Health Economics Commons^™

Effects Of The Affordable Care Act On Health Care Access And Self-Assessed Health After 3 Years, Charles J. Courtemanche, James Marton, Benjamin Ukert, Aaron Yelowitz, Daniela Zapata

Economics Faculty Publications

Using data from the Behavioral Risk Factor Surveillance System, we examine the causal impact of the Affordable Care Act on health-related outcomes after 3 years. We estimate difference-in-difference-in-differences models that exploit variation in treatment intensity from 2 sources: (1) local area prereform uninsured rates from 2013 and (2) state participation in the Medicaid expansion. Including the third postreform year leads to 2 important insights. First, gains in health insurance coverage and access to care from the policy continued to increase in the third year. Second, an improvement in the probability of reporting excellent health emerged in the third year, with …

Swimming For More Than Gold: How Swimming Participation And Success In Elite International Swimming Events Can Decrease Drowning Rates Across The World, Joshua R. Cottle

Undergraduate Economic Review

International swimming provides an opportunity for thousands of swimmers to compete at the highest level of the sport. In this paper, I argue that participation and success in these events can influence drowning rates across the world. My analysis suggests that one of the most notable negative influences on drowning rates is swimming participation in countries that have the smallest roster sizes and the lowest average income levels. My analysis shows that swimming success in the Olympics has a significant positive effect on drowning rates in countries in the middle-income brackets.

Essays On The Economics Of Health And Human Capital, Paloma Lopez De Mesa Moyano

Dissertations, Theses, and Capstone Projects

This dissertation explores dynamics related to the formation of human capital. In the two chapters contained within, my work investigates how human capital is formed and maintained through either individual decisions or historic events. In particular, the first chapter analyzes the long-term health effects of a large-scale bombing campaign on the population of a developing country up to two generations after the event occurred; the second chapter analyzes how attending a public honors college in the U.S. affects the degree completion of students and their college quality choice. In these two different contexts, I approach the common topic of human …

Benchmarking The Educational Progress Of African American And Latino Students In Arkansas, Mervin Jebaraj

Urban League of the State of Arkansas

The Urban League of Arkansas partnered with the Center for Business and Economic Research in the Sam M. Walton College of Business at the University of Arkansas to produce a report providing data to identify twelve key areas of need in the African American and Latino communities in Arkansas and to assist in the development of programs and policies to address them. The twelve indicators are enrollment, expenditure per student, fourth grade literacy and math achievement levels, eighth grade literacy and math achievement levels, disciplinary actions, dropout rates, graduation rates, college going rates, educational attainment for the population over the …

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 fetal malnutrition exposure of middle-aged survivors of the 1959-1961 China Famine using data from the China Health and Retirement Longitudinal Study. 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 even half a century after the tragic event. Our findings imply that policies and programs that improve the nutritional status of pregnant women yield benefits on the health of a fetus that …

Early Effects Of The Affordable Care Act On Health Care Access, Risky Health Behaviors, And Self-Assessed Health, Charles J. Courtemanche, James Marton, Benjamin Ukert, Aaron Yelowitz, Daniela Zapata

Institute for the Study of Free Enterprise Working Papers

The goal of the Affordable Care Act (ACA) was to achieve nearly universal health insurance coverage through a combination of mandates, subsidies, marketplaces, and Medicaid expansions, most of which took effect in 2014. We use data from the Behavioral Risk Factor Surveillance System to examine the impacts of the ACA on health care access, risky health behaviors, and self-assessed health after two years. We estimate difference-in-difference-in-differences models that exploit variation in treatment intensity from state participation in the Medicaid expansion and pre-ACA uninsured rates. Results suggest that the ACA led to sizeable improvements in access to health care in both …

The Effect Of Health Care Entrepreneurship On Local Health: The Case Of Medexpress In Appalachia, Amir B. Neto, Joshua C. Hall

Economics Faculty Working Papers Series

We test the hypothesis that the opening of an Urgent Care Center (UCC) has positive impacts on the local community. There are several mechanisms through which a UCC can have an impact: lower health care costs, emergency room decongestion, and improved access to medical information. We examine the entry of MedExpress into Appalachian counties between 2001 and 2013. Employing data from Health Resources Files, which provides information for all counties for specific years, we use Propensity Score Matching to create a year 2000 control group for the counties “treated” by MedExpress entry beginning in 2001. We then employ a standard …

The Effects Of The Implementation Of Green Carts On New Yorkers' Bmi, Ana L. Pacheco

Theses and Dissertations

This study focuses on the Green Cart Initiative implemented by the New York City Mayor’s Office of Food Policy. The Initiative was implemented to bring fresh fruits and vegetables in a fast, cheap, and efficient way to neighborhoods considered food deserts and areas with high rates of obesity.

