There is a general consensus among policymakers that raising tobacco taxes reduces cigarette consumption. However, evidence reduce adult smoking relatively sparse. In this paper, we extend the literature in two ways: using data from Current Population Survey Tobacco Use Supplements focus on recent, large tax changes, which provide best opportunity to empirically observe response consumption, and employ novel paired difference‐in‐differences technique estimate association between increases...

We present an analysis of the associations between cognitive and noncognitive traits measured at end childhood mental physical health age 41. Results suggest that adolescent ability self-esteem have a significant association with Most factors do not adult health, although in some analyses internal locus control was associated better health. Net influences, completed education has Finally, differences are important explanations gender or racial

The COVID-19 pandemic has disrupted access to medical care for millions of Americans, yet information on the individual characteristics associated with these disruptions is lacking. We used recently released data from Current Population Survey's supplemental questions provide first evidence associations between characteristics, including age, sex, race/ethnicity, education, health status, work-limiting disabilities, insurance coverage, and employment, propensity experience an involuntary...

By the end of 2022, nearly 20 million workers in United States have gained paid-sick-leave coverage from mandates that require employers to provide benefits qualified workers, including paid time off for use preventive services. Although lack may hinder access care, current evidence is insufficient draw meaningful conclusions about its relationship cancer screening.We examined association between and screening breast colorectal cancers by comparing changes 12- 24-month rates...

We evaluate the impact of paid sick leave (PSL) mandates on PSL coverage, work absences, and presenteeism (i.e. attending while sick) for private sector workers in U.S. Our identification strategy relies geographic temporal variation mandate enactment, as well within-county propensity to gain following a mandate. find that increase coverage rates absences those most likely these effects are larger women households with children. also provide evidence reduce rate presenteeism.

To evaluate the effect of Medicaid fee changes on health care access, utilization, and spending for beneficiaries.We use 2008 2012 waves Medical Expenditure Panel Survey linked to state-level Medicaid-to-Medicare primary reimbursement ratios obtained through surveys conducted by Urban Institute. We also incorporate data from Current Population Area Resource Files.Using a control group made up low-income privately insured, we conduct difference-in-differences analysis assess relationship...

Importance Accountable care organizations (ACOs) under the Medicare Shared Savings Program have long been envisioned as a pathway to improved efficiency and quality of for all beneficiaries. However, little is known about whether changes in health spending associated with ACOs extended beyond ACO-attributed beneficiaries Objective To estimate by non-ACO–attributed after moving geographic areas greater ACO participation. Design, Setting, Participants This repeated cross-sectional study...

Importance Seventeen states introduced COVID-19 vaccine mandates for health care workers (HCWs) in mid-2021. Prior research on the effect of these was centered nursing home sector, and more evidence is needed their entire HCW population. Objective To examine association between state HCWs uptake this Design, Setting, Participants This repeated cross-sectional study included biweekly, individual-level data adults aged 25 to 64 years who were working or volunteering settings obtained from...

Objectives. To assess the impact of state COVID-19 vaccine mandates for health care workers (HCWs) on sector employment in United States. Methods. Using monthly state-level data from Quarterly Census Employment and Wages between January October 2021, we employed a partially pooled synthetic control method that accounted staggered mandate adoption heterogeneous treatment effects. We conducted analyses separately 4 subsectors—ambulatory services, hospitals, nursing residential care, social...

ABSTRACT This study examines spillovers from a 2014 New York Medicaid policy change that increased reimbursement for immediate postpartum long‐acting reversible contraceptive (LARC) insertion. Using administrative data on hospital deliveries 2011 through 2019, we analyze whether physicians who inserted LARCs patients following the were more likely to subsequently perform procedure non‐Medicaid patients. We find significant spillovers, as first an LARC insertion payment reform are 9.3...

The COVID-19 pandemic led to an increased reliance on telemedicine. Whether this exacerbated existing disparities within vulnerable populations is not yet known.Characterize changes in outpatient telemedicine evaluation and management (E&M) services for Louisiana Medicaid beneficiaries by race, ethnicity, rurality during the pandemic.Interrupted time series regression models estimated pre-COVID-19 trends E&M service use at April July 2020 peaks infections December after those had...

High-need, high-cost (HNHC) patients can over-use acute care services, a pattern of behavior associated with many poor outcomes that disproportionately contributes to increased U.S. healthcare cost. Our objective was reduce cost and improve by optimizing the system care. We targeted HNHC identified root causes frequent utilization. developed cross-continuum intervention process succinct tool called Complex Care Map (CCM)© addresses fragmentation in links providers comprehensive...

Evidence suggests that the share of Medicare managed care enrollees in a region affects costs treating traditional fee-for-service (FFS) beneficiaries; however, little is known about mechanisms through which these 'spillover effects' operate. This paper examines relationship between penetration and treatment intensity for FFS hospitalized with primary diagnosis AMI. I find increased associated reduction both AMI patients. Specifically, as increases, patients are less likely to receive...

We examined changes in hospital uncompensated care costs the context of Louisiana's Medicaid expansion. Louisiana remains only state Deep South to have expanded under Affordable Care Act and can serve as a model for states that not adopted expansion, many which are located census region. found expansion was associated with 33 percent reduction share total operating expenses attributable general medical surgical hospitals first three years after Reductions varied by type, larger effects rural...

A greater level of government involvement in the financing health care is generally viewed unfavorably by organizations monitoring economic freedom. However, increased provision insurance could be associated with improved freedom through enhanced labor market mobility. For example, job-lock alleviation accompanying a public expansion lead to innovation or higher likelihood self-employment. In this article, we use Affordable Care Act (ACA)’s recent Medicaid expansions examine effect an...

This paper studies the relationship between use of formal and informal health care in a developing country setting by examining introduction social insurance scheme Ghana. We estimate effects gaining coverage on changes seeking behaviour show how these differ age wealth status. District-level differences implementation provide exogenous variation access to allow us address issues with selection into coverage. Results indicate that strongly increased reduced out-of-pocket expenditures services.

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There is a general consensus among policymakers that raising tobacco taxes reduces cigarette consumption.However, evidence reduce adult smoking relatively sparse.In this paper, we extend the literature in two ways: using data from Current Population Survey Tobacco Use Supplements focus on recent, large tax changes, which provide best opportunity to empirically observe response consumption, and employ novel paired difference-in-differences technique estimate association between increases...

Objectives. To identify the association between Medicaid eligibility expansion and medical debt. Methods. We used difference-in-differences design to compare changes in debt for those gaining coverage through Louisiana’s with nonexpansion states. matched individuals because of (n = 196 556) credit report data on compared them randomly selected reports living Southern state zip codes high rates uninsurance 973 674). The study spanned July 2014 2019. Results. One year after Louisiana...