Elder Financial Fraud: The Economic and Ethical Case for Instituting Mandatory Reporting Laws in Financial Institutions
by Lauren Tse
Abstract
This study examines the effectiveness of the 2016 NASAA Model Act, specifically if states that implemented its provisions see greater levels of elder fraud reporting. This legal reform introduces reporting requirements for broker-dealers and investment advisers to report suspected elder fraud to government authorities, granting explicit immunity to those who comply. To analyze both the immediate and longer-term effects of the Model Act’s staggered passage across states, I use a dynamic Difference-in-Difference model to analyze institutionally reported elder fraud cases from the U.S. Department of Treasury’s Financial Crimes Enforcement Network. Regression findings suggest that the Model Act has a positive enabling effect, increasing the number of elder fraud reports filed by financial professionals. Further, I quantify the monetary losses associated with these fraud cases using self-reported data from the Federal Trade Commission’s Consumer Sentinel Network. In line with this ‘placebo’ dataset, I find that the passage of the Model Act — targeted at financial professionals — has inconclusive impacts on the number of self-reported elder fraud and no effect on the financial losses incurred.
Professor Kate Bundorf, Faculty Advisor
Professor Michelle Connolly, Faculty Advisor
JEL Codes: G28; K42; J14
Keywords: Elder Financial Fraud; NASAA Model Act; Mandatory Reporting Requirements
Medicaid Managed Care and Emergency Department Utilization: A North Carolina Analysis
by Temitope Ayokunmi Ojo
Abstract
In July 2021, North Carolina Medicaid switched from a traditional fee-for-service model to a Medicaid managed care (MMC) network. This thesis explores the effect of this policy change on Emergency Department (ED) utilization for Medicaid beneficiaries in North Carolina. A linear difference-in-difference model was used to estimate the change in ED visits between the treatment group, Medicaid beneficiaries, and two control groups, non-Medicaid 19–64-year-olds and 65+ NC residents. The results indicate a statistically significant decline in ED visits, about 11% decline from pre-policy visit rates, for Medicaid beneficiaries after the mandatory switch to managed care. The reduction in visits was most persistent for those related to chronic condition treatment. Furthermore, we find evidence consistent with both medical care disruption and better management of health as drivers of the decline in ED visits. Determining the cause of these patterns should be explored by deeper analyses of trends in other healthcare delivery avenues (i.e. PCP appointments or hospital admissions) post-policy implementation.
Professor M. Kate Bundorf, Faculty Advisor
Professor Grace Kim, Seminar Advisor
JEL Codes: I11, I13, I18
Keywords: Medicaid, Insurance, Emergency Department
Impact of Medicare Advantage Supplemental Benefit Expansion on Startup Funding
by Judy Tianhong Zhong
Abstract
In 2018, the Center for Medicare and Medicaid Services (CMS) announced that they would expand the supplemental benefits that can be included in Medicare Advantage (MA) plans. The goal was to encourage insurers to innovate and test new benefit offerings that could improve health outcomes and reduce healthcare spending. A key player in this transformation is the MA vendor that provides supplemental benefit offerings to insurance plans, but this market is rather underdeveloped. To assess the implementation of this supplemental benefit expansion, this study examines the flow of funding into the emerging market of MA vendors. This paper uses a longitudinal approach and Crunchbase data on funding for 79,004 firms from 2014 to 2018 to determine whether there is a significant jump in funding toward MA vendors with supplemental benefit services following the policy change. The results show that both the average amount of funding per deal and the number of deals a MA vendor firm receives significantly increased following the expansion when compared with all other firms. This suggests that the policy may have been successful in promoting the development of the MA vendors market and the innovation of benefit offerings as more funding goes towards these companies.
Kate Bundorf, Faculty Advisor
David Ridley, Faculty Advisor
Michelle Connolly, Faculty Advisor
JEL Codes: I1; I11; I18
Myocardial Infarction, Health Behavior, and the Grossman Model
by Emma Mehlhop
Abstract
This paper contributes an empirical test of Michael Grossman’s model of the demand for health and a novel application of the model to myocardial infarction (MI) incidence. Using data from the University of Michigan’s Health and Retirement Study (HRS), I test Grossman’s assumptions regarding the effects of hourly wage, sex, educational attainment, and age on health demand along with the effects of new variables describing health behaviors, whether or not a respondent is insured, and whether or not they are allowed sufficient paid sick leave. I use logistic regression to estimate health demand schedules using five different health demand indicators: exercise, doctor visits, drinking, smoking, and high BMI. I apply the Cox Proportional Hazard model to examine two equations for the marginal product of health investment both in terms of propensity to prevent death and to prevent MI, one of the leading causes of mortality in the United States. This study considers the effects of the aforementioned health demand indicators, among other factors, on the marginal product of health investment for the prevention of death compared to the prevention of MI. Additionally, there is significant evidence of a negative effect of health insurance on likelihood of exercising regularly, implying some effect of moral hazard on the health demand schedule.
Professor Charles Becker,Faculty Advisor
Professor M. Kate Bundorf, Faculty Advisor
Professor Grace Kim, Faculty Advisor
Professor Frank Sloan, Faculty Advisor
JEL Codes: I1, I10, I12
