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ECONOMICS PUBLICATIONS

Privatizing Social Insurance: Medicare Advantage vs Traditional Medicare  (with Scott Bilder, Zarek Brot-Goldberg, Barton Jones, Iman Mohammadi, Zulkarnain Pulungan, Yalun Su, and Christie Teigland), Revise and Resubmit, AEJ: Economic Policy

Accompanying White Papers on MA vs TM: Enrollment Characteristics, Utilization, Quality, Plan Design Within MA 

Media & Policy References: MedPAC March 2024 Report to Congress, Manchin-Romney Bipartisan US Senate Letter to CMS, 20+ Healthcare and Trade Journal Articles (see specifics here)

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Rationing Medicine Through Paperwork: Prior Authorization Restrictions in Medicare

With Zarek Brot-Goldberg, Sam Burn, and Tim Layton, American Economic Review, Conditionally Accepted

Media Coverage: Medscape, AEIdeas, Becker's ASC, Tradeoffs, WBEZ, Fortune

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The Value of Improving Insurance Quality: Evidence from Long-Run Medicaid Attrition (with Ajin Lee)

Journal of Health Economics, 2024, 94

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The Behavioral Foundations of Default Effects: Theory and Evidence from Medicare Part D 

With Zarek Brot-Goldberg, Tim Layton, and Adelina Wang, American Economic Review, 2023, 113: 2718-2758

Media Coverage: Commonwealth Fund

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Private Versus Public Provision of Social Insurance: Evidence from Medicaid

With Tim Layton, Nicole Maestas, and Daniel Prinz, AEJ: Economic Policy, 2022, 14: 397-431

Media Coverage: NBER Digest, Brookings, VoxEU, CATO Institute

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The Consequences of Health Care Privatization: Evidence from Medicare Advantage Exits 

With Mark Duggan and Jon Gruber, AEJ: Economic Policy, 2018, 10: 153-186. 

Media Coverage: New York Times, Academy Health, NBER Digest

Awards: 2019 NIHCM Finalist

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Who Benefits When the Government Pays More? Pass-Through in the Medicare Advantage Program

With Mark Duggan and Amanda Starc, Journal of Public Economics, 2016, 141: 50-67.

Media Coverage: Los Angeles Times, Bloomberg, Modern Healthcare, Marginal Revolution, Knowledge at Wharton, Health Affairs Blog

ECONOMICS WORKING PAPERS

​​​​​Medicaid vs Medicare: Evidence from Medicaid to Medicare Transitions at 65 (with Tim Layton, Nicole Maestas, Daniel Prinz, and Mark Shepard)

Media Coverage: NBER Bulletin

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Estimating Variation in Productivity Across State Medicaid Programs: Evidence from Dual-Eligibles (with Tim Layton, Nicole Maestas, Daniel Prinz, and Mark Shepard)

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Efficiency Gains Under Incomplete Contracting: Evidence from Medicaid

POLICY AND OTHER RESEARCH

Rejection of Prescription Drugs Due to Formulary Restrictions: 2018 to 2024

With Caleb Alexander, Ben Ippolito, and Joe Levy

JAMA Original Investigation, 2026

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Medigap Regulations Provide Protections but Raise Premiums

With Mike Chernew, Tim Layton, Michael McWilliams, and Jingwei Sun

Health Affairs, 2025

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How Much Patient Cost Sharing is Paid Upfront for Care?

With Ben Ippolito

AEI Economic Perspectives, 2025

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Patient Repayment of Hospital Bills from 2018 to 2024

With Ben Ippolito, et al. 

JAMA Health Forum, 2025

 

Health Outcomes Under Full-Risk Medicare Advantage vs Traditional Medicare

With Ken Cohen, et al. 

AJMC, 2025

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Medicare Advantage Denies 17 Percent of Initial Claims

With Mike Chernew and Andrew Hicks

Health Affairs, 2025

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Potential Spillover Effects on Traditional Medicare When Physicians Bear MA Risk

With Ken Cohen, et al. 

AJMC, 2025

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Medicare Risk Arrangement and Use and Outcomes Among Physician Groups

With Ken Cohen, et al. 

JAMA Network Open, 2025

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Comparing Expected Out-of-Pocket Costs in MA and FFS Medicare, 2014-2020

With Ben Ippolito and Erin Trish

Health Affairs Datawatch, 2024

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How Do Prescription Drug Benefits Differ Between Medicare Advantage and Stand-Alone Part D Plans? 

With Ben Ippolito

AEI Economic Perspectives, 2024

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The effect of Medicare Advantage growth on Part D competition, costs, and coverage

With Ben Ippolito

Health Affairs Forefront, 2023

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How should policymakers respond to rising cost-sharing that often goes unpaid

With Ben Ippolito

Health Affairs Forefront, 2023

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Comparison of Care Quality Metrics in 2-sided Risk Medicare Advantage vs Fee-for-Service Medicare programs

With Ken Cohen, et al. 

JAMA Network Open, 2023

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