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Effects Of Physician-Hospital Integration On Malpractice Claims, Elizabet Shvets 2019 CUNY Hunter College

Effects Of Physician-Hospital Integration On Malpractice Claims, Elizabet Shvets

School of Arts & Sciences Theses

Recent increases in physician-hospital (i.e., vertical) integration has spurred both opposition on the grounds of anti-trust concerns and support on the basis of lowering transaction costs and improving communication. This paper examines the effects of vertical integration on quality of care as measured by malpractice claims.The study employs four data sets from the state of Florida (FL AHCA Financial Data, AHA Survey Data, FL AHCA Discharge Data, and FL Malpractice Claims from the Office of Insurance Regulation) culminating in an unbalanced panel dataset for the years 1998 to 2013. I utilize a linear model with hospital and year ...


The Effect Of The Dependent Coverage Provision Of The Affordable Care Act On Opioid Use And Abuse, Christian Carrillo 2019 CUNY Hunter College

The Effect Of The Dependent Coverage Provision Of The Affordable Care Act On Opioid Use And Abuse, Christian Carrillo

School of Arts & Sciences Theses

The non-medical use of prescription opioids has become the fastest growing drug problem in the United States. This paper examines the effect of the ACA's dependent coverage provision on the prevalence of prescription opioid misuse and abuse along with the mechanism driving the results.


The Impact Of Legalization Of Marijuana On Opioid Overdose Deaths, Radhika N. Bharadwaj 2019 CUNY Hunter College

The Impact Of Legalization Of Marijuana On Opioid Overdose Deaths, Radhika N. Bharadwaj

School of Arts & Sciences Theses

This masters’ thesis aims to examine the impact of the legalization of marijuana for recreational use on the death toll from opioid misuse in the state of Colorado. This investigation was done using the Synthetic Controls Method via data collected primarily from the CDC and IPUMS databases. The results indicate that the 2012 legalization policy in Colorado appears to reduce the number of deaths due to opioid overdoses.


Refusal Bias In Hiv Data From The Demographic And Health Surveys: Evaluation, Critique And Recommendations, Oyelola A. ADEGBOYE, Tomoki FUJII, Denis H. Y. LEUNG 2019 James Cook University

Refusal Bias In Hiv Data From The Demographic And Health Surveys: Evaluation, Critique And Recommendations, Oyelola A. Adegboye, Tomoki Fujii, Denis H. Y. Leung

Research Collection School Of Economics

Non-response is a commonly encountered problem in many population-based surveys. Broadly speaking, non-response can be due to refusal or failure to contact the sample units. Although both types of non-response may lead to bias, there is much evidence to indicate that it is much easier to reduce the proportion of non-contacts than to do the same with refusals. In this article, we use data collected from a nationally-representative survey under the Demographic and Health Surveys program to study non-response due to refusals to HIV testing in Malawi. We review existing estimation methods and propose novel approaches to the estimation of ...


Lowering Out Of Pocket Drug Costs For Consumers, Mylissa K. Price 2019 University of Massachusetts Medical School

Lowering Out Of Pocket Drug Costs For Consumers, Mylissa K. Price

Commonwealth Medicine Publications

Prohibiting gag clauses could help lower consumer out-of-pocket pharmacy costs - if Pharmacy Benefits Managers don't raise prices to make-up the difference. Mylissa Price closes our blog series on President Trump's Blueprint to Lower Drug Costs in this final entry.


Maintaining Stability In A Changing Climate: A Comparative Analysis Of Public Health Systems And Migration Policies In The U.S. And Canada, Laura Cutlip 2019 Colorado College

Maintaining Stability In A Changing Climate: A Comparative Analysis Of Public Health Systems And Migration Policies In The U.S. And Canada, Laura Cutlip

Climate and Society

This paper examines the relation between climate change, migration, and public health to better understand how the United States health system is positioned to deal with likely challenges to human health posed by environmental changes. The author reviews probable impacts of climate change on population displacement and disease before considering how the current structure of the health system of the United States will render it unable to adapt to these changes and challenges. The Canadian health care system and refugee policies are then reviewed to provide a counterpoint to this analysis. These findings are then considered in tandem as the ...


Deciphering State Medicaid Programs, Rachel Gershon 2019 University of Massachusetts Medical School

Deciphering State Medicaid Programs, Rachel Gershon

Commonwealth Medicine Publications

State Medicaid programs vary substantially from one another. For members, researchers, policymakers, and advocates trying to decipher a state’s Medicaid program, this variation can be a source of frustration, because the details of this variation can be hard to locate.


