Health Economics Commons^™

How Long Before Recertifying Medicaid And Chip Children?, Zhuan Pei

Employment Research Newsletter

No abstract provided.

Reducing The Geographic Variance In Medical Expenditures: The Benefits Of A Primary-Care-Oriented Health System, Noah Bricker

Undergraduate Economic Review

The Affordable Care Act states that a primary goal of health care reform should be to lower costs and promote fiscal responsibility. With these two goals in mind, the bill proposes a more primary-care-oriented health system by enacting a 5-year temporary Medicare fee increase for primary care physicians as a means to increase the number of physicians and incentivize more primary care services. Using county and regional level Medicare data, this paper finds that an increase in the number of primary care physicians per capita would reduce per beneficiary Medicare spending and as a consequence, lower national health expenditures substantially.

Childhood Health And Household Income, Patrick Malone

Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal

Health Economics literature is rich with studies that find a positive association between childhood health and family income. This relationship is also known as childhood health and income gradient. Several other studies also find that this gradient becomes steeper as children age. This research paper empirically reexamines this phenomenon using 2009-2012 data from the National Health Interview Survey. While the study finds the existence the gradient effects, it finds the gradient to be flatter than those found earlier studies.

Individuals Willingness To Pay For Health And Wellness In The Built Environment, Max Pollinger

Journal of Environmental and Resource Economics at Colby

Improving biological sustainability through health and wellness improvements in the built environment is currently being applied to high-end real estate development in both the residential and commercial environment in the United States. However, the market for health and wellness extends well beyond the top income bracket. This study adopts a choice experiment (CE) approach to investigate individual’s willingness to pay (WTP) for health and wellness improvements within their homes. The results suggest that individuals value health as an inelastic good independent of income, and they are willing to pay significant premiums to ensure biological sustainability within their homes independent of …

El Mal De Chagas Y Su Potencial De Eliminación, Eileen Stillwaggon

Economics Faculty Publications

La Asamblea Mundial de la Salud ha elegido algunas enfermedades como blancos para la eliminación. Hay mucha esperanza y una alta probabilidad de que varias enfermedades, recientemente llamadas desatendidas, sean eliminadas en las próximas décadas. Vamos a presenciar el fin de la transmisión de la dracunculiasis, la filariosis linfática, la poliomielitis, y en las Américas por lo menos, la oncocercosis. Ya se ven éxitos significativos como la cuasi erradicación de la dracunculiasis y paso importantes en contra de otras aflicciones. [Original Spanish version]

The World Health Assembly has chosen some diseases as targets for elimination. There is much …

Direct Comparison Of Apremilast And Best Supportive Care Using A Discrete Event Simulation, Zoe Clancy, Pharmd

Master of Science in Applied Health Economics and Outcomes Research Capstone Presentations

Apremilast is compared to best supportive care (BSC), and response to treatment is assessed after a trial period of 16 weeks, which corresponds to the primary efficacy endpoint in the apremilast clinical trials. DES is a technique that is event-based and models a population at the individual level in terms of utility, costs, and resource use. The DES was implemented as a series of input, calculation, and output flowcharts in Arena®. The DES reported an incremental QALY per patient of 0.16 and incremental cost per patient of $17,325. The Markov model reported an incremental QALY of 0.18 and incremental cost …

Modeling Solutions For Prevention Of Medicare Insolvency For The Baby Boomer Generation (Born 1946 - 1964), Gregory Thomas Scott

Health Services Research Dissertations

Medicare, a United States social insurance program operated by the United States federal government, began operating in a deficit in the year 2010. More funding was expended than revenue received for medical care, creating significant shortfalls for the Medicare Trust Fund. This study examined possible initiatives to describe Medicare funding related to issues as financial shortfalls utilizing mathematical modeling and simulation. The Park Conceptual Model is a framework created to identify internal and external changes that influence bankruptcies related to municipalities, and this Model served as the theoretical basis for this study.

The following study addressed insolvency as negative cash …

Learning From Networks: Care Transitions, Market Competition, & Community Interventions, Glen P. Mays

Health Management and Policy Presentations

Social network analysis methods offer many avenues of inquiry for studying new developments in health policy and health care delivery. The expanding availability of large linkable electronic clinical and administrative data sources allows for novel SNA applications with dependent data structures. Opportunities include the study of delivery patterns within accountable care organizations (ACOs), and other multi-provider networks, price and quality competition within new health insurance exchanges, and population health effects attributable to complex community-level interventions.

