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Insurance Expansion During Pregnancy. 孕期保险扩展。
IF 2 3区 医学
Health economics Pub Date : 2025-05-26 DOI: 10.1002/hec.4978
Philip Hochuli, Christian P R Schmid
{"title":"Insurance Expansion During Pregnancy.","authors":"Philip Hochuli, Christian P R Schmid","doi":"10.1002/hec.4978","DOIUrl":"https://doi.org/10.1002/hec.4978","url":null,"abstract":"<p><p>We analyze how the abolition of cost-sharing in health insurance affects pregnant women's gross spending on health care services using an exogenous policy change in Switzerland. Using non-linear regression, we find that the policy slightly increases average gross spending, contrasting policymaker expectations of no impact on demand. More importantly, however, we find strong demand responses for specific types of services (physiotherapy, laboratory services), in particular for below-median income individuals. Within this group, we find that physiotherapy increases as much as 50% in response to the policy change. Additionally, we find suggestive evidence of a relative improvement of newborn health among individuals with below-median income, indicating that additional use of healthcare services may be beneficial. However, we find no evidence of an impact on maternal health. These results highlight that cost-sharing policies-such as the one we examine-need to balance trade-offs between reducing healthcare costs and addressing the health and equity implications of such policies.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effects of Medical and Recreational Cannabis Laws on Prescription Drug Claims in Commercial Group Insurance Markets. 医疗和娱乐大麻法律对商业团体保险市场处方药索赔的影响。
IF 2 3区 医学
Health economics Pub Date : 2025-05-21 DOI: 10.1002/hec.4967
Amanda C Cook, E Tice Sirmans, Rhet A Smith
{"title":"The Effects of Medical and Recreational Cannabis Laws on Prescription Drug Claims in Commercial Group Insurance Markets.","authors":"Amanda C Cook, E Tice Sirmans, Rhet A Smith","doi":"10.1002/hec.4967","DOIUrl":"https://doi.org/10.1002/hec.4967","url":null,"abstract":"<p><p>Initially introduced as an alternative medical treatment, cannabis has been conditionally legalized in most U.S. states. Using prescription drug claims as reported by small and large group insurers in the NAIC Supplemental Health Care Exhibit from 2010-2019, we examine the impact of medical and recreational cannabis laws on prescription drug expenditures of working-age individuals. We use a difference-in-differences framework and find significant reductions in prescription drug claims per enrollee of $34-42 annually in the small group insurance market following recreational cannabis legalization. While we do not observe similar reductions in claims in large group insurance markets, we find weak evidence that the reduced expenditures in small group insurance correspond with reductions in premiums indicating positive spillover effects from recreational cannabis for insured enrollees of small group insurance plans.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clear Waters, Bright Futures: Do Low-Cost Information Interventions Increase Health Preventive Behaviors. 清澈的水,光明的未来:低成本的信息干预能促进健康预防行为吗?
IF 2 3区 医学
Health economics Pub Date : 2025-05-20 DOI: 10.1002/hec.4977
Rafi Amir-Ud-Din, Muhammad Khan, Zahra Murad, Irene Mussio
{"title":"Clear Waters, Bright Futures: Do Low-Cost Information Interventions Increase Health Preventive Behaviors.","authors":"Rafi Amir-Ud-Din, Muhammad Khan, Zahra Murad, Irene Mussio","doi":"10.1002/hec.4977","DOIUrl":"https://doi.org/10.1002/hec.4977","url":null,"abstract":"<p><p>Contaminated drinking water poses a significant, long-term health challenge in developing countries. With the aim of shedding light on the most effective presentation of this information in awareness campaigns, we run a randomized control trial involving 1388 households in Punjab, Pakistan. We provide information about fecal matter (E.Coli) presence in drinking water and on ways to treat water to make it potable. This intervention increases the likelihood of adopting in-home water purification for those households who were provided with information about water contamination results. Those informed of both water contamination and potential water treatment methods exhibit an even higher likelihood of behavior change. This study is evidence of the potential efficacy of low-cost information-based interventions, offering valuable insights for health policy in resource-constrained settings.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medicaid Coverage of Psychological Treatment Prevents Crime. 心理治疗的医疗补助可以预防犯罪。
IF 2 3区 医学
Health economics Pub Date : 2025-05-13 DOI: 10.1002/hec.4976
Thomas A Hegland
{"title":"Medicaid Coverage of Psychological Treatment Prevents Crime.","authors":"Thomas A Hegland","doi":"10.1002/hec.4976","DOIUrl":"https://doi.org/10.1002/hec.4976","url":null,"abstract":"<p><p>Does expanding access to mental healthcare reduce crime rates? Prior research indicates that targeted psychological treatment programs prevent criminal behavior, but whether expanding access to treatment prevents crime depends on who seeks treatment and whether the treatments people seek for themselves are effective. To shed light on this question, I study five states that expanded their Medicaid programs to cover adult psychological treatment between 2004 and 2010. I show that the coverage expansions reduced the index crime rate by 7.8% of the pre-coverage expansion mean crime rate. The social cost of just the property crimes averted conservatively total to 10% of the total cost of non-disabled, non-elderly adult Medicaid spending during this period, and appear to be of similar magnitude to the cost of psychological treatment coverage itself. Beyond effects on crime, the coverage expansions increased employment in industries related to psychological treatment without generating offsetting reductions in employment among mental health specialist physicians or at physician's offices more broadly. Overall, my results indicate that broad expansions in access to mental healthcare can reduce crime rates, even in the absence of targeted efforts to encourage take-up among persons at a high risk of criminal behavior or efforts to tailor the services covered toward a goal of crime-prevention.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Public Long-Term Care Insurance and Retirement Intentions of Urban Workers: Evidence From China. 公共长期护理保险与城镇职工退休意愿:来自中国的证据。
