Download or read book Essays on Labor Economics and Health Care written by David White Silver and published by . This book was released on 2016 with total page 103 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation studies marginal returns to healthcare in a large but under-explored segment of the healthcare sector -- the emergency department (ED). My empirical strategy exploits quasi-random assignment of physicians to coworker teams to generate instruments for case-level inputs based on workplace peer effects. I use time-stamped case-level data on millions of ED visits across New York State from 2005-2013 to infer time-varying coworker groups. In Chapter 1, I find that a physician's peers are influential in determining her pace of work and the intensity with which she treats each patient. I find robust evidence that physicians in fast-paced team environments ration care on other dimensions (tests and spending). I argue that these peer influences largely represent differential levels of peer pressure that a physician faces when working in different team configurations. Peer effects are estimated to be large in this setting, as they have a variance one quarter to one third as large as physician effects within a hospital. In the second chapter, I use peer-induced variation in a physician's intensity of care to estimate impacts on patient outcomes, namely 30-day mortality. Reducing the amount of time and testing that a physician spends on cases leads to increases in mortality among at-risk patients and cases with particularly vague symptoms. Among fast, low-spending physicians, marginal returns to time are high, whereas among slower physicians marginal returns are 0. At first glance, this is strong evidence of diminishing returns to treatment. However, the cross-physician relationship between intensity of care and patient outcomes is flat, suggesting that physicians operate on very different production functions, even within hospitals, and even within a single department of the hospital. Reallocation of time and testing away from slow physicians to fast physicians could produce efficiency gains. I discuss implications for increasingly popular physician-targeted incentives to cut back on wasteful care.

Download or read book Essays in the Labor Economics of Healthcare written by Erin Metcalf Johnson and published by . This book was released on 2010 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation uses tools and models from labor economics to study two information problems in healthcare markets: the uncertainty of patients regarding the quality of medical care and the asymmetry of information between physicians and patients. These problems may lead to market failure and impact patient care, but our current understanding of the consequences of each is imperfect. I first consider patients' difficulty in determining the quality of medical services, focusing on technical skill of cardiac specialists. While it is difficult for patients to judge the skill of cardiac specialists due to information problems, referring doctors may have access to quality information unavailable to patients. This chapter considers whether the referral relationship between primary care physicians and specialists mitigates problems arising from patients' lack of information in this context. In particular, I measure the extent to which referring doctors learn about specialist quality by observing patient outcomes and use this information to select specialists on patients' behalf. This chapter presents a model of the referral relationship with public learning by PCPs about specialist quality. The model makes predictions for specialists' careers. In general terms, the model predicts that careers of specialists should diverge by quality over time. I test predictions of the model using the universe of Medicare claims filed by cardiac specialists in the U.S. from 1996-2005. Specifically, I compare careers of higher and lower quality specialists using a new measure of specialist quality that is robust to nonrandom patient sorting. The evidence suggests some degree of learning by PCPs: lower quality specialists are significantly more likely to drop out of the labor market and to change geographic markets over time. For young cohorts, learning also results in improved sorting of patients to providers based on risk characteristics over time. The next chapter, which is joint work with M. Marit Rehavi, addresses the asymmetry of information between physicians and patients. Specifically, it measures the extent of agency problems arising from this inequality, focusing on the decision to perform C-sections. We do this by comparing the probability of receiving a C-section for physician-patients with the probability for non-physician professionals. The research design exploits the fact that physicians are better informed regarding the appropriateness of recommendations and treatments than the average professional. As such, treatments for this group provide a near-fully-informed baseline that allows us to isolate the effects of information and agency problems. We carry out this analysis using vital statistics data from the state of Texas, including every registered birth from 1995-2008. We find evidence consistent with agency problems in the physician-patient relationship. Physician-patients are approximately 5% less likely to have a C-section than other highly educated patients, controlling for relevant medical factors. This difference is even larger when the mother is the physician, and it comes almost entirely from non-emergecy C-sections. Findings are consistent with significant agency problems, and these appear to have increased in importance over the sample period.

