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Private equity and healthcare firm behavior: Evidence from ambulatory surgery centers 私募股权和医疗保健公司行为：来自门诊手术中心的证据。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-01 DOI: 10.1016/j.jhealeco.2023.102801
Haizhen Lin , Elizabeth L. Munnich , Michael R. Richards , Christopher M. Whaley , Xiaoxi Zhao
{"title":"Private equity and healthcare firm behavior: Evidence from ambulatory surgery centers","authors":"Haizhen Lin ,&nbsp;Elizabeth L. Munnich ,&nbsp;Michael R. Richards ,&nbsp;Christopher M. Whaley ,&nbsp;Xiaoxi Zhao","doi":"10.1016/j.jhealeco.2023.102801","DOIUrl":"10.1016/j.jhealeco.2023.102801","url":null,"abstract":"<div><p>Healthcare firms regularly seek outside capital; yet, we have an incomplete understanding of external investor influence on provider behavior. We investigate the effects of private equity investment, divestment, and an initial public offering (IPO) on ambulatory surgery centers (ASCs). Throughput is unchanged while charges grow by up to 50% for the same service mix. Affected ASCs witness declines in privately insured cases and rely more on Medicare business. Private equity increases physician ASC ownership stakes, and both simultaneously divest when the ASC is sold. Our findings appear more consistent with private equity influencing the financing of ASCs, rather than treatment approaches.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"91 ","pages":"Article 102801"},"PeriodicalIF":3.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10528209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10335868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cognitive ability, health policy, and the dynamics of COVID-19 vaccination 认知能力、卫生政策和新冠肺炎疫苗接种动态。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-01 DOI: 10.1016/j.jhealeco.2023.102802
Mikael Elinder , Oscar Erixson , Mattias Öhman
{"title":"Cognitive ability, health policy, and the dynamics of COVID-19 vaccination","authors":"Mikael Elinder ,&nbsp;Oscar Erixson ,&nbsp;Mattias Öhman","doi":"10.1016/j.jhealeco.2023.102802","DOIUrl":"10.1016/j.jhealeco.2023.102802","url":null,"abstract":"<div><p>We examine the relationship between cognitive ability and prompt COVID-19 vaccination using individual-level data on more than 700,000 individuals in Sweden. We find a strong positive association between cognitive ability and swift vaccination, which remains even after controlling for confounding variables with a twin-design. The results suggest that the complexity of the vaccination decision may make it difficult for individuals with lower cognitive abilities to understand the benefits of vaccination. Consistent with this, we show that simplifying the vaccination decision through pre-booked vaccination appointments alleviates almost all of the inequality in vaccination behavior.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"91 ","pages":"Article 102802"},"PeriodicalIF":3.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10287178","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: 1
Does drug decriminalization increase unintentional drug overdose deaths? 毒品非刑事化会增加非故意的药物过量死亡吗?
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-01 DOI: 10.1016/j.jhealeco.2023.102798
Noah Spencer
{"title":"Does drug decriminalization increase unintentional drug overdose deaths?","authors":"Noah Spencer","doi":"10.1016/j.jhealeco.2023.102798","DOIUrl":"https://doi.org/10.1016/j.jhealeco.2023.102798","url":null,"abstract":"<div><p><span>This paper evaluates the causal effect of drug </span>decriminalization<span> on unintentional drug overdose deaths in a context with relatively poor access to drug treatment services. Using the synthetic control method, I find that when Oregon decriminalized small amounts of drugs in February 2021, it caused 182 additional unintentional drug overdose deaths to occur in Oregon in 2021. This represents a 23% increase over the number of unintentional drug overdose deaths predicted if Oregon had not decriminalized drugs.</span></p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"91 ","pages":"Article 102798"},"PeriodicalIF":3.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49899203","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
Mothers as insurance: Family spillovers in WIC 母亲作为保险：WIC中的家庭溢出效应。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-01 DOI: 10.1016/j.jhealeco.2023.102784
Marianne Bitler , Janet Currie , Hilary Hoynes , Krista Ruffini , Lisa Schulkind , Barton Willage
{"title":"Mothers as insurance: Family spillovers in WIC","authors":"Marianne Bitler ,&nbsp;Janet Currie ,&nbsp;Hilary Hoynes ,&nbsp;Krista Ruffini ,&nbsp;Lisa Schulkind ,&nbsp;Barton Willage","doi":"10.1016/j.jhealeco.2023.102784","DOIUrl":"10.1016/j.jhealeco.2023.102784","url":null,"abstract":"<div><p>The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a widely used program. Previous research shows that WIC improves birth outcomes, but evidence about impacts on older children and their families is limited. We use a regression discontinuity leveraging a loss of benefits at age five when children become ineligible for WIC and examine nutritional and laboratory outcomes for adults and children. We find little impact on children who aged out of the program. But caloric intake falls and food insecurity increases among adult women, suggesting that mothers protect children by consuming less themselves. We find no effect on others in the household.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"91 ","pages":"Article 102784"},"PeriodicalIF":3.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10333258","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
