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Working Paper
Who Gets Medication-assisted Treatment for Opioid Use Disorder, and Does It Reduce Overdose Risk? Evidence from the Rhode Island All-payer Claims Database
Carman, Katherine Grace; Wen, Hefei; Yu, Hao; Wharam, James Frank; Sullivan, Riley; Burke, Mary A. (2021-02-01)
This paper uses the all-payer claims database (APCD) for Rhode Island to study three questions about the use of medication-assisted treatment (MAT) for opioid use disorder (OUD): (1) Does MAT reduce the risk of opioid overdose; (2) are there systematic differences in the uptake of MAT by observable patient-level characteristics; and (3) how successful were federal policy changes implemented in 2016 that sought to promote increased use of buprenorphine, one of three medication options within MAT? Regarding the first question, we find that MAT as practiced in Rhode Island is associated with a ...
Working Papers , Paper 21-3

Discussion Paper
Are People Overconfident about Avoiding COVID-19?
Liu, Haoyang; Heimer, Rawley; Zhang, Xiaohan (2020-10-07)
More than six months into the COVID-19 outbreak, the number of new cases in the United States remains at an elevated level. One potential reason is a lack of preventative efforts either because people believe that the pandemic will be short-lived or because they underestimate their own chance of infection despite it being a public risk. To understand these possibilities, we elicit people’s perceptions of COVID-19 as a public health concern and a personal concern over the next three months to the following three years within the May administration of the Survey of Consumer Expectations ...
Liberty Street Economics , Paper 20201007

Working Paper
Social Distancing, Vaccination and Evolution of COVID-19 Transmission Rates in Europe
Chudik, Alexander; Rebucci, Alessandro; Pesaran, M. Hashem (2022-02-04)
This paper provides estimates of COVID-19 effective reproduction numbers worldwide and explains their evolution for selected European countries since the start of the pandemic, taking account of changes in voluntary and government-mandated social distancing, incentives to comply, vaccination and the emergence of mutations. Evidence based on panel data modeling indicates that the diversity of outcomes that we document resulted from the non-linear interaction of mandated and voluntary social distancing and the economic incentives that governments provided to support isolation, with no one ...
Globalization Institute Working Papers , Paper 414

Working Paper
Early Life Environment and Racial Inequality in Education and Earnings in the United States
Guryan, Jonathan; Chay, Kenneth Y.; Mazumder, Bhashkar (2014-11-13)
Working Paper Series , Paper WP-2014-28

Working Paper
Optimal Epidemic Control in Equilibrium with Imperfect Testing and Enforcement
Phelan, Tom; Toda, Alexis (2021-08-04)
We analyze equilibrium behavior and optimal policy within a Susceptible-Infected-Recovered epidemic model augmented with potentially undiagnosed agents who infer their health status and a social planner with imperfect enforcement of social distancing. We define and prove the existence of a perfect Bayesian Markov competitive equilibrium and contrast it with the efficient allocation subject to the same informational constraints. We identify two externalities, static (individual actions affect current risk of infection) and dynamic (individual actions affect future disease prevalence), and ...
Working Papers , Paper 21-15

Working Paper
Rising Geographic Disparities in US Mortality
Gandhi, Kavish; Foote, Christopher L.; Couillard, Benjamin K.; Meara, Ellen; Skinner, Jonathan (2021-09-01)
The 21st century has been a period of rising inequality in both income and health. In this study, we find that geographic inequality in mortality for midlife Americans increased by about 70 percent from 1992 to 2016. This was not simply because states such as New York or California benefited from having a high fraction of college-educated residents who enjoyed the largest health gains during the last several decades. Nor was higher dispersion in mortality caused entirely by the increasing importance of “deaths of despair,” or by rising spatial income inequality during the same period. ...
Working Papers , Paper 21-9

Working Paper
The Dynamics of the Smoking Wage Penalty
Darden, Michael; Pitts, M. Melinda; Hotchkiss, Julie L. (2020-07-28)
Cigarette smokers earn significantly less than nonsmokers, but the magnitude of the smoking wage gap and the pathways by which it originates are unclear. Proposed mechanisms often focus on spot differences in employee productivity or employer preferences, neglecting the dynamic nature of human capital development and addiction. In this paper, we formulate a dynamic model of young workers as they transition from schooling to the labor market, a period in which the lifetime trajectory of wages is being developed. We estimate the model with data from the National Longitudinal Survey of Youth, ...
FRB Atlanta Working Paper , Paper 2020-11

Working Paper
The Effect of the Patient Protection and Affordable Care Act Medicaid Expansions on Financial Wellbeing
Kaestner, Robert; Mazumder, Bhashkar; Hu, Luojia; Miller, Sarah; Wong, Ashley (2016-09-21)
We examine the effect of the Medicaid expansions under the 2010 Patient Protection and Affordable Care Act (ACA) on consumer, financial outcomes using data from a major credit reporting agency for a large, national sample of adults. We employ the synthetic control method to compare individuals living in states that expanded Medicaid to those that did not. We find that the Medicaid expansions significantly reduced the number of unpaid bills and the amount of debt sent to third-party collection agencies among those residing in zip codes with the highest share of low-income, uninsured ...
Working Paper Series , Paper WP-2016-10

Report
Can Treatment with Medications for Opioid Use Disorder Improve Employment Prospects? Evidence from Rhode Island Medicaid Enrollees
Burke, Mary A.; Sullivan, Riley (2022-12-01)
The nation’s long-standing crisis of opioid abuse intensified during the COVID-19 pandemic, with opioid-related deaths rising to nearly 81,000 in 2021, an increase of more than 60 percent from just two years earlier. Also during the pandemic, the labor force participation rate in the United States fell precipitously, and as of September 2022 it remained depressed by more than a full percentage point relative to its February 2020 level despite record numbers of job openings in 2021 and 2022. The unfortunate confluence of labor shortages and record-setting opioid mortality highlights the need ...
New England Public Policy Center Research Report , Paper 22-3

Working Paper
The Downward Spiral
Greenwood, Jeremy; Guner, Nezih; Kopecky, Karen A. (2022-02-25)
To analyze the opioid epidemic, we construct a model where individuals, with and without pain, choose whether to misuse opioids knowing the probabilities of addiction and dying. These odds are functions of opioid use. Markov chains are estimated from the US data for the college and non–college educated that summarize the transitions into and out of opioid addiction as well as to a deadly overdose. We construct a structural model that matches the estimated Markov chains. We also examine the epidemic’s drivers and the impact of medical interventions.
FRB Atlanta Working Paper , Paper 2022-4

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