Download or read book Three Essays in Health and Labor Economics written by Michael DiNardi and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation research contributes to the areas of health and labor economics. In the first essay, Melanie Guldi (University of Central Florida), David Simon (University of Connecticut), and I attempt to explain and understand the growth in obesity in the United States using the expansion of broadband Internet providers in the U.S in the early 2000s. Our results suggest 1.2 million white women became overweight due to the expansion in broadband Internet access. Possible mechanisms include increased sedentary time and binge drinking. The second and third essays focus on effects of public health insurance programs. In the second essay, I examine effects of public health insurance programs for low-income childless adults, a group with a high rate of uninsurance. Using the expansion of public health insurance coverage to low-income childless adults across states in the early 2000s, I estimate effects on public and private health insurance coverage and, because individuals may decrease their labor supply to qualify for coverage. My estimates suggest these programs increased low-educated childless women's public health insurance coverage by 1.5 to 1.7 percentage points. Effects on labor supply are small, positive, and not statistically significant, suggesting little change in labor supply to qualify for insurance coverage. The third essay examines the effect of the Patient Protection and Affordable Care Act Medicaid expansions on the labor market for nurses. Using the Medicaid expansions as a plausibly exogenous increase in the demand for nurses, I find a 1.5 percent increase in hours worked per week (30 minutes). The increase in hours is larger in rural areas, consistent with a larger increase in insurance coverage in these areas. For licensed practical nurses, employment increased by 11 percent and hours worked per week increased by 2.4 percent (nearly 1 hour). Registered nurses' hours increased by 1.2 percent (nearly 30 minutes). I do not find any consistent negative effects on patient ratings of nursing care and hospital-acquired infection rates. The increase in hours is driven by a shift from part-time to full-time work, likely ruling out fatigue as a mechanism for changes in quality.

Download or read book Three Essays on Labor Economics and Health of Older Americans written by Jennifer Ghandhi and published by . This book was released on 2018 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: The importance of determining the capacity of the health care labor force to meet the needs of older Americans continues to increase in the face of a rapidly aging population. This dissertation consists of three essays that examine two important public policy issues related to the population health of older Americans: rural-urban differences in health care provider supply and the relationship between labor market conditions and health outcomes.

Download or read book Essays in the Economics of Health and Medical Care written by Victor R. Fuchs and published by New York : National Bureau of Economic Research distributed by Columbia University Press. This book was released on 1972 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Collection of essays on the economics of health and health services in the USA - covers supply and demand, budgetary resources, cost and objectives with regard to medical care, and considers wages and income distribution among medical personnel, effects of health care on labour productivity, etc. References and statistical tables.

