American Journal of Health Economics最新文献_第7页

The Impact of the Affordable Care Act Insurance Expansions on Opioid-Related Emergency Department Visits 平价医疗法案扩大对阿片类药物相关急诊就诊的影响

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2021-09-01 DOI: 10.1086/722928

Sandra L. Decker, M. Dworsky, T. Gibson, R. Henke, K. McDermott

{"title":"The Impact of the Affordable Care Act Insurance Expansions on Opioid-Related Emergency Department Visits","authors":"Sandra L. Decker, M. Dworsky, T. Gibson, R. Henke, K. McDermott","doi":"10.1086/722928","DOIUrl":"https://doi.org/10.1086/722928","url":null,"abstract":"Amid rising opioid-related deaths and hospital use, the 2010 Patient Protection and Affordable Care Act (ACA) was signed into law, with the central coverage provisions implemented in 2014. We leverage these ACA coverage expansions (including Medicaid expansion and Marketplaces) to study the impact of health insurance on opioid-related emergency department (ED) visits while accounting for potentially confounding changes in relevant state-level policies. We use zip code–level ED utilization data from the 2010–18 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID) and State Emergency Department Databases (SEDD) for 29 states. In difference-in-difference-in-differences (DDD) models that compared low- and high-uninsurance areas within states, we found evidence of a dose-response relationship between pre-ACA uninsurance and changes in ED visit rates in both expansion and non-expansion states: areas with higher uninsurance rates prior to the ACA saw larger reductions in opioid-related ED visits after the ACA took effect. Effects were also time-varying, with no significant dose-response relationship emerging until the third year of ACA implementation. These estimates suggest that increasing insurance coverage among the uninsured may help mitigate harms of the opioid crisis.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"9 1","pages":"405 - 434"},"PeriodicalIF":3.7,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43265547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does Information Disclosure Improve Consumer Knowledge? 信息披露能提高消费者的知识吗？

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2021-09-01 DOI: 10.1086/714987

J. Cawley, Alex M. Susskind, Barton Willage

引用次数: 3

The Effects of Medicare on Health-Care Utilization and Spending Among the Elderly 医疗保险对老年人医疗利用和支出的影响

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2021-07-20 DOI: 10.1086/716544

Pinka Chatterji, Tu Nguyen, Barış K. Yörük

引用次数: 4

Health, Employment, and Disability 健康、就业和残疾

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2021-07-14 DOI: 10.1086/716465

G. Borjas, David J. G. Slusky

引用次数: 3

Adverse Selection in Medicaid 医疗补助中的逆向选择

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2021-07-14 DOI: 10.1086/716464

Betsy Q Cliff, Sarah Miller, Jeffrey T. Kullgren, J. Ayanian, R. Hirth

引用次数: 1

Tracking Public and Private Responses to the COVID-19 Epidemic 追踪公共和私人对新冠肺炎疫情的反应

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2021-07-06 DOI: 10.1086/716197

Sumedha Gupta, Thuy Nguyen, Shyam Raman, Byungkyu Lee, Felipe Lozano-Rojas, A. Bento, K. Simon, Coady Wing

{"title":"Tracking Public and Private Responses to the COVID-19 Epidemic","authors":"Sumedha Gupta, Thuy Nguyen, Shyam Raman, Byungkyu Lee, Felipe Lozano-Rojas, A. Bento, K. Simon, Coady Wing","doi":"10.1086/716197","DOIUrl":"https://doi.org/10.1086/716197","url":null,"abstract":"This paper examines the determinants of social distancing during the shutdown phase of the COVID-19 epidemic. We classify state and local government actions, and we study multiple proxies for social distancing based on data from smart devices. Mobility fell substantially in all states, even ones that did not adopt major distancing mandates. Most of the fall in mobility occurred prior to the most stringent sanctions against movement, such as stay-at-home laws. However, we find evidence suggesting that state and local policies did have an independent effect on mobility even after the large initial reductions occurred. Event studies show that early and information-focused actions such as first case announcements, emergency declarations, and school closures reduced mobility by 1–5 percent after five days. Between March 1 and April 14, average time spent at home grew from 9.1 hours to 13.9 hours. We find, for example, that without state emergency declarations, hours at home would have been 11.3 hours in April, suggesting that 55 percent of the growth is associated with policy and 45 percent is associated with (non-policy) trends. State and local government actions induced changes in mobility on top of a large and private response across all states to the prevailing knowledge of public health risks.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"7 1","pages":"361 - 404"},"PeriodicalIF":3.7,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41508534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 40