IF 2 3区 医学
Health economics Pub Date : 2025-05-05 DOI: 10.1002/hec.4973
Tianli Yang, Zhong Zhao
{"title":"Public Long-Term Care Insurance and Retirement Intentions of Urban Workers: Evidence From China.","authors":"Tianli Yang, Zhong Zhao","doi":"10.1002/hec.4973","DOIUrl":"https://doi.org/10.1002/hec.4973","url":null,"abstract":"<p><p>While many studies examine the effects of long-term care insurance (LTCI) on labor supply and retirement behaviors, its effect on retirement intentions-offering certain advantages over actual behaviors-remains unclear. This study applies a difference-in-differences design to estimate the effect of China's public LTCI pilots on urban workers' retirement intentions, based on the China Health and Retirement Longitudinal Study. The results indicate that LTCI significantly increases workers' probability of intending to delay retirement and their intended retirement age, especially for LTCI providing both service and cash benefits. Moreover, the effects are larger among female, self-employed workers, and workers whose family members with LTCI eligibility, as these subgroups are more likely to be caregivers and caregivers' effect is larger. Mechanism analysis reveals that LTCI reduces time support within the family and improves mental health, both of which contribute to delayed retirement intentions. A negative effect through the mitigation of precautionary saving motives by LTCI also exists, but it is subtler.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Children's Education and Parental Healthcare Utilization: The Roles of Knowledge Transfer and Financial Support. 儿童教育与父母医疗保健利用:知识转移和财政支持的作用。
IF 2 3区 医学
Health economics Pub Date : 2025-05-04 DOI: 10.1002/hec.4975
Lei Lei, Lingyan Hu, Arthur van Soest, Yi Zhang
{"title":"Children's Education and Parental Healthcare Utilization: The Roles of Knowledge Transfer and Financial Support.","authors":"Lei Lei, Lingyan Hu, Arthur van Soest, Yi Zhang","doi":"10.1002/hec.4975","DOIUrl":"https://doi.org/10.1002/hec.4975","url":null,"abstract":"<p><p>Healthcare utilization among older people in developing countries is typically far below the level considered adequate in developed countries. This study investigates the effect of children's education on parental healthcare utilization in China. We exploit the change in children's education induced by the Compulsory Education Law (CEL) reform around 1986. We find that children's education reduces parents' outpatient care utilization, but increases their inpatient care utilization, self-treatment use, and dental care. These effects can partly be explained by knowledge transfer leading to an increasing knowledge of quality and price differentials between different treatments and awareness of chronic diseases-Indeed we also find that parents with higher-educated children are more likely to accurately report chronic diseases. Moreover, parents receive more monetary transfers from children and have more economic resources to afford health services if their children are better educated. In line with these mechanisms, we also find that children's education improves older parents' perceived chances to survive the next 10 years.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Rise in American Pain: The Importance of the Great Recession. 美国人痛苦的增加:大衰退的重要性。
IF 2 3区 医学
Health economics Pub Date : 2025-04-28 DOI: 10.1002/hec.4971
Sneha Lamba, Robert Moffitt
{"title":"The Rise in American Pain: The Importance of the Great Recession.","authors":"Sneha Lamba, Robert Moffitt","doi":"10.1002/hec.4971","DOIUrl":"https://doi.org/10.1002/hec.4971","url":null,"abstract":"<p><p>A significant literature has documented trend increases in pain among Americans over the last 2 or 3 decades. There is no consensus on the reason for the trend, with no single explanation seeming to work well. We show that, rather than resulting from a smooth upward trend, the increase was almost entirely concentrated in the 2007-2010 period, the time of the Great Recession, a result not uncovered in prior work. The disproportionate increase in pain among the less educated is also shown to have occurred primarily at the time of the Recession, with either little or no trend before or after. The Recession jump occurred only at older ages and primarily only at the points during each cohort's lifetime when they experienced the Recession. However, we too find the jump difficult to explain, for while there is necessarily a temporary decline in employment during a Recession, why there should be a permanent increase in pain as a result is unclear. We assess a number of explanations, related to family structure and the deterioration of family life, as well as possible biopsychosocial channels. While we find some speculative hypotheses to have potential explanatory power, we conclude that the rise in pain continues to be mysterious and deserves further research in light of our new findings.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Home-Based Care Outcomes: Does the Care Provider Matter? 以家庭为基础的护理结果:护理提供者重要吗?
