The effect of cancer diagnosis on switching health insurance in medicare
AbstractBecause health insurance is intended to protect patients in the event of a health shock, it is important to evaluate health insurance policy in the context of patients who experience health shocks. I measure the effect of cancer diagnosis on health insurance switching in order to compare cancer patient's preferences among private and publicly administered Medicare. I estimate that a cancer diagnosis increases the probability a patient will leave a private Medicare plan, for the public plan, by 0.8% points (41%). Similarly, a cancer diagnosis decreases the probability a patient will leave the public Medicare plan, f...
Source: Health Economics - November 19, 2018 Category: Health Management Authors: Brett Lissenden Tags: RESEARCH ARTICLE Source Type: research
The impact of financial incentives on health and health care: Evidence from a large wellness program
AbstractWorkplace wellness programs have become increasingly common in the United States, although there is not yet consensus regarding the ability of such programs to improve employees' health and reduce health care costs. In this paper, we study a program offered by a large U.S. employer that provides substantial financial incentives directly tied to employees' health. The program has a high participation rate among eligible employees, around 80%, and we analyze the data on the first 4 years of the program, linked to health care claims. We document robust improvements in employee health and a correlation between certa...
Source: Health Economics - November 18, 2018 Category: Health Management Authors: Liran Einav,
Stephanie Lee,
Jonathan Levin Tags: RESEARCH ARTICLE Source Type: research
How robust are reference pricing studies on outpatient medical procedures? Three different preprocessing techniques applied to difference ‐in differences
AbstractThe evaluation of policies that are not randomly assigned on outcomes generated by nonlinear data generating processes often requires modeling assumptions for which there is little theoretical guidance. This paper revisits previously published difference ‐in‐differences results of an important example, the introduction of reference pricing to common outpatient procedures, to assess the robustness of the estimated impacts by using different matching, and reweighting techniques to preprocess the data. These techniques improve covariate balance and reduce model dependence. Specifically, we examine the robustness o...
Source: Health Economics - November 18, 2018 Category: Health Management Authors: Timothy Tyler Brown,
Juan Pablo Atal Tags: RESEARCH ARTICLE Source Type: research
Regional prevalence of health worker absenteeism in Tanzania
AbstractAbsenteeism of health workers in developing countries is common and can severely undermine the reliability of the health system. Therefore, it is important to understand where the prevalence of absenteeism is high. We develop a simple imputation method that combines a Service Delivery Indicators survey and a Service Provision Assessment survey to estimate the prevalence of absenteeism of health workers at the level of regions in Tanzania. The resulting estimates allow one to identify the regions in which the prevalence of absenteeism is significantly higher or lower than the national average and help policymakers d...
Source: Health Economics - November 18, 2018 Category: Health Management Authors: Tomoki Fujii Tags: HEALTH ECONOMICS LETTER Source Type: research
The impact of financial incentives on health and health care: Evidence from a large wellness program
AbstractWorkplace wellness programs have become increasingly common in the United States, although there is not yet consensus regarding the ability of such programs to improve employees' health and reduce health care costs. In this paper, we study a program offered by a large U.S. employer that provides substantial financial incentives directly tied to employees' health. The program has a high participation rate among eligible employees, around 80%, and we analyze the data on the first 4 years of the program, linked to health care claims. We document robust improvements in employee health and a correlation between certa...
Source: Health Economics - November 18, 2018 Category: Health Management Authors: Liran Einav,
Stephanie Lee,
Jonathan Levin Tags: RESEARCH ARTICLE Source Type: research
How robust are reference pricing studies on outpatient medical procedures? Three different preprocessing techniques applied to difference ‐in differences
AbstractThe evaluation of policies that are not randomly assigned on outcomes generated by nonlinear data generating processes often requires modeling assumptions for which there is little theoretical guidance. This paper revisits previously published difference ‐in‐differences results of an important example, the introduction of reference pricing to common outpatient procedures, to assess the robustness of the estimated impacts by using different matching, and reweighting techniques to preprocess the data. These techniques improve covariate balance and reduce model dependence. Specifically, we examine the robustness o...
Source: Health Economics - November 18, 2018 Category: Health Management Authors: Timothy Tyler Brown,
Juan Pablo Atal Tags: RESEARCH ARTICLE Source Type: research
Regional prevalence of health worker absenteeism in Tanzania
AbstractAbsenteeism of health workers in developing countries is common and can severely undermine the reliability of the health system. Therefore, it is important to understand where the prevalence of absenteeism is high. We develop a simple imputation method that combines a Service Delivery Indicators survey and a Service Provision Assessment survey to estimate the prevalence of absenteeism of health workers at the level of regions in Tanzania. The resulting estimates allow one to identify the regions in which the prevalence of absenteeism is significantly higher or lower than the national average and help policymakers d...