Pricing regulations in individual health insurance: Evidence from Medigap 个人健康保险的定价规则：来自Medigap的证据。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-01 DOI: 10.1016/j.jhealeco.2023.102785
Vilsa E. Curto
{"title":"Pricing regulations in individual health insurance: Evidence from Medigap","authors":"Vilsa E. Curto","doi":"10.1016/j.jhealeco.2023.102785","DOIUrl":"10.1016/j.jhealeco.2023.102785","url":null,"abstract":"<div><p>I compare two pricing regulations that protect those with health conditions—“community rating,” which requires insurers to charge uniform premiums, and “guaranteed renewal,” which requires insurers to increase future premiums uniformly. Using individual-level Medigap data from 2006–2010, I compare individuals within 25 miles of borders between 3 community rating and 6 guaranteed renewal states. Relative to guaranteed renewal, community rating (with guaranteed issue) leads to a decrease in Medigap enrollment of 9.70 pp (29.7%), or 26.8–33.7% for low-spending conditions (diabetes, heart disease) and 21.9–29.9% for high-spending conditions (cancer, kidney disease); an increase in annual Medigap premiums of $276 (10.1%); a decrease in the likelihood of an earlier purchase of 7.99 pp (50.3%); and an increase in purchase delay of 1.08 years (17.0%).</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"91 ","pages":"Article 102785"},"PeriodicalIF":3.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10281058","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
Beyond particulate matter: New evidence on the causal effects of air pollution on mortality 颗粒物之外：关于空气污染对死亡率的因果影响的新证据。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-01 DOI: 10.1016/j.jhealeco.2023.102799
Maoyong Fan , Hanchen Jiang , Maigeng Zhou
{"title":"Beyond particulate matter: New evidence on the causal effects of air pollution on mortality","authors":"Maoyong Fan ,&nbsp;Hanchen Jiang ,&nbsp;Maigeng Zhou","doi":"10.1016/j.jhealeco.2023.102799","DOIUrl":"10.1016/j.jhealeco.2023.102799","url":null,"abstract":"<div><p><span>The increasing demand for electricity worldwide has caused a corresponding rise in the consumption of coal, leading to an increase in sulfur dioxide (</span><span><math><msub><mrow><mi>SO</mi></mrow><mrow><mn>2</mn></mrow></msub></math></span>) pollution levels. Despite the severity of the issue, there is a lack of conclusive evidence establishing a causal link between <span><math><msub><mrow><mi>SO</mi></mrow><mrow><mn>2</mn></mrow></msub></math></span> pollution and health, particularly in developing countries. We leverage a large national environmental regulation policy, implemented in China to reduce <span><math><msub><mrow><mi>SO</mi></mrow><mrow><mn>2</mn></mrow></msub></math></span> emissions, to estimate the impacts of <span><math><msub><mrow><mi>SO</mi></mrow><mrow><mn>2</mn></mrow></msub></math></span> pollution on mortality. We find that 1-<span><math><mrow><mi>μ</mi><mi>g</mi></mrow></math></span>/<span><math><msup><mrow><mi>m</mi></mrow><mrow><mn>3</mn></mrow></msup></math></span> reduction in <span><math><msub><mrow><mi>SO</mi></mrow><mrow><mn>2</mn></mrow></msub></math></span><span> concentrations leads to 18 fewer cardiovascular deaths per 100,000 people aged 60 years and above (0.9% decrease) and 2 fewer deaths per 100,000 children under the age of 5 (1.5% decrease) annually. A back-of-the-envelope calculation suggests that the total health benefits of the environmental policy outweigh its economic costs. The results are consistent across various robustness checks.</span></p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"91 ","pages":"Article 102799"},"PeriodicalIF":3.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10282456","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
Heat and worker health 高温和工人健康。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-01 DOI: 10.1016/j.jhealeco.2023.102800
Andrew Ireland, David Johnston, Rachel Knott
{"title":"Heat and worker health","authors":"Andrew Ireland,&nbsp;David Johnston,&nbsp;Rachel Knott","doi":"10.1016/j.jhealeco.2023.102800","DOIUrl":"10.1016/j.jhealeco.2023.102800","url":null,"abstract":"<div><p>Extreme heat negatively impacts cognition, learning, and task performance. With increasing global temperatures, workers may therefore be at increased risk of work-related injuries and illness. This study estimates the effects of temperature on worker health using records spanning 1985–2020 from an Australian mandatory insurance scheme. High temperatures are found to cause significantly more claims, particularly among manual workers in outdoor-based industries. These adverse effects have not diminished across time, with the largest effect observed for the 2015–2020 period, indicating increasing vulnerability to heat. Within occupations, the workers most adversely affected by heat are female, older-aged and higher-earning. Finally, results from firm-level panel analyses show that the percentage increase in claims on hot days is largest at \"safer\" firms.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"91 ","pages":"Article 102800"},"PeriodicalIF":3.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10281900","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
