Health Economics Commons^™

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.

Essays In Health Economics, Aigbokhai Unuigbe

Dissertations, Theses, and Capstone Projects

This dissertation is motivated by changes in health and labor policies of the United States that have occurred over the last two decades. It examines how these policies as well as public programs affect behavior and outcomes. These programs and policies have the potential to impact behavior directly at the individual level and could also have indirect effects at the household level. In addition, the effects on healthcare use and health status are also examined. This dissertation consists of three chapters.

The first chapter looks at the effect of changes in Medicaid policy on legal immigrant parents in the United …

Essays On The Well-Being Of An Aging Population, Alice Zulkarnain

Dissertations, Theses, and Capstone Projects

This dissertation consists of three essays that examine health and labor issues among the middle aged and elderly.

Chapter 1. A Delayed Retirement Policy and Male Labor Supply: Evidence from the Entire Dutch Population

This chapter examines the labor supply effects of a national delayed retirement policy introduced in the Netherlands in 2009. The policy offers a reduction in taxes on labor income for each year after the age of 62 in which a person worked. I estimate the average effect of the policy on male labor supply as well as its responsiveness to the size of the incentive. Comparing …

Evaluating The Causal Effect Of Insurance Access On Labor Market Outcomes Among Young Adults, Eden Volkov

Theses and Dissertations

The ACA youth coverage mandate took effect in 2010. Under this provision, individuals through age 26 can remain on their parent's health insurance plan. This provision increased insurance coverage. This has led to 22-29 year olds being more likely to be self-employed, to not work, and to work part time.

The Impact Of Nurse Turnover On Quality Of Care And Mortality In Nursing Homes: Evidence From The Great Recession, Yaa Akosa Antwi, John R. Bowblis

Upjohn Institute Working Papers

We estimate the causal effect of nurse turnover on mortality and the quality of nursing home care with a fixed effect instrumental variable estimation that uses the unemployment rate as an instrument for nursing turnover. We find that ignoring endogeneity leads to a systematic underestimation of the effect of nursing turnover on mortality and quality of care in a sample of California nursing homes. Specifically, 10 percentage point increase in nurse turnover results in a facility receiving 2.2 additional deficiencies per annual regulatory survey, reflecting a 19.3 percent increase. Not accounting for endogeneity of turnover leads to results that suggest …

The Impact Of Cash Transfers On Labor Force Participation And Household Consumption: Evidence From Post-Apartheid South Africa, Steve M. M. Muchiri

Theses and Dissertations--Economics

The Old Age Pension (OAP) program for elderly South Africans puts a significant cash transfer in the hands of many poor households. This dissertation investigates its impact on labor force participation and consumption of selected household items. In the first half of the dissertation, we take advantage of a policy reform that lowered men's OAP eligibility age from 65 to 60 for men to match that of women for estimation identification. Using the General Household Survey data, we first demonstrate that both men and women respond to the eligibility age by dropping from labor force participation at the eligibility age, …

Estimating The Economic Impact Of The Construction And Operation Of The Plains And Eastern Clean Line Project, Katherine A. Deck, Mervin Jebaraj

Publications and Presentations

Clean Line Energy Partners LLC (Clean Line) is proposing to build the Plains & Eastern Clean Line project, an approximately 700-mile, high voltage direct current transmission line and associated facilities with the capacity to deliver 4,000 megawatts (MW) of wind power from the Oklahoma Panhandle region to utilities and customers in Arkansas, Tennessee, and other markets in the Mid-South and Southeast, areas that lack access to low-cost renewable power. The project will deliver enough energy to power more than one million homes annually in the MidSouth and Southeastern United States.

The Effect Of Health Insurance On Workers' Compensation Filing: Evidence From The Affordable Care Act's Age-Based Threshold For Dependent Coverage, Marcus Dillender

Upjohn Institute Working Papers

This paper identifies the effect of health insurance on workers' compensation (WC) filing for young adults by implementing a regression discontinuity design using WC medical claims data from Texas. The results suggest health insurance factors into the decision to have WC pay for discretionary care. The implied instrumental variables estimates suggest a 10 percentage point decrease in health insurance coverage increases WC bills by 15.3 percent. Despite the large impact of health insurance on the number of WC bills, the additional cost to WC at age 26 appears to be small as most of the increase comes from small bills.

Essays On Job-Related Risks And Worker Sorting, Teguh Yudo Wicaksono

Theses and Dissertations--Economics

This dissertation examines heterogeneity in the value of a statistical life (henceforth VSL) stemming from employer-provided health insurance (henceforth EHI) and worker sorting. The dissertation consists of three essays.

In the first essay (Chapter 2), I investigate the effect of health-driven productivity on the wage compensation for mortality risk, and how EHI influences VSL using the US labor market data. In this chapter I build a framework showing that the level of job risks influences the incentive of employers to provide EHI. The basic notion of the framework is that health insurance is an investment in health and health is …

Industry Career Guide: Health And Wellness, Paulynne Castillo, Madel Balane

Angelo King Institute for Economic and Business Studies (AKI)

The Health and Wellness Services industry belongs to the services sector. The National Statistical Coordination Board (2007) defines it as institutions that cater to the “activities of persons traveling to and staying in places outside their usual environment for not more than one consecutive year for health and wellness purposes not related to the exercise of an activity remunerated from within the place visited”. Establishments belonging to the industry, therefore, are in engaged in: 1) hospital care and treatment – refer to services offered by public and private hospitals, sanitaria and other similar services; 2) specialty clinics – pertain to …

Revisiting Compensating Wage Differentials: The Evidence From Employer-Provided Health Insurance, Dan Qu