Source: Health Economics - November 18, 2018 Category: Health Management Authors: Tomoki Fujii Tags: HEALTH ECONOMICS LETTER Source Type: research
Impacts of the ACA Medicaid expansion on health behaviors: Evidence from household panel data
AbstractA motivation for increasing health insurance coverage is to improve health outcomes for impacted populations. However, health insurance coverage may alternatively increase risky health behaviors due to ex ante moral hazard, and past research on this issue has led to mixed conclusions. This paper uses a panel of household purchases to estimate the effects of the recent state ‐level Medicaid expansions resulting from the Affordable Care Act (ACA) on consumption goods that present adverse health risks. We utilize within‐household variation to identify whether increases in Medicaid availability impacted household p...
Source: Health Economics - November 15, 2018 Category: Health Management Authors: Chad Cotti,
Erik Nesson,
Nathan Tefft Tags: RESEARCH ARTICLE Source Type: research
Hospital responses to price shocks under the prospective payment system
AbstractUnder the prospective payment system (PPS), hospitals receive a bundled payment for an entire episode of treatment based on diagnosis ‐related groups (DRG). Although there is ample evidence regarding the impact of the introduction of the PPS, there is little research on the effects of the ensuing changes in payment levels under the PPS. In 2005, the Medicare PPS changed its definition of payment areas from the Metropolitan Stati stical Areas to the Core‐Based Statistical Areas, generating substantial area‐specific price shocks. Using these exogenous price variations, this study examines hospital responses to ...
Source: Health Economics - November 15, 2018 Category: Health Management Authors: Eunhae Shin Tags: RESEARCH ARTICLE Source Type: research
Impacts of the ACA Medicaid expansion on health behaviors: Evidence from household panel data
AbstractA motivation for increasing health insurance coverage is to improve health outcomes for impacted populations. However, health insurance coverage may alternatively increase risky health behaviors due to ex ante moral hazard, and past research on this issue has led to mixed conclusions. This paper uses a panel of household purchases to estimate the effects of the recent state ‐level Medicaid expansions resulting from the Affordable Care Act (ACA) on consumption goods that present adverse health risks. We utilize within‐household variation to identify whether increases in Medicaid availability impacted household p...
Source: Health Economics - November 15, 2018 Category: Health Management Authors: Chad Cotti,
Erik Nesson,
Nathan Tefft Tags: RESEARCH ARTICLE Source Type: research
Hospital responses to price shocks under the prospective payment system
AbstractUnder the prospective payment system (PPS), hospitals receive a bundled payment for an entire episode of treatment based on diagnosis ‐related groups (DRG). Although there is ample evidence regarding the impact of the introduction of the PPS, there is little research on the effects of the ensuing changes in payment levels under the PPS. In 2005, the Medicare PPS changed its definition of payment areas from the Metropolitan Stati stical Areas to the Core‐Based Statistical Areas, generating substantial area‐specific price shocks. Using these exogenous price variations, this study examines hospital responses to ...
Source: Health Economics - November 15, 2018 Category: Health Management Authors: Eunhae Shin Tags: RESEARCH ARTICLE Source Type: research
Does global drug innovation correspond to burden of disease? The neglected diseases in developed and developing countries
AbstractAlthough it is commonly argued that there is a mismatch between drug innovation and disease burden, there is little evidence on the magnitude and direction of such disparities. In this paper, we measure inequality in innovation, by comparing research and development activity with population health and gross domestic product data across 493 therapeutic indications to globally measure: (a) drug innovation, (b) disease burden, and (c) market size.We use concentration curves and indices to assess inequality at two levels: (a) broad disease groups and (b) disease subcategories for both 1990 and 2010.For some top burden ...
Source: Health Economics - November 12, 2018 Category: Health Management Authors: Eliana Barrenho,
Marisa Miraldo,
Peter C. Smith Tags: RESEARCH ARTICLE Source Type: research
Issue Information
Health Economics,Volume 27, Issue 12, Page 1875-1876, December 2018. (Source: Health Economics)
Source: Health Economics - November 5, 2018 Category: Health Management Source Type: research