An optimal mechanism to fund the development of vaccines against emerging epidemics 为开发新出现流行病的疫苗提供资金的最佳机制。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-01 DOI: 10.1016/j.jhealeco.2023.102795
Christopher M. Snyder , Kendall Hoyt , Dimitrios Gouglas
{"title":"An optimal mechanism to fund the development of vaccines against emerging epidemics","authors":"Christopher M. Snyder ,&nbsp;Kendall Hoyt ,&nbsp;Dimitrios Gouglas","doi":"10.1016/j.jhealeco.2023.102795","DOIUrl":"10.1016/j.jhealeco.2023.102795","url":null,"abstract":"<div><p><span>We derive the optimal funding mechanism to incentivize development and production of vaccines against diseases<span> with epidemic potential. In the model, suppliers’ costs are private information and investments are noncontractible, precluding cost-reimbursement contracts, requiring fixed-price contracts conditioned on delivery of a successful product. The high failure risk for individual vaccines calls for incentivizing multiple entrants, accomplished by the optimal mechanism, a </span></span><span><math><mrow><mo>(</mo><mi>w</mi><mo>+</mo><mn>1</mn><mo>)</mo></mrow></math></span>-price reverse Vickrey auction with reserve, where <span><math><mi>w</mi></math></span> is the number of selected entrants. Our analysis determines the optimal number of entrants and required funding level. Based on a distribution of supplier costs estimated from survey data, we simulate the optimal mechanism’s performance in scenarios ranging from a small outbreak, causing harm in the millions of dollars, to the Covid-19 pandemic, causing harm in the trillions. We assess which mechanism features contribute most to its optimality.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"91 ","pages":"Article 102795"},"PeriodicalIF":3.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10280498","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
The effects of becoming a physician on prescription drug use and mental health treatment 成为一名医生对处方药使用和心理健康治疗的影响。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-01 DOI: 10.1016/j.jhealeco.2023.102774
D. Mark Anderson , Ron Diris , Raymond Montizaan , Daniel I. Rees
{"title":"The effects of becoming a physician on prescription drug use and mental health treatment","authors":"D. Mark Anderson ,&nbsp;Ron Diris ,&nbsp;Raymond Montizaan ,&nbsp;Daniel I. Rees","doi":"10.1016/j.jhealeco.2023.102774","DOIUrl":"10.1016/j.jhealeco.2023.102774","url":null,"abstract":"<div><p>There is evidence that physicians disproportionately suffer from substance use disorder and mental health problems<span>. It is not clear, however, whether these phenomena are causal. We use data on Dutch medical school applicants to examine the effects of becoming a physician on prescription drug use and the receipt of treatment from a mental health facility. Leveraging variation from lottery outcomes that determine admission into medical schools, we find that becoming a physician increases the use of antidepressants, anxiolytics, opioids, and sedatives. Increases in the use of antidepressants, anxiolytics, and sedatives are larger among female physicians than among their male counterparts.</span></p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"91 ","pages":"Article 102774"},"PeriodicalIF":3.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10283061","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
Effects of organized screening programs on breast cancer screening, incidence, and mortality in Europe 有组织的筛查项目对欧洲乳腺癌筛查、发病率和死亡率的影响
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-08-20 DOI: 10.1016/j.jhealeco.2023.102803
Sophie Guthmuller , Vincenzo Carrieri , Ansgar Wübker
{"title":"Effects of organized screening programs on breast cancer screening, incidence, and mortality in Europe","authors":"Sophie Guthmuller ,&nbsp;Vincenzo Carrieri ,&nbsp;Ansgar Wübker","doi":"10.1016/j.jhealeco.2023.102803","DOIUrl":"10.1016/j.jhealeco.2023.102803","url":null,"abstract":"<div><p>We link data on regional Organized Screening Programs (OSPs) throughout Europe with survey data and population-based cancer registries to estimate effects of OSPs on breast cancer screening (mammography), incidence, and mortality. Identification is from regional variation in the existence and timing of OSPs, and in their age-eligibility criteria. We estimate that OSPs, on average, increase mammography by 25 percentage points, increase breast cancer incidence by 16% five years after the OSPs implementation, and reduce breast cancer mortality by about 10% ten years after.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"92 ","pages":"Article 102803"},"PeriodicalIF":3.5,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10561281","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
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