Non‐classical measurement error in instrumental variables estimation: An application to the medical care costs of obesity
Wiley Online Library » Health Economics
by Adam I. Biener, Chad Meyerhoefer, John Cawley
6d ago
Abstract Estimates of the impact of body mass index and obesity on health and labor market outcomes often use instrumental variables estimation (IV) to mitigate bias due to endogeneity. When these studies rely on survey data that include self- or proxy-reported height and weight, there is non-classical measurement error due to the tendency of individuals to under-report their own weight. Mean reverting errors in weight do not cause IV to be asymptotically biased per se, but may result in bias if instruments are correlated with additive error in weight. We demonstrate the conditions under which ..read more
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How do dental practices respond to changes in scope of practice regulations?
Wiley Online Library » Health Economics
by Kamyar Nasseh, John R. Bowblis, Coady Wing
1w ago
Abstract Regulations that restrict the tasks that credentialed workers are allowed to perform may affect a firm's input choices, output, and which part of the market the firm serves. Using dental practice survey data from 1989 to 2014 and a stacked difference-in-differences design, this paper examines the effects of state-level scope of practice regulations on the behavior of dental practices. Results suggest that scope of practice deregulation in regards to dental hygienists' ability to administer nitrous oxide or local anesthesia is associated with fewer dentist visits per week in the short ..read more
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The effect of vertical identification card laws on teenage tobacco and alcohol use
Wiley Online Library » Health Economics
by Erica Louis Mtenga, Michael F. Pesko
1w ago
Abstract We study the impact of vertical identification card laws, which changed the orientation of driver's licenses and state identification cards from horizontal to vertical for those under 21 years, on teenage tobacco and alcohol use. We study this question using four national datasets (pooled national and state Youth Risk Behavior Surveillance System, National Youth Tobacco Survey, Current Population Survey to Tobacco Use Supplements, and Behavioral Risk Factor Surveillance System). We improve previous databases of vertical ID law implementation by using original archival research to ..read more
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A welfare analysis of Medicaid and recidivism
Wiley Online Library » Health Economics
by Erkmen G. Aslim, Murat C. Mungan, Han Yu
1w ago
Abstract We present conservative estimates for the marginal value of public funds (MVPF) associated with providing Medicaid to inmates exiting prison. The MVPF measures the ratio between a policy's social benefits and its governmental costs. Our MVPF estimates suggest that every additional $1 the government spends on providing inmates exiting prison with Medicaid coverage can result in social benefits ranging between $3.45 and $10.62. A large proportion of the benefits we consider stems from the reduced future criminal involvement among former inmates who receive Medicaid. Employing a differen ..read more
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The impact of surprise billing laws on emergency services
Wiley Online Library » Health Economics
by Christopher Garmon, Yiting Li, Sheldon M. Retchin, Wendy Yi Xu
2w ago
Abstract Numerous states implemented laws to protect emergency patients from surprise out-of-network medical bills. We investigated the effects of the state laws on emergency clinician reimbursements, charges, network participation, and potential surprise billing episodes. We did not find consistent evidence of effects on prices or charges. However, the state laws resulted in increased network participation and a reduction in potential surprise billing episodes. Our results suggest that the federal No Surprises Act, which is similar to many of the state laws, is unlikely to lead to price incre ..read more
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Adaptation of the Foster‐Greer‐Thorbecke poverty measures for the measurement of catastrophic health expenditures
Wiley Online Library » Health Economics
by Tomson Ogwang, Germano Mwabu
2w ago
Abstract In this paper we provide an adaptation of the Foster-Greer-Thorbecke (FGT) family of poverty measures for the measurement and analysis of catastrophic health expenditure (CHE). The adaptation entails introducing the FGT-type family of CHE measures with a single CHE aversion parameter whose value can be increased to put greater emphasis on the health expenditure proportions that overshoot the prescribed threshold proportions for CHE characterization by the greatest margins. The subgroup decomposition property of the FGT-type family of CHE measures (i.e., the ability to isolate the cont ..read more
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How do physicians respond to new medical research?
Wiley Online Library » Health Economics
by Philip DeCicca, Maripier Isabelle, Natalie Malak
2w ago
Abstract What happens when the findings of a prominent medical study are overturned? Using a medical trial on breech births, we estimate the effect of the reversal of such a medical study on physician choices and infant health outcomes. Using the United States Birth Certificate Records from 1995 to 2010, we employ a difference-in-differences estimator for C-sections, low Apgar, and low birth weight measures. We find that the reversal of a multi-site, high profile, randomized control trial on the appropriate delivery of term breech births, the Term Breech Trial, led to a 15%–23% decline in C-se ..read more
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Earlier routine induction of labor—Consequences on mother and child morbidity
Wiley Online Library » Health Economics
by Maria Koch Gregersen
3w ago
Abstract A growing number of birth interventions had led to a concern for potential health consequences. This study investigates the consequences of earlier routine labor induction. It exploits a natural experiment caused by the introduction of new Danish obstetric guidelines in 2011. Consequently, routine labor induction was moved forward from 14 to 10–13 days past the expected due date (EDD) and extended antenatal surveillance was introduced from 7 days past the EDD. Using administrative data, I find that affected mothers on average had a 9–11 percentage points (32%–38%) higher ris ..read more
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Wiley Online Library » Health Economics
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3w ago
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Inequality of opportunity in the double burden of malnutrition in Mexico
Wiley Online Library » Health Economics
by Andrea Salas‐Ortiz, Andrew M. Jones
3w ago
Abstract This paper proposes a pseudo-birth-cohort approach to deal with a lack of longitudinal data to measure health inequities over time. Using Roemer's framework for inequality of opportunity, this study measures ex-ante and ex-post inequalities in malnutrition, a concept that spans both sides of the nutrition continuum. The total contribution of observed circumstances and the direct contribution of observed efforts to the variation of malnutrition are disentangled for people born between 1983 and 1988 in Mexico. Results indicate that inequality of opportunity has been persistent across th ..read more
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