The Medicaid Home and Community- Based Services (HCBS) program in the United States subsidizes the long-term care provided at home or in community-based settings for older adults. Little is known about how HCBS affects the well-being of the aging population. Using detailed information about...

The COVID-19 pandemic led to an unprecedented level of job losses in the U.S., where a job loss is also associated with the loss of health insurance. This paper uses data from the 2020 Household Pulse Survey (HPS) and difference-in-difference (DD) regressions to estimate the effect of the...

This paper exploits variation resulting from a series of federal and state Medicaid expansions between 1979 and 2014 to estimate the effects of child's access to public health insurance on labor market outcomes of parents. The results imply that extended Medicaid eligibility of children leads to...

Das Solidaritätsprinzip prägt die gesetzliche Krankenversicherung (GKV). Bislang leisten rund vier von zehn Versicherten einen Solidarbeitrag, weil sie mehr einzahlen, als es ihren alters- und geschlechtsabhängigen Durchschnittsausgaben entspricht. Andersherum ist es bei sechs von zehn...

Ein überproportional starkes Wachstum der Pro-Kopf-Ausgaben prägt die gesetzlicheKrankenversicherung. Mitder Alterung der geburtenstarken Jahrgängewird sich dieser Trend noch verstärken. Steigende Finanzie-rungserfordernissewerdenaberin dem umlagefinanzierten System auf jüngere Kohorten...

Die vorliegende Studie diskutiert die Prognoseergebnisse für die Kostenentwicklung im Bereich der obligatorischen Kranken- und Pflegeversicherung (OKP). Innerhalb der deskriptiven Diskussion der Datenlage werden für die Kostengruppen wie auch die Kantone die letztjährigen Wachstumsraten mit...

This paper investigates the short-run impact of public insurance expansion under the Affordable Care Act on out-of-pocket medical spending (OOP) and risk exposure among low-income, eligible households as well as the incidence of the cost of providing insurance. Using data from the Medical...

A common narrative is that COVID-19 cost Trump re-election. We do not find supporting evidence; if anything, the pandemic helped Trump. However, we find substantial evidence that voters abandoned Trump in counties with large increases in health insurance coverage since the Affordable Care Act,...

We examine the labor market impacts of the Affordable Care Act dependent mandate (ACA-DM), which has significantly increased dependent children's health insurance coverage through parents' employer-sponsored health benefits. Using data from the American Community Survey, we find that the ACA-DM...

Innovation is part idea generation and part development. We build a model of "innovating-by-doing," whereby ideas come to practitioners. Successful innovation requires that practitioners' ideas be developed through costly effort. Our model nests existing theories of laboratory research and...

Das Solidaritätsprinzip prägt die gesetzliche Krankenversicherung (GKV). Bislang leisten rund vier von zehn Versicherten einen Solidarbeitrag, weil sie mehr einzahlen, als es ihren alters- und geschlechtsabhängigen Durchschnittsausgaben entspricht. Andersherum ist es bei sechs von zehn...

A negative shock to one household member can have consequences for other household members. This paper demonstrates the extent of job lock and health insurance plan stemming from the unanticipated health shock of a child family member. In response to the shock, I estimate a 7 - 14 percent...

This paper studies a market for a medical product in which there is perfect competition among health insurers, while the good is sold by a monopolist. Individuals differ in their severity of illness and there is ex post moral hazard. We consider two regimes: one in which insurers use coinsurance...

Die gesetzlichen Krankenkassen in Deutschland befinden sich in einem tiefgreifenden Prozess der digitalen Transformation. Inzwischen gibt es keine Kernaktivität mehr, weder im Verhältnis zu den Versicherten noch zu den Leistungserbringern, die ohne umfangreiche und komplexe IT-Systeme...

Previous research suggests that state Medicaid expansions implemented under the Patient Protection and Affordable Care Act (ACA) helped large numbers of patients suffering from opioid use disorder (OUD) gain access to life-saving medications, including buprenorphine. However, Medicaid expansions...

We report on a large randomized controlled trial of hospital insurance for above-poverty-line Indian households. Households were assigned to free insurance, sale of insurance, sale plus cash transfer, or control. To estimate spillovers, the fraction of households offered insurance varied across...

We report on a large randomized controlled trial of hospital insurance for above-poverty-line Indian households. Households were assigned to free insurance, sale of insurance, sale plus cash transfer, or control. To estimate spillovers, the fraction of households offered insurance varied across...

In this paper, we explore the effects of primary care physician (PCP) practice competition on five distinct quality metrics directly tied to screening, follow-up care, and prescribing behavior under Medicare Part B. Controlling for physician, practice, and area characteristics as well as zip...

In 2005, Missouri and Tennessee tightened eligibility for their public health insurance programs, resulting in widespread coverage loss. Leveraging county-level variation in subsequent disenrollment, I show that voters in Tennessee punished the incumbent governor for the Medicaid cuts. In...

This paper investigates the effect of the Affordable Care Act's (ACA) Medicaid expansion on the retirement decision of low-educated adults aged 55-64. Using data from the American Community Survey, I employ a difference-in-differences strategy that exploits the timing and expansion decisions of...

This paper develops a model of the nursing home industry to investigate the quality effects of policies that either raise regulated reimbursement rates or increase local competition. Using data from Pennsylvania, I estimate the parameters of the model. The findings indicate that nursing homes...

There is a well-established association between income and child health. We examine the Supplemental Security Income (SSI) program, which provides cash assistance to low-income children with disabilities, to assess how this relationship arises. We use a large database of Medicaid administrative...

The objective of this study is to use data from the National Survey of Children with Special Health Care Needs (NS-CSHCN) to test whether Medicaid physician fees are correlated with access to health services and adequacy of insurance coverage among CSHCN. We use a difference-in-differences...

Medicaid's federal-state matching system of financing is the nation's largest example of fiscal federalism. Using generous federal subsidies, the Affordable Care Act incentivized states to expand Medicaid, which became a state option in the aftermath of a 2012 Supreme Court ruling. As of early...

We use a five percent sample of Americans' credit bureau data to study the effects of public health insurance on the geography of consumer financial health. Exploiting the nearly universal eligibility for Medicare at age 65, we find a 30 percent reduction in the level of debts in collections...

We study physician agency and optimal payment policy in the context of an expensive medication used in dialysis care. Using Medicare claims data we estimate a structural model of treatment decisions, in which physicians differ in their altruism and marginal costs, and this heterogeneity is...