We study the effect of health insurance expansion on nutrition-related children's health outcomes. We exploit quasi-random variation from an insurance expansion targeted at poor households in Peru. We find that access to insurance reduces childhood obesity and exerts positive and economically...

Although a significant number of middle and low-income countries have expanded access to subsidized health insurance, it still is unclear whether these insurance expansions improve children's health, This paper exploits quasi-random variation from an insurance expansion targeted at poor...

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...

Among health care systems with both public and private elements (such as in the US and Germany), an important question is whether the type of health insurance exerts an impact on workers' careers. We exploit the unique German case of a two-tier health care system to analyze whether opting out of...

A non-trivial fraction of people cannot afford to buy pharmaceutical products at unregulated market prices. This paper analyses the public insurance of a patent-protected pharmaceutical product in terms of price controls and socially optimal third-degree price discrimination. First, the paper...

Unlike most European countries, a majority of the population in Ireland pay out of pocket for a range of primary-care services, including general practitioner (GP) care. In 2017, the Committee on the Future of Healthcare published its final report (the Sláintecare Report; Houses of the...

This paper studies how better access to public health insurance affects infant mortality during pandemics. Our analysis combines cross-state variation in mandated eligibility for Medicaid with two influenza pandemics - the 1957-58 "Asian Flu" pandemic and the 1968-69 "Hong Kong Flu" - that...

We study the effect of health insurance expansion on nutrition-related children's health outcomes. We exploit quasi-random variation from an insurance expansion targeted at poor households in Peru. We find that access to insurance reduces childhood obesity and exerts positive and economically...

Although a significant number of middle and low-income countries have expanded access to subsidized health insurance, it still is unclear whether these insurance expansions improve children's health. This paper exploits quasi-random variation from an insurance expansion targeted at poor...

The Affordable Care Act (ACA) introduced a premium tax credit to help low-income families purchase insurance and an individual mandate penalty to encourage purchasing insurance, but a couple’s total tax credit and mandate penalty may differ depending on whether they are married. We use a...

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...

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...

Vor mittlerweile mehr als 25 Jahren wurde mit Einführung des freien Krankenkassenwahlrechts die deutsche gesetzliche Krankenversicherung (GKV) in eine marktwirtschaftliche Ordnung überführt, in welcher gesetzliche Krankenkassen zueinander im Wettbewerb stehen. In Folge dessen hat eine...

State governments contract with health maintenance organizations (HMOs) to coordinate medical care for nearly 20 million Medicaid recipients. Identifying the causal effect of HMO enrollment on government spending and health care quality is difficult if, as is often the case, recipients have the...

Advocates of Medicaid expansion argue that federal Medicaid assistance to states fosters economic activity, generating positive local multiplier effects. Furthermore, during economic downturns, Congress regularly tweaks federal match rates for state Medicaid spending – including during the...

Health care report cards - public disclosure of patient health outcomes at the level of the individual physician and/or hospital - may address important informational asymmetries in markets for health care, but they may also give doctors and hospitals incentives to decline to treat more...

This paper studies the accuracy of reported Medicaid coverage in the Survey of Income and Program Participation (SIPP) using a unique data set formed by matching SIPP survey responses to administrative records from the State of California. Overall, we estimate that the SIPP underestimates...

Social programs and mandates are usually studied in isolation, but interaction effects could create spillovers to other public goods. We examine how health insurance coverage affects the education of students with Autism Spectrum Disorder (ASD) in the context of state-mandated private therapy...

Low-income people in low- and middle-income countries (LMICs) have limited access to healthcare when they are sick. To address this issue, the governments of LMICs have initiated health insurance programs that target these poor populations. However, the health benefits these programs provide are...

The Medicaid Home and Community-Based Services (HCBS) subsidizes long-term care to satisfy the increasing desire to age at home among older adults. The HCBS program may improve health outcomes of this population by allowing them to age-in-place, but less quality and quantity of home-based care...

Urban poor societies were a vulnerable group. Once they are sick, they fall deeper into poverty. National Health Insurance (NHI) is a way the government initiated to overcome this situation. We analyzed the factor related to NHI membership among urban poor societies. The study population...

Policymakers have historically attempted to influence quality in nursing homes through the imposition of minimum staffing standards (MSS) and through the public dissemination of quality on websites like Care Compare. Current Federal MSS require a registered nurse (RN) on duty for at least eight...

We calculate conservative estimates for the marginal value of public funds (MVPF) associated with providing Medicaid to inmates exiting prison. Our MVPF estimates, which measure the ratio between the benefits associated with the policy (measured in terms of willingness to pay) and its costs net...

We explore the role of the largest non-food support safety net program, Medicaid, on multiple measures of food hardship among households with children, including measures that capture hardship explicitly experienced by children. Using data from the 2001-2020 waves of the December Current...

We study the impact of the world's largest publicly funded health insurance plan for the poor on credit markets. India launched a health insurance plan that covered 500 million beneficiaries. The fact that opposition-ruled states did not implement the program due to political reasons allows us...

Using information from the all-payer claims database for Rhode Island covering more than three-quarters of health insurance enrollees in the state from April 2011 through May 2019, this paper offers new measures of the association between the Medicaid expansion and the rate of receipt of...

This paper studies how publicly-financed health insurance can become counter-productive, ushering in unnecessary medical procedures with unintended health consequences. Using the fourth round of the National Family Health Survey, we show how a state-sponsored health insurance program providing...

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...

We provide new insights regarding the finding that Medicaid increased emergency department (ED) use from the Oregon experiment. We find meaningful heterogeneous impacts of Medicaid on ED use using causal machine learning methods. The treatment effect distribution is widely dispersed, and the...

Implementation of the Affordable Care Act (ACA) has been linked to an increase in the population covered by health insurance through expansions of the Medicaid program and revisions to private health insurance markets. We add to the body of literature on unintended consequences of the ACA by...

This paper examines the extent to which government programs should monitor for wasteful expenditure when outsourcing to third parties, taking into account the costs and savings associated with monitoring. I use novel administrative data to study the largest Medicare monitoring program aimed at...

Advocates of Medicaid expansion argue that federal Medicaid assistance to states fosters economic activity, generating positive local multiplier effects. Furthermore, during economic downturns, Congress regularly tweaks federal match rates for state Medicaid spending – including during the...

Latinos in the U.S. are the least likely to have health insurance compared to other racial and ethnic groups. Mexican Americans, the largest subgroup of U.S. Latinos, have particularly great barriers to healthcare access, and experience disparities in care and in health outcomes. The Affordable...