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 Effect Of Public Insurance Coverage For Childless Adults On Labor Supply, Laura Dague, Thomas C. Deleire, Lindsey Leininger

Upjohn Institute Working Papers

This study provides plausibly causal estimates of the effect of public insurance coverage on the employment of nonelderly, nondisabled adults without dependent children (“childless adults”). We use regression discontinuity and propensity score matching difference-in-differences methods to take advantage of the sudden imposition of an enrollment cap, comparing the labor supply of enrollees to eligible applicants on a waitlist. We find that enrollment into public insurance leads to sizable and statistically meaningful reductions in employment up to at least nine quarters later, with an estimated size of 2–10 percentage points, depending on the model used.

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 …

Basic Human Health And Sustainable Community Development: A Case Study Of A Community In Monte Plata, Dominican Republic, Rachelle H. Arnoux

Capstone Collection

One of my objectives in conducting this research is to enhance my skills in data collection while simultaneously improving my writing skills. More substantively, I wanted to explore how access to healthcare in a developing country like the Dominican Republic can contribute to sustainable development. As good health is fundamental and vital for all human beings, it is important in the context of this study to understand how the healthcare system in a particular country gives the population access to quality healthcare. Referring myself specifically to the situation at Batey Relief Alliance (BRA) Dominicana medical center in the Dominican Republic …

Public Health Services & Systems Research And The Reforming U.S. Health System, Glen P. Mays

Health Management and Policy Presentations

This session reviews progress in the field of public health services & systems research (PHSSR), with a specific focus on findings that can inform the implementation and impact of health reform strategies on the U.S. public health system.

Can Community Water Projects Combat Child Diarrhea? Results From The Solomon Islands, Thomas G. Sackman

Master's Theses

There is a vast amount of existing literature that has empirically scrutinized whether or not community water projects have the ability to mitigate diarrheal disease. A strong and persistent belief thinks that community water projects do have the means, however, over the decades empirical work commonly finds this to simply not be true. This study expands the research question to the Solomon Islands. The research tests the hypothesis using a differences-in-differences identification strategy by utilizing the government’s staggered timing rollout of community water subprojects with whether or not a village received a community water subproject to test for a program …

Impact Of Typhoons On Children's Human Capital Investments In Filipino Households, Kate Zitelli

Master's Theses

Typhoons are a unique type of natural disaster affecting both developing and developed countries, causing both short and long-term destruction. Typhoons are random both in intensity and frequency, making them difficult to predict their strength and when they will strike. With global climate change, typhoons are expected to increase in both frequency and magnitude, making it important to understand their impacts. This study uses DHS data from the Philippines and a unique Filipino typhoon data set covering they years 1989-2008 to explore how typhoons affect household allocation of basic human capital investments, such as breastfeeding duration. Using OLS estimation and …

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.

Geographic Variation Of Health Care Spending On Heart Failure In Metropolitan Areas, Kevin Mcmillan

Department of Geography: Dissertations, Theses, and Student Research

The costs of healthcare have long been a concern in the United States. It is well known that these costs vary geographically, but attempts to explain this variation have been met with limited and varied success. This is partly attributable to the fact that data available have restricted analyses to assessing the issue to using Medicare cost per beneficiary. In June, 2013, the Center for Medicare and Medicaid Services (CMS) released new Medicare data that detailed the charges and payments made to hospitals throughout the United States in 2011. In this thesis, this new dataset was used to examine costs …

Health Reform Implementation: Update And Implications For Kentucky, Glen P. Mays

Health Management and Policy Presentations

This talk reviews the progress of health reform implementation in Kentucky with a focus on opportunities for aligning systems for medical care, public health, and social support delivery to improve population health.

Unifying Systems For Population Health: Infrastructure, Incentives & Evidence For Collective Action, Glen P. Mays

Health Management and Policy Presentations

This presentation, part of the SBM Presidential Symposium on Aligning Family, Clinical, and Community Systems, reviews the collective action problems that are commonly encountered in implementing multi-sector population health improvement strategies, and examines research on ways of using public health strategies and infrastructure to overcome these problems.

Historical Health Conditions In Major Us Cities: The Hue Data Set, Carlos Villareal, Brian Bettenhausen, Eric Hanss, Jonathan Hersh

Economics Faculty Articles and Research

The Historical Urban Ecological data set is a new resource detailing health and environmental conditions within seven major U.S. cities during the study period from 1830 to 1930. Researchers collected and digitized ward-level data from annual reports of municipal departments that detail the epidemiological, economic, and demographic conditions within each city. They then drafted new geographic information system data to link the tabular records to ward geographies. These data provide a new foundation to revisit questions surrounding the urban mortality transition and the growth of U.S. cities.