The Effect of the Minimum Wage on Employer-Sponsored Insurance for Low-Income Workers and Dependents 最低工资对雇主赞助的低收入工人和家属保险的影响

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2021-07-06 DOI: 10.1086/716198

M. Dworsky, C. Eibner, Xiaoyu Nie, J. Wenger

{"title":"The Effect of the Minimum Wage on Employer-Sponsored Insurance for Low-Income Workers and Dependents","authors":"M. Dworsky, C. Eibner, Xiaoyu Nie, J. Wenger","doi":"10.1086/716198","DOIUrl":"https://doi.org/10.1086/716198","url":null,"abstract":"Economic theory suggests that a binding minimum wage increase may reduce the generosity of employer-sponsored insurance (ESI) or other fringe benefits, yet previous empirical studies reach conflicting conclusions about the existence of a trade-off between minimum wages and ESI. We study whether recent state and federal minimum wage increases affect the level or the source of health insurance coverage for low-income families using the 2005–16 Current Population Survey. Our research design uses state and year fixed effects to isolate within-state minimum wage changes while controlling for Medicaid eligibility and other changes in health policy related to implementation of the Affordable Care Act. Because dependent coverage might also be affected by minimum wage hikes, we examine ESI coverage for both low-wage workers and their dependents. We find robust evidence that minimum wage increases lead to reductions in ESI coverage in families below 300 percent of the federal poverty level, with a nominal $1 increase in the minimum wage reducing the probability of ESI coverage by 0.99 percentage points. Reductions in coverage were observed both for workers and for their dependents.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"8 1","pages":"99 - 126"},"PeriodicalIF":3.7,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43609902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Consumer Responses to Firms’ Voluntary Disclosure of Information 消费者对企业自愿披露信息的反应

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2021-07-01 DOI: 10.1086/722269

R. Avery, J. Cawley, Julia C. P. Eddelbuettel, Matthew D. Eisenberg, Charlie Mann, A. Mathios

{"title":"Consumer Responses to Firms’ Voluntary Disclosure of Information","authors":"R. Avery, J. Cawley, Julia C. P. Eddelbuettel, Matthew D. Eisenberg, Charlie Mann, A. Mathios","doi":"10.1086/722269","DOIUrl":"https://doi.org/10.1086/722269","url":null,"abstract":"This paper estimates the impact on consumer behavior of a firm’s voluntary disclosure of information. Specifically, we study the impact of Starbucks’ disclosure of calorie information on its menu boards in June 2013. Using a large data set of consumers’ visits to specific restaurant chains, we estimate difference-in-difference models that compare the change in the probability that consumers recently visited Starbucks with the change in the probability that they recently visited a similar chain that did not disclose calorie information: Dunkin’ Donuts. Estimates from difference-in-differences models indicate that we cannot reject the null hypothesis that Starbucks’ disclosure of calorie information had no detectable impact on the probability that consumers patronized Starbucks in the past month. However, we find an effect among men; after Starbucks’ information disclosure, the probability that men visit the chain fell by 1.0 percentage points (10.7 percent). There is no evidence of heterogeneity in effect by education or clinical weight classification. These results are useful for understanding how consumers respond to the voluntary disclosure of information, a decision many firms face.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"9 1","pages":"22 - 46"},"PeriodicalIF":3.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48823164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Do Policies to Increase Access to Treatment for Opioid Use Disorder Work? 增加阿片类药物使用障碍治疗机会的政策有效吗？

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2021-07-01 DOI: 10.1086/722980

E. Barrette, Leemore S. Dafny, Karen Shen

引用次数: 3

The Ohio Vaccine Lottery and Starting Vaccination Rates 俄亥俄州疫苗彩票和起始疫苗接种率

IF 3.7 2区经济学

American Journal of Health Economics Pub Date : 2021-06-27 DOI: 10.1086/718512

Margaret E. Brehm, Paul A. Brehm, Martin Saavedra

引用次数: 32