Download or read book Essays in Health and Labor Economics written by Ana Ines Rocca and published by . This book was released on 2015 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, health insurance is often necessary for access to regular, affordable health care. With only eight of every hundred Americans buying private insurance plans on the individual market, the main sources for health insurance traditionally have been employers and the government. As new laws are being debated and introduced to reform an expensive health care industry in which nearly one-sixth of the population is uninsured, research is needed in order to evaluate the costs and benefits of these policy changes and to predict their success. To this end, in addition to understanding how likely individuals are to adopt new health insurance policies, we also should be interested in knowing how the demand for health insurance and changes in its accessibility will affect non-medical decisions. Specifically, labor market choices have been theorized to be directly related to decisions involving insurance coverage. If the availability of health insurance distorts a workers' job-related decisions, then the changing the landscape for how to access insurance may reverberate in employment outcomes. My dissertation focuses on understanding the factors that influence the demand for health insurance and the role that health insurance plays in an individual's decision to work, where to work, and how much to work. Specifically, I focus on the following three related questions: how does the demand for insurance affect labor market decisions such as when to exit unemployment? what drives insurance demand, and in particular, what motivators work best to increase demand for health coverage among the uninsured? and lastly, what are the supply-side employment responses to the provision of free or reduced-cost public health insurance? My first chapter explores how the demand for health insurance can change re-employment decisions among the unemployed, as well as the speed at which individuals return to work. Past research on this issue focuses on job-to-job switches and "job lock" but has yet to focus on individuals looking for work. This chapter uses data on laid-off individuals from the Medical Expenditure Panel Survey to compare the job search behavior and outcomes of individuals who differ in their demand for health insurance. I use three proxies for demand, based on spousal health and past insurance offer take-up decisions. Although each is potentially confounded by unobserved determinants of job search, I use a difference-in-differences and propensity score designs to isolate plausibly causal effects. I find consistent patterns across all three proxies (despite different potential omitted variables biases). Overall unemployment durations do not vary with demand for insurance, but this masks variation in the types of jobs taken. Individuals with higher demand for insurance have higher hazards for exiting unemployment into a job with insurance, but lower hazards for exiting to a job without insurance. This points to effects of insurance demand on both search effort and reservation wages, and to potentially important distorting effects of employer-linked health insurance. Whereas the first chapter takes variation in demand for insurance as a given, my second chapter digs deeper into the basis for this variation and whether it can be affected. In this chapter, I investigate the reasons the uninsured choose to forego insurance coverage and the impact of different messages on their insurance demand. Working with Enroll America, a large non-profit dedicated to decreasing the number of uninsured Americans, I conducted a stratified experiment to determine the best communication strategies to encourage participation in the healthcare exchanges. We test a combination of the following behavioral and information treatments: a risk treatment that emphasizes the average financial risk for someone without health insurance; a norms treatment that alerts our participants that staying uninsured will be against the law; a savings treatment that highlights the average savings available at the exchanges; a wording treatment where we refer to the Affordable Care Act (ACA) as "Obamacare"; and lastly, a cost-calculator treatment that allows individuals to explore the likely cost of insurance based on their own characteristics. Among the uninsured, we find that the cost-calculator treatment, the risk treatment, and the mandate are most effective in increasing intention to purchase insurance. The cost-calculator and the risk treatment increase informedness among this population, but the cost-calculator (when paired with the savings treatment) is the only treatment that increases willingness to pay for insurance. We use the information on willingness to pay to construct sub-group price elasticities of demand to compare to previous work interested in the demand for health insurance. Overall, the results of this chapter highlight the importance of informational campaigns to increase awareness of the costs and benefits of health coverage, particularly after large changes such as those implemented by the ACA. My third chapter continues by looking at the changes that have been introduced as a result of the ACA. Specifically, it explores whether expanding access to government-provided insurance affects individuals' decisions regarding employment and overall hours of work. Recent findings have suggested that increasing access to health insurance outside of employment has a sizable, negative impact on labor force participation. Along these lines, the Congressional Budget Office predicted that the expansion of Medicaid and private health insurance will cause a 1.5 to 2% reduction in hours worked in the first ten years. Comparing states by whether they chose to expand Medicaid under reforms introduced by the ACA, I look at changes in the probability a childless adult receives Medicaid, as well as changes in this group's employment likelihood and hours of work. Using household survey data from the CPS monthly survey and ASEC Supplement, I confirm a marked increase in the percent of childless adults insured by Medicaid but find no statistically significant changes in employment outcomes. I compare these results to other estimates of "employment lock" in recent literature. These results, though imprecise, align with the findings in Chapter 1 which suggest that overall employment is not drastically affected by insurance demand.

Download or read book THREE ESSAYS ON LABOR HEALTH AND REAL ESTATE ECONOMICS written by Joseph Shinn and published by . This book was released on 2018 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation consists of three empirical essays on labor, health, and real estate economics. The first essay theoretically and empirically analyzed the effects of the costs of firing an employee and hiring a replacement in a labor market with imperfect information. The theory suggested that increased expected firing or replacement costs contributed to a ``lemons effect" for the fired worker through the negative signal received in the labor market regarding the worker's ability. To test this theory, data from the Displaced Worker's Supplement to the Current Population Survey from 2004 to 2014 was used. The results were mixed, but suggested that workers in the United States who were displaced from their job experienced decreased probabilities of finding reemployment as firing costs increased. The essay also examined whether this ``lemons effect" contributed to larger wage decreases, but the estimates did not support this conclusion. The second essay estimated the impacts of the 2001 elimination of the Medicare 24-month waiting period for non-elderly Amyotrophic Lateral Sclerosis (ALS) patients. Using data from the National Hospital Discharge Survey, this essay estimated the effects of the elimination on health insurance coverage and utilization of health care services. By applying a difference-in-difference OLS estimation technique, it was estimated that, as a result of the waiting period elimination, non-elderly ALS patients were more likely to be insured, but there was a significant crowd-out of private insurance. These non-elderly patients who were admitted to the hospital with serious symptoms were also more likely to be transferred to long- or short-term care facilities while non-serious patients were more likely to receive a high (four or more) number of medical services while hospitalized. In the third essay, the effects of a new suburban casino on local housing prices were evaluated. Similar to the second essay, a difference-in-difference approach was applied, but it was combined with a spatial hedonic pricing model. Using data from a GIS product from the Maryland Department of Planning and local-area data from the American Community Survey, the effects that the opening of Maryland Live! Casino had on home sales prices of properties located in primary (one-mile radius) and secondary (one to three miles) impact areas were estimated. The results of the estimations indicated that the opening of the casino had a positive impact on housing prices in the primary impact area and this impact likely began during the construction period. No impacts, however, were evident in the secondary impact area.