Business Review

This paper uses 1996 and 2001 Survey of Income and Program Participation to examine the evidence for compensating wage differentials associated with employer-provided health insurance (EHI) in the United States. The results provide no evidence of a tradeoff between wages and EHI coverage. On the other hand, the results do suggest that employees who work in states with income taxes are more likely to receive EHI than those in states without income taxes. Fixed effects, first differencing and instrumental variable estimation are used to address the potential ability bias and endogeneity problems in wage models with EHI as an independent …

Can Human Capital Explain The Difference In Private Health Insurance Coverage Rates Between Natives And Immigrants?, Benjamin S. White

Undergraduate Economic Review

This paper investigates how human capital variables, especially educational attainment and health disability, affect an immigrant’s probability to have private health insurance. Specifically, is there a convergence to natives’ coverage rates for immigrants as human capital is controlled for? Two probit regressions are used to answer this question, one to analyze the employer provided health insurance market and another to analyze privately purchased health insurance market. The principle finding is that human capital variables are important in determining access to private health insurance. However, a health insurance coverage differential does remain between immigrants and natives.

Explaining Political Activeness And Attitudes Toward Unionization Among Nurses In The United States., Crystal L. Lesmeister

Political Science Theses and Capstones

There is no question; nurses play a key role in healthcare. Nurses provide direct care, coordinate health promotion activities, educate, and provide support and advocacy to patients. Today, there are over two million registered nurses in the United States. My research aims to determine the variables that influence some nurses to be more politically active and more engaged in unionization than their counterparts. I analyze The National Sample Survey of Registered Nurses 2004 looking at a variety of potential explanations for union participation. Findings show a strong regional variation in the percentage of unionization, however, some of the conventional explanations …

Who Is Covered And Who Under-Reports: An Empirical Analysis Of Access To Social Insurance On The Egyptian Labor Market, Rania Roushdy, Irene Selwaness

Poverty, Gender, and Youth

This working paper investigates the dynamics and determinants of having access to social insurance coverage on the Egyptian labor market among wage and non-wage workers. The results show that men, older, married, better educated, and white collar highly skilled workers are more likely to have social insurance coverage. Access to social insurance is more likely to exist in the public sector and in large private enterprises. Furthermore, acquiring social insurance coverage in the private wage work sector does not often come at first entry; but it takes some time to gain such access. In contrast, experience is not important for …

Social Protection In Egypt: A Policy Overview, Maia Sieverding, Irene Selwaness

Poverty, Gender, and Youth

The need to address the shortcomings of Egypt’s current social protection system as part of a broader process of developing a new social contract between the Egyptian government and its citizens has been noted for a number of years. With a new government recently put in place, Egypt is now at a potential turning point in terms of implementing unfinished reforms to the system or proposing alternative ones. The aim of this paper is therefore to provide an overview and assessment of current public social protection mechanisms and suggest directions for new policy measures. The social and health insurance systems …

Three Essays On The Health Insurance Coverage Of Young Adults, David M. Yaskewich

Theses and Dissertations--Economics

This dissertation examines the health insurance status of young adults during the transition to adulthood. In a series of three essays, I analyze what happens as young adults reach important milestones and the effects of public policies. The first essay is a descriptive study on how insurance status changes after reaching age 19 and graduating from college. The likelihood of becoming uninsured rises sharply once turning age 19 and then peaks at age 23. While the proportion uninsured also increases following college graduation, this increase disappears after one year. The second essay analyzes the effect of a dependent age law …

Who Will Care For The Women?, Candace Howes

Economics Faculty Publications

Over 20 million people today, including children, working-age disabled, and elderly persons, require some sort of assistance to live safely. Largely because women live longer than men, well into the ages when the probability of needing care increases, 70 percent of elderly people who need long-term care are women. Furthermore, most long-term care is provided by women, mainly as unpaid care in the home, or as low-paid care in institutions and community settings (Stone & Weiner 2001). The United States faces a severe long-term care crisis because of the nation's inability to plan for the changing demographic balance. The crisis …

For Love, Money Or Flexibility: Why People Choose To Work In Consumer-Directed Homecare, Candace Howes

Economics Faculty Publications

The purpose of this study was to investigate the impact of wages and benefits (relative to other jobs available to workers), controlling for personal characteristics, on the recruitment and retention of providers working in a consumer-directed home care program.

This article was written as part of a project titled ‘‘Building a High Quality Homecare Workforce: Wages, Benefits and Flexibility Matter,’’ which was supported by a research grant from the Better Jobs Better Care Program and funded by the Robert Wood Johnson Foundation (#049213) and Atlantic Philanthropies (#12099) with direction and technical assistance provided by the Institute for the Future of …

Caring For America’S Aging Population: A Profile Of The Direct-Care Workforce, Kristin E. Smith, Reagan A. Baughman

Sociology

Direct-care workers constitute a low-wage, high-turnover workforce with low levels of health insurance; taking these characteristics into account guides the challenge of how to deal with the growing demand for long-term care by an aging U.S. population.

Michigan Socioeconomic Conditions And Trends: West Michigan Compared To East Michigan, Brad R. Watts

Reports

No abstract provided.

The Economic Impact Of Methamphetamine Use In Benton County, Arkansas, Jeffery T. Collins

Publications and Presentations

Methamphetamine use among the employed population is on the rise as general methamphetamine use increases. Many employers are unaware of the extent of the methamphetamine crisis and the harmful effects that employee methamphetamine use has on the firm. While methamphetamine use is associated with tremendous expenses for society in the form of direct health care, law enforcement, and environmental costs, this study focuses exclusively on the increased costs that firms bear as a result of the methamphetamine use of their employees. The Benton County Methamphetamine Task Force commissioned this project from the Center for Business and Economic Research in the …