國立虎尾科技大學 |

Essays on Health Economics.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Essays on Health Economics./
Author:	Li, Jing.
Description:	1 online resource (238 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-04, Section: A.
Contained By:	Dissertations Abstracts International85-04A.
Subject:	Emergency medical care. -
Online resource:	click for full text (PQDT)
ISBN:	9798380475419

Essays on Health Economics.
Li, Jing.

Essays on Health Economics. - 1 online resource (238 pages)

Source: Dissertations Abstracts International, Volume: 85-04, Section: A.

Thesis (Ph.D.)--Stanford University, 2023.

Includes bibliographical references

The chapters in this dissertation investigate how the design of public health insurance programs affects the behavior of individuals and whether absent the availability of formal insurance systems, individuals in a family act as informal insurance.The first chapter studies how Medicare and Medicaid - the two largest public health insurance programs in the United States - jointly shape patients' access to healthcare and healthcare spending. Specifically, I estimate the effect of gaining additional Medicaid coverage for Medicare beneficiaries on healthcare utilization. While dual coverage eliminates out-of-pocket costs, thereby increasing demand for healthcare, I identify a countervailing force: providers are less willing to treat dual patients due to lower reimbursement rates and higher administrative burdens associated with Medicaid. Using variation from a substantial expansion in dual-Medicaid eligibility in the state of Connecticut, I find that dual enrollment increases patients' total health care utilization by 51 percent, and that much of this increase is driven by a higher use of the emergency department. At the same time, dual enrollment leads to a 24 percent decline in the number of outpatient physician visits, especially for preventive care. I show that the decline in outpatient care is concentrated among providers with a low share of Medicaid patients. Thus, my findings demonstrate the unintended consequences of policies that increase enrollment in dual-Medicaid among patients without changing provider side constraints regarding their willingness to treat Medicaid patients.The second chapter (Duggan et al., 2021) examines how a major healthcare policy affected the working behavior of older populations. The Affordable Care Act (ACA) not only changed the landscape of health insurance coverage in the United States, but also affected the relationship between working decisions and health insurance. In this paper, we estimate the impact of the ACA on the near-elderly (ages 60-64) in the five years after the implementation of its key provisions in early 2014. We exploit variation across geographic areas in the pre-existing level of uninsurance and use 65-69 year olds, whose insurance coverage was unaffected by the ACA, as a withinregion control group. Our findings indicate that the ACA increased health insurance coverage among the near elderly by 4.5 percentage points and reduced their labor force participation rate by 0.6 percentage points.The third chapter (Arrieta and Li, 2023) characterizes the role of informal insurance channels within a family in mitigating the consequences of adverse health events on families. We seek to understand how the labor market decisions of the family adjust in response to plausibly exogenous health shocks. Family members might work less to provide caregiving, or work more in response to medical expenditures and loss of income by the ill individual. We use records of emergency department (ED) visits and hospitalizations to empirically determine the size of these effects. Using ED events we find evidence of intra-family insurance. By exploring how insurance varies by the severity of the health shock, we find that family labor supply responses decrease as the caregiving need increases.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798380475419Subjects--Topical Terms:

1467316
Emergency medical care.
Index Terms--Genre/Form:

554714
Electronic books.

Essays on Health Economics.
LDR:04634ntm a22004217 4500 001 1142843
005 20240429063847.5
006 m o d
007 cr mn ---uuuuu
008 250605s2023 xx obm 000 0 eng d
020 $a 9798380475419
035 $a (MiAaPQ)AAI30645536
035 $a (MiAaPQ)STANFORDdy140gh1572
035 $a AAI30645536
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Li, Jing. $3 1065079
245 1 0 $a Essays on Health Economics.
264 0 $c 2023
300 $a 1 online resource (238 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 85-04, Section: A.
500 $a Advisor: Duggan, Mark;Einav, Liran;Rossin-Slater, Maya.
502 $a Thesis (Ph.D.)--Stanford University, 2023.
504 $a Includes bibliographical references
520 $a The chapters in this dissertation investigate how the design of public health insurance programs affects the behavior of individuals and whether absent the availability of formal insurance systems, individuals in a family act as informal insurance.The first chapter studies how Medicare and Medicaid - the two largest public health insurance programs in the United States - jointly shape patients' access to healthcare and healthcare spending. Specifically, I estimate the effect of gaining additional Medicaid coverage for Medicare beneficiaries on healthcare utilization. While dual coverage eliminates out-of-pocket costs, thereby increasing demand for healthcare, I identify a countervailing force: providers are less willing to treat dual patients due to lower reimbursement rates and higher administrative burdens associated with Medicaid. Using variation from a substantial expansion in dual-Medicaid eligibility in the state of Connecticut, I find that dual enrollment increases patients' total health care utilization by 51 percent, and that much of this increase is driven by a higher use of the emergency department. At the same time, dual enrollment leads to a 24 percent decline in the number of outpatient physician visits, especially for preventive care. I show that the decline in outpatient care is concentrated among providers with a low share of Medicaid patients. Thus, my findings demonstrate the unintended consequences of policies that increase enrollment in dual-Medicaid among patients without changing provider side constraints regarding their willingness to treat Medicaid patients.The second chapter (Duggan et al., 2021) examines how a major healthcare policy affected the working behavior of older populations. The Affordable Care Act (ACA) not only changed the landscape of health insurance coverage in the United States, but also affected the relationship between working decisions and health insurance. In this paper, we estimate the impact of the ACA on the near-elderly (ages 60-64) in the five years after the implementation of its key provisions in early 2014. We exploit variation across geographic areas in the pre-existing level of uninsurance and use 65-69 year olds, whose insurance coverage was unaffected by the ACA, as a withinregion control group. Our findings indicate that the ACA increased health insurance coverage among the near elderly by 4.5 percentage points and reduced their labor force participation rate by 0.6 percentage points.The third chapter (Arrieta and Li, 2023) characterizes the role of informal insurance channels within a family in mitigating the consequences of adverse health events on families. We seek to understand how the labor market decisions of the family adjust in response to plausibly exogenous health shocks. Family members might work less to provide caregiving, or work more in response to medical expenditures and loss of income by the ill individual. We use records of emergency department (ED) visits and hospitalizations to empirically determine the size of these effects. Using ED events we find evidence of intra-family insurance. By exploring how insurance varies by the severity of the health shock, we find that family labor supply responses decrease as the caregiving need increases.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2024
538 $a Mode of access: World Wide Web
650 4 $a Emergency medical care. $3 1467316
650 4 $a Health care policy. $3 1372576
650 4 $a Demographics. $3 1004800
650 4 $a Mortality. $3 654488
650 4 $a Gender. $3 1214940
650 4 $a Families & family life. $3 1372486
650 4 $a Age groups. $2 bicssc $3 1011037
650 4 $a Dual enrollment. $3 1467317
650 4 $a Health sciences. $3 1179212
650 4 $a Demography. $3 527764
650 4 $a Health care management. $3 1148454
650 4 $a Individual & family studies. $3 1181440
650 4 $a Public health. $3 560998
650 4 $a Sociology. $3 551705
655 7 $a Electronic books. $2 local $3 554714
690 $a 0566
690 $a 0938
690 $a 0769
690 $a 0628
690 $a 0510
690 $a 0629
690 $a 0338
690 $a 0573
690 $a 0626
710 2 $a ProQuest Information and Learning Co. $3 1178819
710 2 $a Stanford University. $3 1184533
773 0 $t Dissertations Abstracts International $g 85-04A.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30645536 $z click for full text (PQDT)