Short-Run Health Consequences Of Retirement And Pension Benefits: Evidence From China, Plamen Nikolov, Alan Adelman 2019 State University of New York (Binghamton)

Short-Run Health Consequences Of Retirement And Pension Benefits: Evidence From China, Plamen Nikolov, Alan Adelman

Justice & Well-Being Studies Faculty Scholarship

This paper examines the impact of the New Rural Pension Scheme (NRPS) in China. Exploiting the staggered implementation of an NRPS policy expansion that began in 2009, we used a difference-in-difference approach to study the effects of the introduction of pension benefits on the health status, health behaviors, and healthcare utilization of rural Chinese adults age 60 and above. The results point to three main conclusions. First, in addition to improvements in self-reported health, older adults with access to the pension program experienced significant improvements in several important measures of health, including mobility, self-care, usual activities, and vision. Second, regarding ...


Patient-Centered Medical Homes And Hospital Value-Based Purchasing: Investigating Provider Responses To Incentives, Lauryn Walker 2019 Virginia Commonwealth University

Patient-Centered Medical Homes And Hospital Value-Based Purchasing: Investigating Provider Responses To Incentives, Lauryn Walker

Theses and Dissertations

Provider incentives are a commonly used policy tool to mold provider behaviors.1 However, while we frequently measure the change in patient outcomes, failure to consistently produce changes in outcomes does not mean that providers are not changing their behavior. This paper focuses on two programs with null or inconsistent quality outcomes to try to identify why such inconsistency occurs. The two programs, both ratified in the Affordable Care Act, are 1) patient-centered medical homes (PCMHs), and 2) the Medicare Hospital Value-Based Purchasing (HVBP) program.

Chapter 1: Using data from the Medical Expenditure Panel survey (MEPS), I match provider characteristic ...


Unlocking Access To Health Care: A Federalist Approach To Reforming Occupational Licensing, Gabriel Scheffler 2019 University of Pennsylvania Law School

Unlocking Access To Health Care: A Federalist Approach To Reforming Occupational Licensing, Gabriel Scheffler

Faculty Scholarship at Penn Law

Several features of the existing occupational licensing system impede access to health care without providing appreciable protections for patients. Licensing restrictions prevent health care providers from offering services to the full extent of their competency, obstruct the adoption of telehealth, and deter foreign-trained providers from practicing in the United States. Scholars and policymakers have proposed a number of reforms to this system over the years, but these proposals have had a limited impact for political and institutional reasons.

Still, there are grounds for optimism. In recent years, the federal government has taken a range of initial steps to reform licensing ...


How Liability Insurers Protect Patients And Improve Safety, Tom Baker, Charles Silver 2019 University of Pennsylvania Law School

How Liability Insurers Protect Patients And Improve Safety, Tom Baker, Charles Silver

Faculty Scholarship at Penn Law

Forty years after the publication of the first systematic study of adverse medical events, there is greater access to information about adverse medical events and increasingly widespread acceptance of the view that patient safety requires more than vigilance by well-intentioned medical professionals. In this essay, we describe some of the ways that medical liability insurance organizations contributed to this transformation, and we catalog the roles that those organizations play in promoting patient safety today. Whether liability insurance in fact discourages providers from improving safety or encourages them to protect patients from avoidable harms is an empirical question that a survey ...


The Effect Of Neighborhood Crime Rates On Childhood Obesity In Los Angeles County, Lachlan Montgomery 2019 Claremont Colleges

The Effect Of Neighborhood Crime Rates On Childhood Obesity In Los Angeles County, Lachlan Montgomery

CMC Senior Theses

This thesis examines the effect of neighborhood crime rates on childhood obesity in Los Angeles County over a five-year period 2012-2016. Using yearly pooled cross-sectional geocoded data from the University of Southern California (USC) Price Center for Social Innovation Neighborhood Data for Social Change (NDSC) interactive platform, I run multiple ordinary least squares regressions using different measures of crime to determine if neighborhoods with higher crime rates influence the unhealthy percentage of 5th, 7th, and 9thgrade public school students. I hypothesize that crime influences obesity, violent crime has a stronger correlation than property crime, and that ...


The Impact Of Medicare Part D On Mortality And Financial Stability, Katherine Toran 2019 University of Kentucky

The Impact Of Medicare Part D On Mortality And Financial Stability, Katherine Toran

Theses and Dissertations--Economics

Using the Health and Retirement Study Panel core files from 1996 to 2014, I analyze how Medicare Part D impacted access to prescription drug coverage by various demographic factors such as race, gender, and income. In Chapter 1, I find the highest take-up rates for those who were white, female, and with higher incomes. However, increases in coverage were high across the board, such that Medicare Part D also improved drug insurance coverage for those who were black, male, and with lower income. Thus, although Medicare Part D did increase prescription drug insurance coverage for seniors across the board, I ...


