NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH
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D. Sebastian Tello-Trillo

Frank Batten School of Leadership and Public Polic
University of Virginia
Charlotesville, VA 22903

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Institutional Affiliation: University of Virginia

NBER Working Papers and Publications

June 2019Losing insurance and behavioral health inpatient care: Evidence from a large-scale Medicaid disenrollment
with Johanna Catherine Maclean, Douglas Webber: w25936
We study the effects of losing insurance on behavioral health – defined as mental health and substance use disorder (SUD) – on community hospitalizations. We leverage variation in public insurance coverage eligibility offered by a large-scale and unexpected Medicaid disenrollment in Tennessee. Losing insurance did not influence behavioral healthcare hospitalizations. Mental illness hospitalization financing was partially shifted to other forms of insurance while SUD treatment financing shifted entirely to patients. Combining our findings with previous work on public insurance gains suggests that demand for behavioral healthcare services is asymmetric: service use increases following a gain but does not decline after a loss. We are the first to document this finding. We also investigate the...
May 2015Do ‘Cheeseburger Bills’ Work? Effects of Tort Reform for Fast Food
with Christopher S. Carpenter: w21170
After highly publicized lawsuits against McDonald’s in 2002, 26 states adopted Commonsense Consumption Acts (CCAs) – aka ‘Cheeseburger Bills’ – that greatly limit fast food companies’ liability for weight-related harms. We provide the first evidence of the effects of CCAs using plausibly exogenous variation in the timing of CCA adoption across states. In two-way fixed effects models, we find that CCAs significantly increased stated attempts to lose weight and consumption of fruits and vegetables among heavy individuals. We also find some evidence that CCAs increased employment in fast food. Finally, we find that CCAs significantly increased the number of company-owned McDonald’s restaurants and decreased the number of franchise-owned McDonald’s restaurants in a state. Overall our resu...

Published: Christopher S. Carpenter & D. Sebastian Tello-Trillo, 2015. "Do Cheeseburger Bills Work? Effects of Tort Reform for Fast Food," The Journal of Law and Economics, vol 58(4), pages 805-827.

 
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