Long-term Benefits of Breastfeeding: Impact on Education in Indonesia
by Natalie Gulrajani
Abstract
Healthy breastfeeding behaviors have been shown to produce many long-term health benefits including improved cognition. This study uses data from the Indonesian Family Life Survey (IFLS) to assess the longitudinal impact of exclusive breastfeeding duration and early life breastfeeding practices on education. Though a positive correlation was found between breastfeeding duration and years of schooling in naïve regressions, the significance and magnitude of this effect decreased when household fixed effects were added. A stronger correlation was found between early life breastfeeding and schooling, with income-stratified results demonstrating that poorer households are potentially subject to greater benefits.
Professor Erica Field, Faculty Advisor
JEL Codes: I0; I12; I21
The Effects of Leveraged Buyouts on Health Outcomes
by Robert Williams
Abstract
Private equity firms first began acquiring hospitals in the United States during the early 1990s, yet the effects of private equity ownership on patient outcomes and treatment costs are still not clear. Some argue that although private equity firms are adept at improving operating efficiencies and introducing managerial expertise, these cost-cutting measures may come at the expense of patient outcomes.
Because acute myocardial infarctions (AMIs) serve as proxies for patient outcomes and treatment costs, I collect information on 30-day mortality rates and Medicare reimbursements for treatments of AMIs at US Medicare-certified short-term acute care general hospitals from 2014 to 2019. This paper uses fixed effects models to analyze the impact of leveraged buyouts, relative to strategic acquisitions, on patient outcomes. After integrating both hospital and time fixed effects, I find that private equity ownership does not lead to significant changes in Medicare reimbursements or mortality rates for AMI treatments.
Professor Ryan McDevitt, Faculty Advisor
Professor Grace Kim, Faculty Advisor
Professor Michelle Connolly, Faculty Advisor
JEL Codes: I0, I110, G340
24K Magic: Evidence on Maternal Asset Ownership and Children’s Long Term Outcomes in Indonesia
By Maya Durvasula
Household resource allocation in response to economic shocks is of central importance for policy makers, especially given widely documented evidence of gender biases. In this paper, I exploit a
plausibly exogenous shock to maternal asset holdings in Indonesia to examine gender biases in resource allocation in the wake of the 1998 East Asian Financial Crisis. Using insights from
anthropology, I separate assets in the hands of women from those controlled by men and interpret findings in the context of a household decision-making framework that allows preferences of parents to differ. Taking household-specific heterogeneity into account with fixed effects, I find significant evidence of efforts to shield male children from the effects of the crisis in both contemporaneous educational attainment and longer-term labor market outcomes, a remarkable trend given minimal evidence of a pro-son bias in Indonesia prior to the crisis. Finally, inferring preferences from maternal resource allocation, I find suggestive evidence of an old age security motive in women’s investment decisions.
Advisor: Duncan Thomas | JEL Codes: D13, I0, J13, J16
Policy in Competitive Insurance Markets: Incentivizing Risk Sharing and Cost Efficiency
By Ross Green
In the setting of a population with heterogeneous risk of illness, informational asymmetries in a competitive health insurance market can cause the gains from risk sharing to fall short of social optimality in equilibrium. Traditional policies meant to address the under-provision of insurance, like mandating open enrollment or community-rated premiums, can be prohibitively costly or impossible to implement. I consider three policy regimes in the context of a competitive insurance industry in which firms maximize profits by exerting effort to monitor the provision of health care. When multiple risk types are present in the population, I find that a subsidy rule based on the marginal costs of insuring high risks can induce a Pareto-improvement to risk sharing gains, at a cost to the efficiency of health care provision. The novelty of the subsidy rule lies in the way it incentives pooling equilibria.
Advisor: Curtis Taylor | JEL Codes: I0, I13, I18 | Tagged: Health Care Efficiency, Insurance Contracts, Private Information
Integrating Medicare and Medicaid Healthcare Delivery and Reimbursement Policies for Dual Eligible Beneficiaries: A Cost-Efficiency Analysis of Managed Care
By Kan Zhang
The extreme underpricing of Chinese Initial Public Offerings in the early days of the Chinese equity markets was reduced by several reforms instituted by the Chinese government from around 2000 to 2002. These reforms reduced 1-day returns on IPOs from 295% to 72%. The reforms reduced IPO underpricing by decreasing the inequality between IPO supply and demand. These reforms, while announced between 2000 and 2002, likely took until around 2004 to take full effect. In addition to inequality between supply and demand, other factors such as information asymmetry and government/quality signaling contributed to underpricing both before and after the reforms.
Advisor: Frank Sloan, Kent Kimbrough | JEL Codes: D61, I0, I11, I12, I18 | Tagged: Dual Eligibles, Managed Care, Medicare