Three Essays On The Effects Of Childbearing On Economic Well-Being And Health, Ramazan Onur Altindag

Dissertations, Theses, and Capstone Projects

Chapter 1: Couples in Turkey exhibit son preference through son-biased differential stopping behavior that does not cause a sex ratio imbalance in the population. Demand for sons leads to lower ratios of boys to girls in larger families but higher ratios in smaller families. Girls are born earlier than their male siblings, and son-biased fertility behavior is persistent in response to decline in fertility over time and across households with parents from different backgrounds. Parents use contraceptive methods to halt fertility following a male birth. The sibling sex composition is associated with gender disparities in health. Among third- or later-born …

The Effect Of Gambling Expansion On Health, Marina Li

Theses and Dissertations

This study examines the effect of gambling expansion on health and health behaviors. This paper hypothesized gambling expansion decreases individual’s health and increases negative health behaviors. The study is done by observing the health and health behavior of individuals and results generally supports hypothesis.

Exploring The Effects Of Calorie Labeling Laws, Carmen Vargas

Theses and Dissertations

This study explores the effects of Calorie labeling laws implemented in some counties in the United States on several health related variables. The findings show a small significant decreasing effect of the law on Limited activity and Poor health of 0.083 and 0.047 at 95% significant level respectively.

Public Health Spending And Its Contributions To The Total Spend On Health, Glen P. Mays

Health Management and Policy Presentations

This presentation provides an overview of recent research on governmental public health expenditures and their interaction with medical spending, carried out through the Robert Wood Johnson Foundation supported initiatives on Public Health Services and Systems Research (PHSSR) and the new Systems for Action research program. This work illustrates the value of tracking resource use across multiple sectors that influence health and well-being in American communities. As such, this work can inform the ongoing dialogue about methodologies for summarizing total health spending for the U.S. and for state and local areas.

Measuring Progress To Comprehensive Public Health Systems, National Preparedness, And A Culture Of Health, Glen P. Mays

Health Management and Policy Presentations

This update describes recent progress on two national health measurement initiatives: The National Health Security Preparedness Index and the National Longitudinal Survey of Public Health Systems. These longitudinal data sources offer valuable perspectives on how health security practices and public health delivery systems are changing across the U.S.

Examining The Status Of African Americans And Hispanics In Arkansas, Kathy Deck, Mervin Jebaraj

Urban League of the State of Arkansas

The Urban League of the State of Arkansas seeks to lead efforts in advancing and obtaining equal opportunities for all citizens with a particular focus in the areas of health, education, jobs, and housing. In keeping with this mission, the Urban League of Arkansas partnered with the Center for Business and Economic Research in the Sam M. Walton College of Business at the University of Arkansas to produce a report that provides data to identify key areas of need in the African American and Latino communities in Arkansas and develop programs and policies to address them.

Learning From Delivery System Behavior, Dynamics & Interactions To Advance A Culture Of Health, Glen P. Mays

Health Management and Policy Presentations

A new "Systems for Action" national research program flows directly from the Robert Wood Johnson Foundation's Culture of Health action framework. This program will build evidence on how best to align the delivery and financing systems for medical care, public health, and community services & supports so as to promote wellbeing and resiliency, realize efficiencies in resource use, and reduce inequities in health.

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 …

Does Medicaid Crowd Out Other Public Health Spending? Projecting Aca’S Health & Economic Effects, Glen P. Mays

Health Management and Policy Presentations

Research Objective: Twenty-six states are expanding Medicaid eligibility under the Affordable Care Act (ACA) in 2014, and while federal funds cover most costs for newly eligible recipients, states must share the additional costs of covering previously-eligible state residents who newly enroll in Medicaid in response to ACA’s expanded outreach and enrollment incentives. States, together with their local government counterparts, also provide the vast majority (87%) of public sector funds for public health programs designed to promote health and prevent disease and injury on a population-wide basis. Fiscal constraints and generous federal matching funds create strong budgetary incentives for states to …

The Effects Of Foreign Aid For Health On Health Outcomes In Developing Countries, Leah R. Burfeind

Electronic Theses and Dissertations

The purpose of this thesis is to investigate the effectiveness of foreign aid for health on the child mortality rate in developing countries. This is a controversial subject as many economists have found grounds to believe it is effective while others provide rationale for why it is ineffective. Based on panel data analysis, this study looks at the effects of external resources for health as a percentage of health spending on the child mortality rate in developing countries to determine how effective aid for health is in terms of improving health outcomes. With an understanding of the current nature of …

Producing Population Health: Collective Action Requires Infrastructure, Incentives & Evidence, Glen P. Mays

Health Management and Policy Presentations

Population health improvement strategies are collective action problems that require targeted infrastructure, incentives, and information to succeed. Research on collective action problems and solutions in public health and other spheres of practice offer insight for the successful scale and spread of population health innovations.

