National Bureau of Economic Research
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The Price of Consolidation: Evidence from Anesthesia Practice Rollups
article
In a “rollup,” an outside investor consecutively acquires many of the small firms operating in a particular local market, consolidating them into a single large firm. Unlike mergers, which involve only two firms and trigger regulatory attention when the firms collectively exceed a certain size, rollups have flown under the antitrust radar until a recent Federal Trade Commission (FTC) case targeting a rollup of anesthesia practices in Texas. Rollups have become increasingly important, particularly in the healthcare industry.
In Painful Bargaining: Evidence from Anesthesia Rollups (NBER Working Paper 33217), Aslihan Asil, Paulo Ramos, Amanda Starc, and Thomas G. Wollmann study the competitive effects of the rollups...
From the NBER Reporter: Research, program, and conference summaries

The Economics of Transformative AI
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The rapid advancement of artificial intelligence (AI) may usher in the most significant economic transformation since the Industrial Revolution. For nearly a decade, as I witnessed the continuous progress in deep learning, I have been studying the economics of transformative AI — how our economy may be transformed as AI systems advance toward mastering all forms of cognitive work that can be performed by humans, including new tasks that don’t even exist yet. The prospect of understanding the strange new world we will inhabit when transformative AI is developed has felt both intellectually urgent and personally meaningful to me as a father of two young children.
Today, AI systems are approaching and exceeding human-level performance in many domains, and it looks increasingly like our world will be transformed before…
From the NBER Bulletin on Retirement and Disability

Health Inequality and Economic Disparities by Race, Ethnicity, and Gender
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In Health Inequality and Economic Disparities by Race, Ethnicity, and Gender (NBER Working Paper 32971 an earlier version, NBER RDRC Paper NB23-11), Nicolò Russo, Rory McGee, Mariacristina De Nardi, Margherita Borella, and Ross Abram use data from the Health and Retirement Study over the period 1996–2018 to evaluate measures of health inequality in middle age and the consequences of such health disparities.
They consider two health measures: self-reported health status, measured by the response to a survey question that asks individuals to rate their health as excellent, very good, good, fair, or poor, and...
From the NBER Bulletin on Health

Digital Health Technology and Patient Outcomes
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Digital health technologies, such as remote monitoring devices and telemedicine services, have attracted considerable interest due to their potential to reduce healthcare costs and improve patient outcomes. These innovations could, however, exacerbate health disparities if adoption rates are lower among underserved communities.
In Equity and Efficiency in Technology Adoption: Evidence from Digital Health (NBER Working Paper 32992), researchers Itzik Fadlon, Parag Agnihotri, Christopher Longhurst, and Ming Tai-Seale analyze a remote...
From the NBER Bulletin on Entrepreneurship

“Third Places” Boost Local Economic Activity
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Sociologists have argued that “third places” like cafés, which provide opportunities for individuals to socialize and exchange ideas outside of home and work, improve neighborhood life. But what about the relationship between such places and economic activity? In Third Places and Neighborhood Entrepreneurship: Evidence from Starbucks Cafés (NBER Working Paper 32604), researchers Jinkyong Choi, Jorge Guzman, and Mario L. Small use data on US business registrations between 1990 and 2022 from the Startup Cartography Project to examine whether the opening of a Starbucks in a neighborhood with no previous cafés affects local entrepreneurship...
Featured Working Papers
Increases in the minimum wage do not result in an abnormal concentration of job leavers below the new minimum, but do result in many job stayers experiencing wage increases to it, Pierre R. Brochu, David A. Green, Thomas Lemieux, and James H. Townsend find.
Alexander C. Abajian, Cassandra Cole, Kelsey Jack, Kyle C. Meng, and Martine Visser find that during an extreme drought in Cape Town, South Africa, richer households reduced water demand more than poorer households. They also substituted toward privately financed groundwater supplies, thereby shifting the fixed costs of water supply toward poorer households.
Excess mortality associated with COVID-19 reduced the present discounted value of future Social Security retirement payments by nearly $300 billion, and also reduced future payroll tax flows by a smaller amount, according to Hanke Heun-Johnson, Darius Lakdawalla, Julian Reif, and Bryan Tysinger.
Michael Dinerstein, Samuel Earnest, Dmitri K. Koustas, and Constantine Yannelis find that for every dollar of federal student debt forgiven in 2021, mortgage, auto, and credit card debt rose by 9 cents. Borrowers’ earnings and employment fell post-forgiveness.
Black men who were inducted into the Army during World War I as a result of a draft lottery, and especially those who experienced discriminatory treatment in the military, were significantly more likely to join the nascent NAACP and to become prominent community leaders in the New Negro era, according to data analysis by Desmond Ang and Sahil Chinoy.
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