2017, No. 1

NBER Affiliates' Work in Medical Journals

Note to Readers

Many NBER-affiliated researchers publish some of their findings in medical journals that preclude pre-publication distribution. This makes it impossible to include these papers in the NBER working paper series. This is a partial listing of recent papers in this category.

Less Intense Postacute Care, Better Outcomes for Enrollees in Medicare Advantage Than Those in Fee-For-Service
P. J. Huckfeldt, J. J. Escarce, B. Rabideau, P. Karaca-Mandic, and N. Sood. Health Affairs, 36(1), January 2017, pp. 91–100.
The researchers compare the use of postacute care for Medicare Advantage (MA) and fee-for-service (FFS) Medicare patients. They find lower intensity of postacute care for MA enrollees relative to FFS enrollees for lower extremity joint replacement, stroke, and heart failure, after accounting for differences in patient characteristics. MA participants also were less likely to return to the hospital and more likely to return to the community.

Nearly One-Third of Enrollees in California's Individual Market Missed Opportunities to Receive Financial Assistance
V. Fung, C. Y. Liang, K. Donelan, C. G. K. Peitzman, W. H. Dow, A. M. Zaslavsky, B. Fireman, S. F. Derose, M. E. Chernew, J. P. Newhouse, and J. Hsu, Health Affairs, 36(1), January 2017, pp. 21–31.
Under the Affordable Care Act, lower-income Americans receive financial assistance to purchase health insurance if they buy a qualified health plan with a certain level of coverage ("silver tier" or higher) through a public insurance exchange. The researchers find that 31 percent of eligible enrollees in California purchased plans that were not eligible for subsidies because they were not at the silver tier level or were not purchased on the public exchange. Enrollees who purchased plans that were ineligible for subsidies were two to three times more likely to report difficulty paying medical costs, relative to those who chose qualifying plans.

Economic Effects of Medicaid Expansion in Michigan
J. Z. Ayanian, G. M. Ehrlich, D. R. Grimes, and H. Levy, New England Journal of Medicine, 376, February 2017, pp. 407-10.
U.S. states, due to the Affordable Care Act, had the option to expand Medicaid coverage to previously unqualified residents. To participate, states were required to cover 5 percent of the expansion in 2017 and 10 percent in 2021. The researchers project that the state costs of the expansion in Michigan will be fully covered through 2021 and likely beyond by additional state tax revenues and savings for mental health and other programs. Furthermore, the researchers expect employment to increase by roughly 30,000 jobs and, as a result, personal income to increase by $2 billion per year.

Cost-Effectiveness of Combined Sexual and Injection Risk Reduction Interventions among Female Sex Workers Who Inject Drugs in Two Very Distinct Mexican Border Cities
J. L. Burgos, T. L. Patterson, J. S. Graff-Zivin, J. G. Kahn, M. G. Rangel, M. R. Lozada, H. Staines, and S. A. Strathdee, PloS One, 11(2), February 2016.

Costs per Diagnosis of Acute HIV Infection in Community-Based Screening Strategies: A Comparative Analysis of Four Screening Algorithms
M. Hoenigl, J. Graff-Zivin, and S. J. Little, Clinical Infectious Diseases, 62(4), February 2016, pp. 501-11.

Retail Clinic Visits for Low-Acuity Conditions Increase Utilization and Spending
J. S. Ashwood, M. Gaynor, C. M. Setodji, R. O. Reid, E. Weber, and A. Mehrotra, Health Affairs, 35(3), March 2016, pp. 449-55.

New Health Care Symposium: Consolidation and Competition in U.S. Health Care
M. Gaynor, Health Affairs Blog, March 2016.

The Effect of Physician and Hospital Market Structure on Medical Technology Diffusion
P. Karaca-Mandic, R. J. Town, and A. Wilcock, Health Services Research, May 2016.

Applying Behavioral Economics to Public Health Policy: Illustrative Examples and Promising Directions
J. L. Matjasko, J. H. Cawley, M. M. Baker-Goering, and D. V. Yokum, American Journal of Preventive Medicine, 50(5), May 2016, pp. S13-19.