Download or read book Essays in Labor and Health Economics written by Daniel Ethan Beemon and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation studies the interaction between wages and other, non-wage incentives and outcomes in the labor market. In the first chapter, I develop and estimate a labor market search model with employer sponsored health insurance (ESHI), worker and firm heterogeneity, and wage dispersion arising from firm market power and job transition fric- tions. I estimate this model and use it to examine the impact of ESHI on the wage distribu- tion, and to counterfactually predict the effect of removing health insurance from the labor market via the provision of free public insurance. I consider two alternative policies where universal healthcare is funded external to the model, or via a new corporate tax on revenue. In the first, I find a considerable degree of passthrough to wages, roughly 76%, of what is effectively a subsidy to firms that were previously paying insurance premiums. However, it takes almost ten years for these wage gains to fully accrue to workers. In the second policy, average wages are virtually unaffected, but in addition to providing insurance coverage to all individuals, the tax acts as a transfer of wealth from the highest to the lowest earners, and these distributional effects are realized much more rapidly. In both counterfactual regimes, wage inequality decreases by a little more than 2 percentage points, but unemployment, job mobility, and joint productivity are not significantly impacted by universal healthcare. In the second chapter, I examine non-wage incentives more generally. This chapter develops a simple structural model of the choice to work a second job. I examine the effects of non-wage job characteristics on this decision making in order to determine the extent to which individuals hold multiple jobs as a source of enjoyment, versus as a means of overcoming hours constraints in the primary job. To fit this model, I estimate a distribution of enjoyment parameters for individuals holding more than one job, and find that on average, individuals dislike their secondary jobs about 13.5% more than their primary jobs, but roughly 35% of these individuals enjoy their secondary jobs. Though this supports findings of hours constraints as the primary motivator of dual job holding, these results provide a framework for further study of the substantial portion of dual job holders that do prefer their second jobs. The third chapter examines the impact of the Covid-19 pandemic and its related income and employment shocks on the use of mental health resources in the Wisconsin Medicaid population. Using administrative Medicaid claims data from the Wisconsin Department of Health Services, I find a reduction in mental healthcare utilization during the public health emergency (PHE) that is similar to but significantly smaller than observed trends in overall outpatient visits. However, making use of the PHE declaration as an exogenous shock to employment, I find that this decline was 0.45 percentage points smaller for individuals who experienced a decrease in wages of 50% or more. This is largely driven by the subset of individuals with a pre-existing mental health diagnosis, as for this group I find the effect of an employment shock was a 1.3 percentage point smaller drop in mental health visit probability, a 4.35% difference relative to individuals who did not experience a reduction in wages. This suggests that individuals with pre-existing mental health conditions were more likely to continue care during the initial months of the pandemic if they were subjected to some form of job displacement.

Download or read book Essays in Health Economics and Labor Economics written by and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Essays on Health and Labor Economics written by Patricius Gerhardus Johannes Hullegie and published by . This book was released on 2012 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Essays in Health and Labor Economics written by Chelsea Jo Crain and published by . This book was released on 2018 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: We compare the changes in insurance coverage and labor market outcomes over time of adults in states that expanded Medicaid and in states that did not. Our estimates suggest that the recent expansion significantly increased Medicaid coverage with little decrease in ESI. Overall, the expansion did not impact labor market outcomes, including labor force participation, employment, and hours worked. In the third chapter, I examined the impact of competition among dentists on the labor supply of dentists. I focus on how dentists' working hours will changes when the level of competition increases by examining the effect of the National Health Service Corps (NHSC). The NHSC was created to increase the supply of rural physicians, which might increase the competition in rural areas. I examine the number of dentists (extensive margins of labor supply) and the change in the working hours of dentists (intensive margins of labor supply) in response to the increased level of physician competition. I found that 1 percent increase in NHSC-approved sites increases 5.4% increases in the number of providers and 0.2% of competition in a rural county. In addition, I found that there is a positive relationship between the number of NHSC-approved sites and providers' working hours. If the competition among dentists increases about 1, then working hours of providers increase about 6 hours per week.

