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NBER Working Papers and Publications
|December 2011||Take-Up of Public Insurance and Crowd-out of Private Insurance Under Recent CHIP Expansions to Higher Income Children|
with Sarah E. Edgington, Miriam J. Laugesen, José J. Escarce: w17658
We analyze the effects of states' expansions of CHIP eligibility to children in higher income families during 2002-2009 on take-up of public coverage, crowd-out of private coverage, and rates of uninsurance. Our results indicate these expansions were associated with limited uptake of public coverage and only a two percentage point reduction in the uninsurance rate among these children. Because not all of the take-up of public insurance among eligible children is accounted for by children who transfer from being uninsured to having public insurance, our results suggest that there may be some crowd-out of private insurance coverage; the upper bound crowd-out rate we calculate is 46 percent.
Published: Gresenz CR, Edgington S, Laugesen M, Escarce JJ, “Take-Up of Public Insurance and Crowd-Out of Private Insurance under Recent CHIP Expansions to Higher Income Children,” Health Services Research, 2012 Oct; 47(5): 1999-2011.
|October 2007||Social Networks and Access to Health Care Among Mexican-Americans|
with Jeannette Rogowski, José J. Escarce: w13460
This research explores social networks and their relationship to access to health care among adult Mexican-Americans. We use data from the Medical Expenditure Panel Survey (MEPS) linked to data from the 2000 U.S. Census and other data sources. We analyze multiple measures of access to health care. Measures of social networks are constructed at the ZCTA level and include percent of the population that is Hispanic, percent of the population that speaks Spanish, and percent of the population that is foreign-born and Spanish-speaking. Regressions are stratified by insurance status and social network measures are interacted with individual-level measures of acculturation. For insured Mexican-American immigrants, living in an area populated by relatively more Hispanics, more immigrants, or more...
|May 2007||Individuals' Use of Care While Uninsured: Effects of Time Since Episode Inception and Episode Length|
with Jeannette Rogowski, José J. Escarce: w13137
Few studies have addressed how use of care may vary over the course of an episode of being uninsured or across uninsured episodes of varying duration. This research models the probability that an uninsured individual has (a) any medical expenditures or charges, and (b) any office-based visit during each month of an uninsured episode. We find that the ultimate length of an individual's episode of being uninsured bears relatively little on individuals' use of healthcare in any particular month and that the probability of health care utilization rises during the first year of the episode, with more use in the second six months of the year compared to the first six months.
Published: Carole Roan Gresenz & Jeannette Rogowski & José J. Escarce, 2008. "Individuals’ Use of Care while Uninsured: Effects of Time Since Episode Inception and Episode Length," Journal of the National Medical Association, vol 100(12), pages 1394-1404.