Medicaid Spending on Home- and Community-Based Services and the Economic Status of Home Care Workers
In preparation.
Posts by Collection
in-progress
Adverse Selection and Access to Specialty Care in Medicaid
In preparation.
jmp
Immigration Enforcement, the Home Care Workforce, and Access to Long-Term Care: Evidence from Secure Communities
Abstract:
Most Americans will need long-term care at some point in their lifetimes, with many relying on assistance from home health and personal care aides. Since nearly one-third of these workers are foreign-born, it is critical to understand how immigration enforcement impacts their labor supply. We first propose a conceptual model of the impact of immigration enforcement on the market for home-based long-term care. Then, using data from the American Community Survey, we examine the effect of enforcement on the number of home care workers in a local area. We exploit temporal and geographic variation in the rollout of a federal enforcement policy, Secure Communities (SC), between 2008-2013, estimating difference-in-differences and event study models with time and location fixed effects to isolate the effect of the policy. We find that SC reduced the overall size of the workforce by 8.9%, with 70% of the effect driven by foreign-born workers. Then, using data from the Health & Retirement Study, we find large, negative externalities on older adults who need help at home. Consistent with our model’s predictions, these effects are concentrated among older adults on Medicaid, who experience a 20% reduction in receipt of formal home care post-SC.
portfolio
pubsecon
Adverse Selection and Network Design Under Regulated Plan Prices: Evidence From Medicaid
Published in Journal of Health Economics, 2024
pubsmed
Stalling of Fertility Transitions and Socioeconomic Change in the Developing World: Evidence from the Demographic and Health Surveys
Published in Ralentissements, Résistances et Ruptures Dans Les Transitions Démographiques, 2013
Growth in the Concurrent Use of Antipsychotics with Other Psychotropic Medications in Medicaid-Enrolled Children
Published in Journal of the American Academy of Child and Adolescent Psychiatry, 2014
Second-Generation Antipsychotic Use Among Stimulant-Using Children, by Organization of Medicaid Mental Health
Published in Psychiatric Services, 2014
Risk for Incident Diabetes Mellitus Following Initiation of Second-Generation Antipsychotics Among Medicaid-Enrolled Youths
Published in JAMA Pediatrics, 2015
Quality of Health Insurance Coverage and Access to Care for Children in Low-Income Families
Published in JAMA Pediatrics, 2016
Medicare Accountable Care Organizations and Antidepressant Use by Patients With Depression
Published in Psychiatric Services, 2017
The Home Care Workforce Has Not Kept Pace With Growth In Home And Community-Based Services
Published in Health Affairs, 2023
side-projects
Concert Calendars
Published on GitHub, 2022
US News Hospital Rankings
Published on GitHub, 2023
talks
Talk 1 on Relevant Topic in Your Field
Published:
Tutorial 1 on Relevant Topic in Your Field
Published:
Talk 2 on Relevant Topic in Your Field
Published:
teaching
PhD Core Course in Health Policy
PhD Program Course, Harvard University, Fall 2017 and Spring 2018
Why is There No Cure for Health Care?
Undergraduate Course, Harvard University, Fall 2018