Long-Term Health Effects Of Malaria Exposure Around Birth: Evidence From Colonial Taiwan, Simon Chang, Belton Fleisher, Seonghoon Kim, Shi-Yung Liu

Research Collection School Of Economics

In the early 20th century, the Japanese colonial government initiated an island-wide malaria eradication campaign in Taiwan, resulting in not only a rapid decline in malaria across time but also elimination of disparity across regions. Exploiting variations in malaria deaths caused by the campaign, we estimate causal effects of malaria exposure around birth on the health of elderly born in the colonial period. To mitigate potential biases caused by measurement errors and omitted confounders, we employ climatic factors to instrument for malaria deaths. Our findings suggest that people who were exposed to a high malaria risk around birth tend to …

The Impact Of Fitness Technology On Health Outcomes, Megan C. Kelley

CMC Senior Theses

Using 2014 data compiled from a sample of Claremont McKenna undergraduate students, I examine the effect that fitness technology (i.e., mobile and wearable technology) has on users' health outcomes. Specifically, I find no effect of mobile or wearable use on self-reported health. However, I do find some evidence of mobile use on weight but not wearable. Applying a basic OLS regression analysis, I show that mobile users tend to be heavier than non-mobile users irrespective of gender. Furthermore, I find that contemporaneous health on prior mobile use show higher weight levels compared to non- mobile prior users. Such findings provide …

A Healthier Bottom Line: Distilling Best Practices In Corporate Wellness, Mark Auriemma, Cfa, Angela Cassidy, Kelly Dougherty, Despina Garalis, Pharmd, Rph, Judith Pelletier, Jennifer Springer

Emerging Leaders Program Team Projects

The Massachusetts Business Roundtable (MBR) collaborated with a team from the Emerging Leaders Program (ELP) from the University of Massachusetts Boston to explore ways to control health care costs. One strategy being implemented by employers to control health care costs is through “wellness programs,” employer-sponsored efforts to improve the health of employees. Members of the Massachusetts Business Roundtable (MBR) and other large employers have had success in reducing their health care costs through the implementation of corporate wellness initiatives. The purpose of this paper is to define what is working in private sector wellness programs to determine whether there is …

Conditional Cash Transfers And Child Health: The Case Of Malawi, Ryan F. Boone

CMC Senior Theses

This paper analyzes the impacts of the Malawi Social Cash Transfer Scheme. The goal of this paper is to help improve the design of cash transfers. First of all, I analyze whether the cash transfer positively affects child health variables despite occurring in a region with poor supply side health institutions. I find significant results for many child level variables, such as frequency of illnesses, but insignificant improvements in anthropometric measurements. Secondly, I examine whether female-headed households invest more in child health than male-headed households. The results show that the impacts of the cash transfer did not depend on the …

A Cross-Sectional Study Of Infant Mortality Rates Between Countries, Katelyn E. May

Undergraduate Theses and Capstone Projects

The health status of nations has been and continues to be under debate. Although the variables that comprise such a status have not been solidified, one variable that is closely studied and is thought to have an effect on the idea of health status is infant mortality. A country’s Infant Mortality Rate (IMR) is treated as an indicator of its health status as well as socioeconomic status. This research attempts to study the variables which are hypothesized to be significant in relation to IMR, and to find which ones truly have an effect. Data on eight independent variables were collected …

Debra L. Delaet On Health And Human Rights: Basic International Documents, 2d Edition, Edited By Stephen P. Marks. Cambridge, Massachusetts: Published By Francois-Xavier Bagnoud Center For Health And Human Rights; Distributed By Harvard University Press, 2006. 392pp., Debra L. Delaet

Human Rights & Human Welfare

A review of:

Health and Human Rights: Basic International Documents, 2d Edition, edited by Stephen P. Marks. Cambridge, Massachusetts: Published by Francois-Xavier Bagnoud Center for Health and Human Rights; Distributed by Harvard University Press, 2006. 392pp.

World Bank, Adrienne Stohr

Human Rights & Human Welfare

The mission of the World Bank is to aid developing countries stabilize their economies through financial and technical assistance. The five dominant themes that emerge in a review of the World Bank literature are: health, gender, environment, globalization, and global governance. Each of these themes is broadly related to issues that consistently influence the larger issue of how the World Bank incorporates, rejects, or impacts human rights.