Essays On Child Well-Being And The Social Safety Net, Cody N. Vaughn 2019 University of Kentucky

Essays On Child Well-Being And The Social Safety Net, Cody N. Vaughn

Theses and Dissertations--Economics

This dissertation consists of three essays examining the role of two particular social safety net programs, the Temporary Assistance for Needy Families (TANF) program and the Supplemental Nutrition Assistance Program (SNAP), on the well-being of children from disadvantaged households. While the impact of these programs on the adults and parents of the household have been studied extensively, less is known about their effect on children. This is true for both their immediate impact on child well-being and any long-run impacts on children who grow up under these programs. Given the demonstrated importance of child well-being on later life adult outcomes ...


Three Essays In Applied Econometrics, Collin Dean Hodges 2019 West Virginia University

Three Essays In Applied Econometrics, Collin Dean Hodges

Graduate Theses, Dissertations, and Problem Reports

The body of work presented here consists of a collection of research projects developed during my time as a graduate student at West Virginia University. As will soon become apparent, this collection of research topics is quite eclectic. This is, in part, due to the to the nature of the research process itself--where one often begins by asking one question and ends by answering a completely different one--but also due to the fact that my time at West Virginia University has provided me the opportunity to gain insight into a wide variety of economic fields as well as work on ...


Three Essays On Utilizing Spatial Econometrics In Natural Resource Economics Related To Water, Health, And Energy, Elham Erfanian 2019 West Virginia University

Three Essays On Utilizing Spatial Econometrics In Natural Resource Economics Related To Water, Health, And Energy, Elham Erfanian

Graduate Theses, Dissertations, and Problem Reports

Spatial interaction and the locational structure between observations have recently gained more attention in the field of econometrics for both cross-sectional and panel data analyses. Compared to a non-spatial economic model, a spatial model relaxes the assumption of independency in observations. This research will apply spatial econometrics modeling in three different fields in applied economics: 1) water charge and minimum monthly access charge in West Virginia municipalities, 2) Naloxone access law and opioid overdose deaths among the U.S. states, and 3) 𝑃𝑀2.5 concentrations and asthma hospitalizations in Pennsylvania counties. Based on the nature of water resource imposing spillovers ...


The Impact Of Medicaid Expansion On Investments Into Orphan Drugs, Alan Market 2019 University of Colorado, Boulder

The Impact Of Medicaid Expansion On Investments Into Orphan Drugs, Alan Market

Undergraduate Honors Theses

In this study, I examine the effects of Medicaid expansion following the passing of the Affordable Care Act (ACA) on investments into treatment for orphan diseases. Orphan drugs received special classification in 1983 with the passing of the Orphan Drug Act to incentivize research and development into creating treatments for diseases that affect small populations. The ACA, which passed on March 23, 2010, and the subsequent Medicaid expansion occurred at the state-level, but many states have not opted to expand their Medicaid programs. To ascertain the impact that Medicaid expansion had on investments into orphan drugs, I combine state level ...


The Health Care Systems Of The United States And Spain: A Comparison, Tasia Harman 2019 Liberty University

The Health Care Systems Of The United States And Spain: A Comparison, Tasia Harman

Senior Honors Theses

When it comes to understanding and improving the United States health care system, comparison and analysis with the health care system of another country provides valuable insights. In this thesis, the United States’ health care system was compared to that of Spain, as the health care system of Spain is generally ranked well above the United States in terms of quality, function, and cost. In the comparison, information such as the health of the population, the quality of health care received, accessibility, and health care costs indicate the state of the health care systems and their ability to function well ...


Quality, Choice, And Price: A Study Of Hospitals In Colorado, Erin Marie LoCoco 2019 University of Colorado, Boulder

Quality, Choice, And Price: A Study Of Hospitals In Colorado, Erin Marie Lococo

Undergraduate Honors Theses

The purpose of this study is to investigate to what extent prices charged by hospitals for common surgical procedures reflect hospital quality and consumer choice. Increases in hospital quality should be associated with higher compensation, whereas increased consumer choice should result in consumers paying lower prices. Prices of common surgical procedures are regressed on level of consumer choice and a Hospital Quality Incentive Payment Score (HQIP). The Ordinary Least Squares (OLS) regression does not yield statistical significance for both HQIP and level of consumer choice, but rather attributes much of the variation in price to county income per capita and ...


Evaluating The Impacts Of Bangladesh’S Primary Education Stipend On Childhood Malnutrition, Joshua Mak 2019 University of Colorado, Boulder

Evaluating The Impacts Of Bangladesh’S Primary Education Stipend On Childhood Malnutrition, Joshua Mak

Undergraduate Honors Theses

Bangladesh’s Primary Education Stipend program (PES) provides a 100 taka monthly stipend to families that enroll their primary school age children in school, effectively doubling the incomes of Bangladesh’s poorest households. Considering that poor nutrition can lead to chronic disease outcomes, it is possible that participating households may spend this stipend to improve the nutrition of their children. Two difference-in-difference models are utilized to determine the effect of PES enrollment on height, weight, and BMI via panel data. By applying a variable difference-in-difference estimator, we find that the number of years a child spends eligible for PES benefits ...


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