Download or read book Three Essays in Health Economics and Labor Economics written by Lei Li and published by . This book was released on 2013 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Essays on Public Policy and Labor Economics written by Yun Zhou (Ph. D.) and published by . This book was released on 2017 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: The majority of insured Americans obtain health insurance coverage through employment as a non-portable fringe benefit. The link between health insurance coverage and employment could have potential important implica- tions on workers’ labor market decisions. My dissertation consists of three chapters that contribute to the understanding of the interaction between health insurance and workers’ job mobility. My first chapter studies the effect of the state dependent coverage man- dates on the job mobility of young adults. Prior to the Affordable Care Act, many states had already implemented insurance mandates that extended the age that young adults could gain access to parental health insurance, an alternative insurance source which is not contingent on employment. If young workers with employer-sponsored insurance (ESI) are locked into less preferred jobs for fear of losing health benefits, expanded dependent coverage is expected to reduce the job lock and increase mobility. Expanded eligibility could also decrease mobility among those who are pushed out of a better matched but uninsured job in search of access to ESI (job push). Using Survey of Income and Program Participation (SIPP) 2000-2010 data, the impact of the state mandates on job mobility is identified by a triple-difference framework that exploits the state level dependent coverage variations in eligibility criteria, mandate implementation states, and mandate implementation time. Results show that expanded dependent coverage led to a 5% decrease in the mobility of workers with no ESI (job push). I find no evidence of reduced job lock. The second chapter of my dissertation extends the analysis of my first chapter to the Affordable Care Act (ACA) Dependent Coverage Mandate. The ACA Dependent Coverage Mandate was passed on March 23rd, 2010, and became effective on September 23, 2010. The mandate requires that health insurance plans that provide dependent coverage must cover dependents until the age of 26. Using SIPP 2008-2013 data, and both difference-in-difference framework and regression discontinuity design, I find consistent evidence of reduced job push and no evidence of reduced job lock. The estimated reduced job push is larger than the state analysis. The third chapter studies the impact of the ACA Medicaid expansion on childless adults’ job mobility. The ACA Medicaid expansion raised the Medi- caid income eligibility threshold to 138% of the Federal Poverty Line (FPL) for everyone including childless adults who were not the traditional beneficiaries of the Medicaid. 32 states adopted the expansion while 19 states opted out. The reform could potentially increase childless adults’ job mobility if they are “locked” in their jobs for fear of losing employer-sponsored health insurance. Using the 2011-2016 basic monthly Current Population Survey (CPS), this paper tests this hypothesis by comparing the job mobility of childless adults in expansion states to those residing in non-expansion states, before and after the expansion. Results show the existence of “job lock” effect: the ACA Medicaid expansion increased the childless adults’ job mobility by 7% - 9%, and the increase comes entirely from job-to-job transitions. I find no evidence of the “employment lock”: the availability of Medicaid did not cause childless adults to be more likely to become unemployed or leave the labor force.

Download or read book Three Essays in Health and Labor Economics written by Ferit Ucar and published by . This book was released on 2008 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second chapter is the first attempt to study the long-term effects of Medicaid on children's health outcomes by looking at the effects of the same Medicaid expansions that took place in the later 1980s and early 1990s. These expansions significantly increased the percentage of pregnant women and children eligible for Medicaid but did so at very differential rates across the states. The substantial variation in Medicaid eligibility thresholds by state, and year, and the age of the child provide the identifying variation for the analysis. By using restricted access data, containing state of birth and state of residence of children, I match children to the Medicaid eligibility rules in their year of birth and currently. The results suggest that the expansions were effective in improving the health of children from low-income families in the long run. Increased Medicaid eligibility at birth is associated with better health outcomes in the future. But interestingly eligibility at older ages (conditional on eligibility at birth) is not.

Download or read book Essays on the Economics of Health Insurance Labor Markets and Migration written by Ricki Marie Sears Dolan and published by . This book was released on 2016 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation contains three chapters, two which focus on health insurance and one focusing on migration. The first chapter examines how a policy expanding public health insurance for young children affected their parents' labor market and health insurance outcomes. I use variation in the initial income thresholds, children's age cutoffs and timing of implementation across states to estimate the effect of a person's youngest child gaining access to public health insurance on self-employment. I find that having a child become Medicaid eligible increases a father's self-employment and increases his business income. I find no significant effect on self-employment for mothers, but I find that the increasing eligibility is associated with a large negative effect on their probability of remaining in a wage job. The second chapter examines how expanding dependent health insurance for young adults affects the health insurance and labor market outcomes of those young adults and their parents. I exploit two sources of variations in the age at which young adults age out of their parents' health insurance: i) state reforms passed between 2000 and 2010 that extended the maximum age of health insurance dependents beyond 18 and ii) the Affordable Care Act that extended coverage for all young adults in the United States until their 26th birthdays. Using regression discontinuity, I find evidence that the policies increased young adult dependent coverage. Dependent coverage for eligible young adults increased by 8 percentage points over ineligible young adults, while health insurance in the young adults' own name decreased by 6.5 percentage points. I also see evidence that parents of eligible young adults responded by changing their own coverage. The final chapter investigates the relationship between children and migration using data from the American Communities Survey. To address the issue that both migration and fertility might be correlated with unobserved variables I use twin births as an instrumental variable for the number of children. I find that that an additional child decreases migration by 0.6 percentage points and decreases the probability that a woman lives in her birth state by 1.4 percentage points. This suggests that more children hinder migration.

