Essays in Public and Health Economics

Essays in Public and Health Economics PDF Author: Ehren Schuttringer
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ISBN: 9781321201086
Category : Electronic dissertations
Languages : en
Pages : 124

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Essays in Public and Health Economics

Essays in Public and Health Economics PDF Author: Ehren Schuttringer
Publisher:
ISBN: 9781321201086
Category : Electronic dissertations
Languages : en
Pages : 124

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Book Description


Three Essays in Health Economics and Public

Three Essays in Health Economics and Public PDF Author: Olga V. Milliken
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages :

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Essays in Public Economics and Health Economics

Essays in Public Economics and Health Economics PDF Author: Tomasz Zawisza
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ISBN:
Category :
Languages : en
Pages :

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Essays in Public and Health Economics

Essays in Public and Health Economics PDF Author: Thomas Minten
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ISBN:
Category :
Languages : en
Pages :

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Essays in Health Economics and Public Policy

Essays in Health Economics and Public Policy PDF Author: Colin D. Cannonier
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ISBN:
Category :
Languages : en
Pages :

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Essays in Health Economics and Public Finance

Essays in Health Economics and Public Finance PDF Author: Boris Viktorovich Vabson
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ISBN:
Category :
Languages : en
Pages : 394

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This dissertation focuses on topics in health economics and public finance. I deal with questions that have importance for health policy, and that are simultaneously of general economic interest; in particular, I consider the efficiency impact of privatization, the effects of competition in health care markets, and the effects of incomplete contracting and imperfect competition on rates of pass-through to consumers and governments. In Chapter One, I examine the extent to which contracting out by governments yields efficiency improvements, by looking to Medicaid contracting in New York State. To identify the efficiency impact of private, relative to public Medicaid, I exploit involuntary switching between the two; primarily, I leverage age-based rules forcing individuals to switch from private to public Medicaid at 65. I also leverage unique administrative data, which longitudinally tracks individual utilization across the public and private Medicaid settings. I find evidence that private Medicaid yields efficiency improvements, but find no evidence that these improvements are passed on to either governments or patients. Instead, I find that pass-through is substantially limited by incomplete contracting, with plans shifting costs to medical services that remain under government provision. In Chapter Two, I examine the effects of cost-sharing among a previously understudied population-those dually enrolled in Medicaid and Medicare. I leverage an exogenous court ruling that resulted in loss of Medicaid coverage in Tennessee, among 25,000 individuals who had previously been dually-enrolled. This disenrollment resulted in an increase in average cost-sharing rates, from around 0% to around 20%. I find that this cost-sharing increase resulted in a utilization reduction of about 30%, implying an arc-elasticity in spending of about -.2. In Chapter Three, with Mark Duggan and Amanda Starc, we examine how contracts are affected by their generosity, by looking to the Medicare Advantage program. In doing so, we exploit a substantial policy-induced increase in MA reimbursement in metropolitan areas with a population of 250,000 or more relative to MSAs below this threshold. Our findings also reveal that about one-eighth of the additional reimbursement is passed through to consumers in the form of better coverage.

Essays on Health Economics

Essays on Health Economics PDF Author: Grace Ellis Arnold
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ISBN:
Category :
Languages : en
Pages :

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Three Essays in Health Economics

Three Essays in Health Economics PDF Author: Ryuta Kato
Publisher:
ISBN:
Category :
Languages : en
Pages : 214

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Three Essays in Health Economics and Public Policy

Three Essays in Health Economics and Public Policy PDF Author: Olga V. Milliken
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 0

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Essays in Health Economics

Essays in Health Economics PDF Author:
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ISBN:
Category :
Languages : en
Pages : 0

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This dissertation consists of three essays in health economics related issues. In the first chapter, I estimated health insurance expansion's effects on young adults' employment using MEPS. In 2010 young adults were allowed to stay on their parent's health insurance plan until the age of 26 by a policy change under the ACA. I used a difference-in-differences model to estimate labor supply effects of this policy on young adults. 23-25-year-olds are in the treatment group, and 26-30-year-olds are in the control group. Additionally, I estimated heterogeneity of the policy's labor supply effect by socio-economic groups. I found that extensive and intensive labor supply decreased among males. The effect is greater among men in higher socio-economic group. In the second chapter, I analyzed whether internet use has an effect on patients' mental health using BRFSS data. Over the last decade internet use has become universal. It provides various health related tools and information sources which may affect patients' distress levels in several ways, and health related distress can have large impacts on quality of life. I used variation across states' "right of way" policies during the broadband boom period of 2001-2005. Using rights of way rules' easiness as a proxy for broadband penetration rates, I investigated whether patients' mental health levels changed differently in states with more lenient rights of way rules. I found that among men internet use improves patients' mental health. In the third chapter, I studied labor market effects of the early Medicaid expansions under the ACA in 2010 using data from Current Population Survey. The ACA extends public insurance coverage to low income childless adults, yet we know very little about the effect of a public health insurance extension on childless adults' labor supply. The ACA allowed states to extend Medicaid and a number of states opted in early and extended Medicaid in 2010. I utilized this variation among states to evaluate whether the policy had any effect on childless adults' employment. I found that the policy had no effect on labor supply of the overall population. I found evidence that the policy mainly affected near-retirement-aged childless