Essays in Health Economics and Public Policy PDF Download
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Author: Colin D. Cannonier
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Languages : en
Pages :
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Author: Colin D. Cannonier
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Languages : en
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Author: Olga V. Milliken
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Category : Health insurance
Languages : en
Pages : 284
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Author: Bokyung Kim (Ph. D. Economics)
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Category :
Languages : en
Pages : 0
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Substance use disorders (SUDs) are a major public health concern both in the United States and worldwide. The three chapters of this dissertation examine the intended and unintended consequences of public policies designed to tackle SUDs. Chapter 1 explores the short- and long-run impacts of SUD treatment on human capital accumulation and labor market outcomes among at-risk adolescents. Specifically, I study the effect of treatment center schools, which provide residential SUD treatment and have a school on site. Using administrative data that link individual-level records across multiple government agencies in Texas, I examine within-individual changes in outcomes around the time of SUD treatment with a difference-in-differences design. I find that treated students experience declines in chronic absenteeism, disciplinary action, and course failure in the first two years following SUD treatment relative to a matched comparison group. I also find positive long-term impacts on college enrollment and employment at ages 17-20. My findings suggest that SUD treatment among adolescents may have lasting consequences and is a promising tool to promote human capital development among at-risk youth. Chapter 2, previously published in the Journal of Health Economics, investigates the consequences of "mandatory access" prescription drug monitoring programs (MA PDMPs). MA PDMPs legally require providers to access a state-level database with a patient's prescription history before prescribing controlled substances under certain circumstances. Using a difference-in-differences specification, I find strong evidence that MA PDMPs have increased heroin death rates. My results suggest that even if MA PDMPs reduce prescription opioid deaths, the decrease is offset by a large increase in illegal opioid deaths. Chapter 3, coauthored with David Beheshti, examines the effect of MA PDMPs on non-opioid-related outcomes. While many policies exclusively target prescription opioid misuse, PDMPs are designed to monitor the use of a wider range of prescription drugs. Using a difference-in-differences design, we show that MA PDMPs led to decreases in stimulant prescribing. In contrast, we find suggestive evidence that these policies resulted in increases in benzodiazepine prescriptions. Our findings highlight that MA PDMPs do have effects on non-opioid drug prescribing, but these effects differ substantially across drug types
Author: Boris Viktorovich Vabson
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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.
Author: Grace Ellis Arnold
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Category :
Languages : en
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Author: Ryuta Kato
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Category :
Languages : en
Pages : 214
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Author: Eun Young Kim
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Category : Electronic Dissertations
Languages : en
Pages : 101
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This dissertation is a compilation of three essays. The first essay critiques a recent paper by Wilper et al. (2009) for its inappropriate model calibration in analyzing the association of health insurance and mortality. Using the individual-level data from a nationwide survey with more recent mortality follow-up information, it shows that the privately-insured do not significantly fare better in mortality risk compared to the uninsured. Moreover, hazard ratio estimate for the Medicaid suggests that public provision of insurance increases mortality. The second essay addresses the role of income in explaining the differential public health outcomes across developed countries. Noting that the growing arguments for socioeconomic gradient in health are based mostly on cross-sectional studies, panel analyses of five different public health outcomes are conducted. Results demonstrate that economic development remains critical in explaining health improvements at the aggregate level. The third essay analyzes the association of income and health care spending at the aggregate level. Using a large panel data from 24 industrialized nations for more than three decades, the close relationship between income and health care spending is established. In contrast to earlier cross-sectional studies, the panel analysis suggests that health expenditure growth is not as rapid as income growth in almost all nations.
Author: Henrique Veras De Paiva Fonseca
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Category :
Languages : en
Pages :
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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
Author: Richard M Scheffler
Publisher: World Scientific
ISBN: 9814612332
Category : Business & Economics
Languages : en
Pages : 1627
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'Understanding global health economics and policy has never been so important. This remarkable three-volume collection of chapters is sure to become the standard on health economics and health policy around the world.'David CutlerOtto Eckstein Professor of Applied EconomicsHarvard UniversityThis Handbook covers major topics in global health economics and public policy and provides a timely, systematic review of the field. Edited by Richard M Scheffler, Distinguished Professor of Health Economics and Public Policy and Director of the Global Center for Health Economics and Policy Research at the University of California, Berkeley, the Handbook features academics and practitioners from more than a dozen countries. Contributors are from the London School of Economics and Political Science, Pompeu Fabra University in Barcelona, University of York, University of Oslo, London School of Hygiene and Tropical Medicine, University of California - Berkeley, Stanford University, Johns Hopkins University, University of Toronto, University of Oxford, Harvard Medical School, OECD, the World Health Organization and the World Bank, many of whom have also acted as economic and policy advisors to government and non-governmental organizations across the world. Experts in these areas who provide critical analyses and relevant data for further exploration and research include: Thomas E Getzen, Executive Director of the International Health Economics Association (iHEA); Douglas E Hough, Associate Scientist and Associate Director of the Master in Healthcare Management programme at the Bloomberg School of Public Health of John Hopkins University; Guillem López-Casasnovas, former President of iHEA and member of the Advisory Council of the Spanish Health and Social Welfare Ministry and of the Advisory Council of the Catalan Health Ministry since 1984; Alistair McGuire, Professor of Health Economics at the London School of Economics and Political and advisor to a number of governments and governmental bodies across Europe; Tor Iversen, Research Director at the Health Economics Research Programme at the University of Oslo and former member of the iHEA Arrow Award Committee 2007-2011; William H Dow, Professor and Associate Dean for Research at University of California ,Berkeley and former Senior Economist for the Council of Economic Advisors (White House); Audrey Laporte, the Director of the Canadian Centre for Health Economics; Alexander S Preker, President and CEO of Health Investment & Financing Corporation; Ayda Yurekli, who initiated and developed the World Health Organization TaXSiM simulation model that has been used by many Ministries of Finance around the world for the development of tax policies; Marko Vujicic, Managing Vice President of the Health Policy Resources Center at the American Dental Association; Mark Sculpher, Director of the Programme on Economic Evaluation and Health Technology Assessment at the University of York and former President of the International Society of Pharmacoeconomics and Outcomes Research (ISPOR) (2011-2012); and Peter Berman, who has had almost 40 years of experience in global health and was formerly a Lead Health Economist at the World Bank. The Handbook spans across three volumes. The chapters deal with key global issues in health economics, are evidence-based, and offer innovative policy alternatives and solutions. The Handbook's approach toward global health economics and public policy will make it a useful resource for health economists, policymakers, private sector companies, NGOs, government decision-makers and those who manage healthcare systems.