IF 2 3区 医学
Health economics Pub Date : 2025-04-28 DOI: 10.1002/hec.4972
Norma B Coe, Chuxuan Sun, Courtney H Van Houtven, Anirban Basu, R Tamara Konetzka
{"title":"Home-Based Care Outcomes: Does the Care Provider Matter?","authors":"Norma B Coe, Chuxuan Sun, Courtney H Van Houtven, Anirban Basu, R Tamara Konetzka","doi":"10.1002/hec.4972","DOIUrl":"https://doi.org/10.1002/hec.4972","url":null,"abstract":"<p><p>Long-term services in the home are predominately provided by family or friends, with a growing proportion of individuals receiving formal care, or paid care by a professional, or a combination of both. However, the relative benefits to the care recipient of who provides the care are largely unknown. A person's use of formal and family care is affected by factors that also may affect their outcomes, complicating the estimation of any causal relationship. Using the 2002-2018 Health and Retirement Study (HRS), we examine three types of home-based care combinations: family only, formal only, and both formal and family care. We use an instrumental variables strategy, using family structure as instruments for both formal care and the combination of formal and family care, to estimate the plausibly causal impact of the care provider on self-reported mental and physical health outcomes. We find that, once the endogeneity of the care provider is accounted for, having both formal and family care leads to better self-rated health, mobility and lower depression compared to people receiving family care only. Receiving formal care only does not affect care recipient outcomes compared to receiving family care only. These results are robust to several sensitivity analyses, including different instrument specifications, subsamples of care recipients that do not have a spouse/partner, among women care recipients, and changing the timing of the measurement of the outcomes. These findings are important to consider as we strive to best meet the growing demand for person-centered, high-quality long-term care in the least restrictive setting possible.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Do Gun-Purchase Waiting Periods Save Lives? 枪支购买等待期能拯救生命吗?
IF 2 3区 医学
Health economics Pub Date : 2025-04-20 DOI: 10.1002/hec.4970
Grace E Arnold, Mitchell Blaine Priestley
{"title":"Do Gun-Purchase Waiting Periods Save Lives?","authors":"Grace E Arnold, Mitchell Blaine Priestley","doi":"10.1002/hec.4970","DOIUrl":"https://doi.org/10.1002/hec.4970","url":null,"abstract":"<p><p>We study the impact of gun-purchase waiting periods on suicide rates using county-level mortality data from 1991-2019. We find that waiting periods are associated with a reduction in both firearm and overall suicide rates of approximately 5% and 2%, respectively. Novelly, we find that counties that are within 50 miles from a state without a waiting period experience no statistically significant reduction in suicides. Our findings reveal that the decrease in suicides under a waiting period is driven by counties that are more than 50 miles from a non-restricted neighboring state.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inequality Measurement for Bounded Variables. 有界变量不等式的度量。
IF 2 3区 医学
Health economics Pub Date : 2025-04-19 DOI: 10.1002/hec.4969
Inaki Permanyer, Suman Seth, Gaston Yalonetzky
{"title":"Inequality Measurement for Bounded Variables.","authors":"Inaki Permanyer, Suman Seth, Gaston Yalonetzky","doi":"10.1002/hec.4969","DOIUrl":"https://doi.org/10.1002/hec.4969","url":null,"abstract":"<p><p>Many health indicators are bounded, that is, their values lie between a lower and an upper bound. Inequality measurement with bounded variables faces two normative challenges well-known in the health inequality literature. One is that inequality rankings may or may not be consistent across admissible attainment and shortfall representations of the variable. The other is that the set of maximum-inequality distributions for bounded variables is different from the respective set for variables with no upper bound. Therefore, the ethical criteria for ranking maximum-inequality distributions with unbounded variables may not be appropriate for bounded variables. In a novel proposal, we justify an axiom requiring maximum-inequality distributions of bounded variables to be ranked equally, irrespective of their means. Then, our axiomatic characterization naturally leads to indices that measure inequality as an increasing function of the observed proportion of maximum attainable inequality for a given mean. Additionally, our inequality indices rank distributions consistently when switching between attainment and shortfall representations. In our empirical illustration with three health indicators, a starkly different picture of cross-country inter-temporal inequality emerges when traditional inequality indices give way to our proposed normalized inequality indices.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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