WTP. WTP values incorporated respondents’ demographic characteristics and their health status from self-reported frequency of ...


The Impact Of Noxious And Carcinogenic Pollutants In Adams County Colorado, Ahnika Leroy 2018 University of Colorado, Boulder

The Impact Of Noxious And Carcinogenic Pollutants In Adams County Colorado, Ahnika Leroy

Undergraduate Honors Theses

This paper will explore how carcinogenic and noxious pollutants emitted from Toxic Release Sites (TRI) effect housing prices in an urban area of Colorado. This is possible in an empirical model that considers the influence of commercial and industrial properties. My approach addresses an important source of omitted variable bias like issues of sorting and agglomeration by disaggregating pollutant types and sites. I will also compare estimates using a hedonic and repeat sales model. Since I am using the repeat sales model, this can control for bias due to sorting. Results indicate that pollutant coefficients in the repeat sales model ...


National Competent Authorities As The Reference Member State: Understanding The Variables Affecting Their Regulatory Decisions, Christian Martin 2018 University of Colorado, Boulder

National Competent Authorities As The Reference Member State: Understanding The Variables Affecting Their Regulatory Decisions, Christian Martin

Undergraduate Honors Theses

The pharmaceutical medicines in one member state of the European Union do not belong in any other member state unless that member state’s national medicines agency has approved them. In this paper I look at the two procedures that exist, the mutual recognition procedure and the decentralized procedure. I ask what affects the variation in ease and stringency within the regulatory decisions of the national competent authorities when acting as the reference member state. I hypothesize that institutions and economic political ideology influence the regulatory decisions, leading to more or less finalized procedures. Multi-variate regressions confirm the permeability of ...


Identifying Barriers To Attendance In Counseling Among Adults In The United States: Confirming The Factor Structure Of The Revised Fit, Stigma, & Value Scale, Michael T. Kalkbrenner, Edward S. Neukrug 2018 Old Dominion University

Identifying Barriers To Attendance In Counseling Among Adults In The United States: Confirming The Factor Structure Of The Revised Fit, Stigma, & Value Scale, Michael T. Kalkbrenner, Edward S. Neukrug

Counseling & Human Services Faculty Publications

The primary aim of this study was to cross-validate the Revised Fit, Stigma, & Value (FSV) Scale, a questionnaire for measuring barriers to counseling, using a stratified random sample of adults in the United States. Researchers also investigated the percentage of adults living in the United States that had previously attended counseling and examined demographic differences in participants’ sensitivity to barriers to counseling. The results of a confirmatory factor analysis supported the factorial validity of the three-dimensional FSV model. Results also revealed that close to one-third of adults in the United States have attended counseling, with women attending counseling at higher ...


Capitalization Of Green Space And Water Quality Into Residential Housing Values, Willie B. Bedell 2018 University of Kentucky

Capitalization Of Green Space And Water Quality Into Residential Housing Values, Willie B. Bedell

Theses and Dissertations--Agricultural Economics

This thesis investigates how proximity to parks, historic district designations, and water quality are valued at residential housing prices. The first essay argues that the negative influences of parks and historic districts, if not noticed, could promote negative externalities and unincentivized investments. I find a negative impact on housing values for a close proximity to a park, suggesting disamenities in park features. When the boundary discontinuity and park amenities are considered, I find a positive valuation for a park. Overall, these results imply a mixed influence of parks on homeowners. From the historic district standpoint, I find a positive valuation ...


Essays On The Role Of Government Regulation And Policy In Health Care Markets, Grayson L. Forlines 2018 University of Kentucky

Essays On The Role Of Government Regulation And Policy In Health Care Markets, Grayson L. Forlines

Theses and Dissertations--Economics

Understanding how health care markets function is important not only because competition has a direct influence on the price and utilization of health care services, but also because the proper functioning, or lack thereof, of health care markets has a very real impact on patients who depend on health care markets and providers for their personal well-being. In this dissertation, I examine the role of government policies and regulation in health care markets, with a focus on the response of health care providers. In Chapter 1, I analyze the impact of Medicare payment rules on hospital ownership of physician practices ...


Essays On Transfer-Program Interactions Among Low-Income Households, Nicholas S. Moellman 2018 University of Kentucky

Essays On Transfer-Program Interactions Among Low-Income Households, Nicholas S. Moellman

Theses and Dissertations--Economics

This dissertation consists of three essays examining the role of transfer-program interactions for families and households who participate in the social safety net. The safety net is comprised of many different programs, run by different agencies, governed by different rules, and often administered by disparate and secluded entities. However, many households participate in multiple programs, subjecting them to the milieu of administrative hurdles. In this dissertation, I try to untangle some of the intended and unintended effects of program participation that may be experienced by these households.

In Essay 1, I examine the effect of the Patient Protection and Affordable ...


The Y Can’T Do It All: Examining The Decline Of Participation In Youth Athletics, Ian Allen 2018 University of Southern Maine

The Y Can’T Do It All: Examining The Decline Of Participation In Youth Athletics, Ian Allen

Thinking Matters Symposium

Nationally, since 2008, participation in youth sports (ages 6-17) has dropped significantly. The declining trend--from 45% down to 37%-- can be attributed to many factors

  • The rising cost associated with general participation in programs, especially at the middle and high school levels
  • Early specialization in one sport along with the introduction of hypercompetitiveness in younger age groups
  • The need for coaches to have much more training and certification to get a foot in the door at schools and recreation programs around the country.

These factors cause a significant divide between underprivileged and privileged youth, creating a situation of haves and ...


Digital Commons powered by bepress