Institutional Affiliation: State University of New York at Albany
|Effects of the COVID-19 Pandemic on Outpatient Providers in the US|
with : w27173
There is growing concern that the COVID-19 pandemic may have severe, adverse effects on the health care sector, a sector of the economy that historically has been somewhat shielded from the business cycle. In this paper, we study one aspect of this issue by estimating the magnitude of the COVID-19 pandemic on use of outpatient health services. We use 2010-2020 data from the Outpatient Influenza-like Illness Surveillance Network (ILINet). Our findings indicate that the COVID-19 pandemic is associated with about a 67 percent decline in the total number of outpatient visits per provider by the week of April 12-18th, 2020 relative to the same week in prior years. Effects become apparent earlier in the pandemic for outpatient visits for non-flu symptoms, but we find negative effects on outpatie...
|Who Is Screened Out? Application Costs and the Targeting of Disability Programs|
with : w23472
The application process is critical to the targeting of disability programs because disability, relative to other tags, is difficult to observe and costly to verify. We study the effect of application costs on the targeting of disability programs using the closings of Social Security Administration field offices, which provide assistance with filing disability applications. Using administrative data from the Social Security Administration, we find that field office closings lead to large and persistent reductions in the number of disability recipients and reduce targeting efficiency based on current eligibility standards. The number of disability recipients declines by 13% in surrounding areas, with the largest effects for applicants with moderately severe conditions, low education levels,...
Published: Manasi Deshpande & Yue Li, 2019. "Who Is Screened Out? Application Costs and the Targeting of Disability Programs," American Economic Journal: Economic Policy, vol 11(4), pages 213-248.
|Early Effects of the 2010 Affordable Care Act Medicaid Expansions on Federal Disability Program Participation|
with : w22531
We test whether early Affordable Care Act (ACA) Medicaid expansions in Connecticut (CT), Minnesota (MN), California (CA), and the District of Columbia (DC) affected SSI applications, SSI and DI awards, and the number of SSI and DI beneficiaries. We use a difference-in-difference (DD) approach, comparing SSI/DI outcomes pre and post each early Medicaid expansion (“Early Expanders”) to SSI/DI outcomes in states that expanded Medicaid in January 2014 (“Later Expanders”). We also use a synthetic control approach, in which we examine SSI/DI outcomes before and after the Medicaid expansion in each Early Expander state, utilizing a weighted combination of Later Expanders as a comparison group. In CT, the Medicaid expansion is associated a statistically significant, 7 percent reduction in SSI b...