Download or read book Three Essays on Labor and Health Economics written by Dajung Jun and published by . This book was released on 2019 with total page 87 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nonportable fringe benefits, such as health insurance and retirement benefits, can influence an individual's career decisions and financial well-being. To protect employee's utility, state and federal governments enacted policies that regulated these benefits. The first two chapters of my dissertation study two such policies: tax credits for private health insurance coverage and dependent coverage mandates that allowed young adults to be covered through their parents' insurance. I examine the effects of these policies on several health and labor market outcomes. In the last chapter, my coauthor and I explore a slightly different perspective on fringe benefits. We examine to what extent lifetime earnings could explain the variation in wealth at retirement. By researching these topics, I contribute to the understanding of how fringe benefits and lifetime earnings affected outcomes of rational decision-making: health insurance take-up, job mobility and wealth accumulation.In chapter 1, I investigate the effectiveness of tax credits on health insurance premiums. There was a renewed interest in using tax credits to increase health insurance coverage after the push to repeal the Affordable Care Act (ACA). The Health Insurance Tax Credit (HITC) was implemented between 1991--1993 to reduce the burden of health insurance premiums primarily for low-income families. Although it was active for three years, this policy has been studied in only one previous study. In this chapter, I examine the effectiveness of the HITC by using the Survey of Income Program Participation (SIPP), and I provide the first estimates of its effects on healthcare utilization and self‐reported health status. My results align with previous studies and suggest the HITC increased the health insurance take-up by 5.8 percentage points. The implementation of the HITC also significantly improved the self-reported health status of respondents.In the second chapter, I analyze the effects of dependent coverage mandates on working fathers' job mobility and compensation. Due to the low rates of health insurance coverage among young adults, some state governments began mandating health insurance companies to allow adult children to stay on their parents' health insurance plans. First implemented in 1995, these mandates aimed to increase health coverage among young adults. In 2010, the federal government enacted a more comprehensive version of the dependent coverage mandate as part of the Affordable Care Act. These state- and federal-level efforts successfully increased insurance rates for young adults, but they might have also come with unintended consequences for parents. Parents who placed a high value on health insurance for their young adult children might be reluctant to leave jobs with employer-provided health insurance, and employers might offset the mandated-incurred health care costs by reducing other types of employee benefits or earnings. To assess the extent of such consequences, I study the effects of both the state and federal dependent health insurance mandates on fathers. By analyzing the 2004 and 2008 SIPP panels, which are linked with Detailed Earnings Records and Business Registrar data from the United States Census, I examine the mandates' effects on fathers' voluntary job separation rates (job-lock and job-push) and changes in their compensation. After the implementation of the mandates, I observe a significant decrease in the likelihood of voluntary job separation among eligible working fathers aged 45--64 with employer-provided health insurance. Additionally for these fathers, except for those who separated from these jobs within the current wave, my analysis slightly evidences that the mandates reduced the total monetary compensation. In the last chapter, we investigate the impact of lifetime earnings on retirement wealth. Historically, many households accumulated substantial wealth by retirement, while many other households accumulated very little. Venti and Wise (1999, 2001) directly examine this question by utilizing data that was superior to that available to previous researchers and conclude that ``the bulk of the dispersion must be attributed to differences in the amount that households choose to save.'' In this paper, we examine the extent that a remaining problem in their data affected their results: Their measure of lifetime earnings, despite being based on administrative data, was subject to topcoding in each year. Using the 2001 SIPP that was not subject to the same problem, we find that the effect of the topcoding was substantial. At least 35 percent of individuals were misclassified in each of the top four deciles. When replicating a key result of Venti and Wise (2001), our findings suggest that the correlation between lifetime earnings and savings was about 50\\% greater than what was found when using censored deciles. This increased explanatory power came largely at the expense of the other variables in the regression model.

Download or read book Essays in Health and Labor Economics written by Patrick Chuard and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: