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Working Paper
Losing insurance and psychiatric hospitalizations
Maclean, Johanna Catherine; Tello-Trillo, D. Sebastian; Webber, Douglas A. (2022-10-20)
We study the effect of losing insurance on psychiatric – mental health disorder (MHD) and substance use disorder (SUD) – hospital-based care. Psychiatric disorders cost the U.S. over $1T each year and hospitalizations provide important and valuable care for patients with these disorders. We use variation in public insurance coverage (Medicaid) eligibility offered by a large-scale and unexpected disenrollment in the state of Tennessee in 2005 that lead to 190,000 individuals losing their insurance. Medicaid enrollees are at elevated risk for psychiatric disorders. Following the ...
Finance and Economics Discussion Series , Paper 2022-069

Working Paper
Navigating Higher Education Insurance: An Experimental Study on Demand and Adverse Selection
Balakrishnan, Sidhya; Bettinger, Eric; Kofoed, Michael S.; Ritter, Dubravka; Webber, Douglas A.; Aksu, Ege; Hartley, Jonathan S. (2024-04-19)
We conduct a survey-based experiment with 2,776 students at a non-profit university to analyze income insurance demand in education financing. We offered students a hypothetical choice: either a federal loan with income-driven repayment or an income-share agreement (ISA), with randomized framingof downside protections. Emphasizing income insurance increased ISA uptake by 43%. We observe that students are responsive to changes in contract terms and possible student loan cancellation, which is evidence of preference adjustment or adverse selection. Our results indicate that framing specific ...
Finance and Economics Discussion Series , Paper 2024-024

Working Paper
Affording Degree Completion: An Experimental Study of Completion Grants at Accessible Public Universities
Goldrick-Rab, Sara; Baker-Smith, Christine; York, Travis T.; Clark, Kallie; Webber, Douglas A.; Perkins, Christel (2023-07)
To improve college affordability and graduation rates, universities are increasingly allocating “completion grants” to students who are nearing the finish line but facing financial challenges. Using an experimental design and common program model across 11 broad-access public universities in ten states, we assessed the impact of a completion grants averaging $1,200 distributed among more than 14,000 students. We find that, despite university expectations that most students were near completion, only two-thirds of students eligible to receive a completion grant graduated within the ...
Finance and Economics Discussion Series , Paper 2023-047

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