Community Characteristics and Qualified Health Plan Selection during the First Open Enrollment Period
M. Boudreaux, L. A. Blewett, B. Fried, K. Hempstead, and P. Karaca-Mandic, Health Services Research, June 2016.

Search and You Shall Find: Geographic Characteristics Associated with Google Searches during the Affordable Care Act's First Enrollment Period
S. E. Gollust, X. Qin, A. D. Wilcock, L. M. Baum, C. L. Barry, J. Niederdeppe, E. F. Fowler, and P. Karaca-Mandic, Medical Care Research and Review, July 2016.

The Impact of Positive Income Shocks on Risky Sexual Behavior: Experimental Evidence from Tanzania
Z. Wagner, E. Gong, D. de Walque, and W. H. Dow, AIDS and Behavior, August 2016, pp. 1-5.

The Impact of Pharmaceutical Innovation on Cancer Mortality in Belgium, 2004-2012
F. R. Lichtenberg, Forum for Health Economics & Policy, September 2016.

The Impact of Pharmaceutical Innovation on Premature Cancer Mortality in Switzerland, 1995-2012
F. R. Lichtenberg, European Journal of Health Economics, 17(7), September 2016, pp. 833-54.

The Effects of Providing Fixed Compensation and Lottery-Based Rewards on Uptake of Medical Male Circumcision in Kenya: A Randomized Trial
H. Thirumurthy, S. H. Masters, S. Rao, K. Murray, R. Prasad, J. Graff-Zivin, E. Omanga, and K. Agot, Journal of Acquired Immune Deficiency Syndromes, 72, October 2016, pp. S309–15.

Genome-Wide Analysis Identifies 12 Loci Influencing Human Reproductive Behavior
N. Barban, R. Jansen, R. de Vlaming, A. Vaez, J. Mandemakers, F. C. Tropf, X. Shen, J. F. Wilson, J. J. Lee, D. J. Benjamin, D. Cesarini, P. D. Koellinger, M. den Hoed, H. Snieder, and M. C. Mills, Nature Genetics, 48, October 2016, pp. 1462-72.

Black Gains in Life Expectancy
V. R. Fuchs, JAMA, 316(18), November 2016, pp. 1869-70.

Time-Varying Associations of Suicide with Deployments, Mental Health Conditions, and Stressful Life Events among Current and Former U.S. Military Personnel: A Retrospective Multivariate Analysis
Y.-C. Shen, J. M. Cunha, and T. V. Williams, Lancet Psychiatry, 3(11), November 2016, pp. 1039-48.

Screening for Acute HIV Infection in Community-Based Settings: Cost-Effectiveness and Impact on Transmissions
M. Hoenigl, A. Chaillon, S. R. Mehta, D. M. Smith, J. Graff-Zivin, and S. J. Little, Journal of Infection, 73(5), November 2016, pp. 476-84.

Association of a Controlled Substance Scoring Algorithm with Health Care Costs and Hospitalizations: A Cohort Study
C. I. Starner, Y. Qiu, P. Karaca-Mandic, and P. P. Gleason, Journal of Managed Care and Specialty Pharmacy, 22(12), December 2016, pp. 1403-10.

Projections of Dental Care Use through 2026: Preventive Care to Increase While Treatment Will Decline
C. Meyerhoefer, I. Panovska, and R. J. Manski. Health Affairs, 35(12), December 2016, pp. 2183–89.

Uptake and Utilization of Practice Guidelines in Hospitals in the United States: The Case of Routine Episiotomy
K. B. Kozhimannil, P. Karaca-Mandic, C. J. Blauer-Peterson, N. T. Shah, and J. M. Snowden, The Joint Commission Journal on Quality and Patient Safety, 43(1), January 2017, pp. 41-8.

Social Determinants of Health: Caveats and Nuances
V. R. Fuchs, JAMA, 317(1), January 2017, pp. 25–6.

Son-Biased Sex Ratios in 2010 U.S. Census and 2011–2013 U.S. Natality Data
D. Almond and Y. Sun, Social Science & Medicine, 176, March 2017, pp. 21–4.

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