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Medicaid and the Cost of Improving Access to Nursing Home Care

The Review of Economics and Statistics 1992 74(2), 338 open access
In this paper I show that the Medicaid program can improve the access of financially indigent patients to nursing home care by raising the rate of return paid on Medicaid patients' care, but only at the cost of lower quality of care. To quantify the policy tradeoff, I derive expressions for the elasticity of access with respect to total Medicaid expenditures and the elasticity of access with respect to quality. These elasticities expressions are complicated by the fact that Medicaid payment formulas are cost based and, therefore, depend on the quality choices of nursing homes. Using New York State data, I find that a 10% increase in Medicaid expenditures induces a 4.1% increase in Medicaid patient care but also reduces nursing home expenditures on patient services by about 3.4%.

Multiple Minima in the Estimation of Models With Autoregressive Disturbances

The Review of Economics and Statistics 1992 74(2), 354
The results show that demand decreases with prices.They indicate that if we take a household with particular characteristics and vary only the marginal price a negative relationship holds between quantity and price.While this approach is less informative than that of section 1I, table 4 supports the downward sloping demand curve results rather than those produced in the Rosen framework and does not make any assumptions regarding the household's utility function. IV. ConclusionThis paper develops estimates of the demand for electricity in Medellin, Colombia using a method which exploits the information implicit in constrained maximization subject to a convex, but segmented linear, budget set.The estimates seem adequate statistically, fall within the accepted range of parameter estimates, and show a consistent pattern whereby richer consumers have absolutely larger price and income elasticities than do the poor.Their veracity is enhanced by similar results developed using a generalised Heckman method due to Vella (1990).This contrasts sharply with the results obtained when the standard Rosen method is applied to the same data.The formation of instruments which linearise the budget constraint was incapable with these data of identifying the downward sloping demand curve from the upward sloping supply curve.

A Model of Layoff, Search and Job Choice and Its Estimation

The Review of Economics and Statistics 1992 74(2), 269
A labor-market model of search and transitions is analyzed where certain jobs carry layoff prospects and others do not. The dynamic value functions are solved for reservation wages for searchers with a choice between these jobs. For the laid-off worker, the wage at the prior job emerges as an important determinant of the optimal search strategy. Similarly, prospect of layoff is an important consideration for permanently separated workers during search. Conditioning on the nonparametric estimates of the reservation wages, the model is estimated using data from the Employment Opportunities Pilot Project survey.

Firm-Specific Determinants of the Real Wage

The Review of Economics and Statistics 1992 74(2), 297 open access
Bargaining models suggest that firm-specific variables play an important role in wage determination. Yet previous empirical studies of wage determination have largely ignored these variables. Our analysis of a large panel data set of U.S. wage contracts suggests that firm-specific variables suggested by bargaining models. such as the values of sales. the capital-labor ratio, and the financial liquidity of the firm. are important determinants of negotiated real wages.

Central Bank Secrecy and Money Surprises: International Evidence

The Review of Economics and Statistics 1992 74(1), 135
The information value of central bank announcements of projected future money growth is shown to depend both on the accuracy of the announcements and the extent to which the announcements themselves are anticipated by the public. The authors construct a new data set on internal Federal Reserve money projections. These projections, which are kept secret while they are in force, are comparable in many important respects to publicly announced Bank of Japan money projections. Using a derivative of the law of iterated projections, the authors estimate the information value of disclosure on the part of the Bank of Japan and the cost of secrecy on the part of the Federal Reserve. They find that the value of the information provided by the Bank of Japan has been small in terms of reducing money surprises, but that disclosure by the Federal Reserve would have significantly reduced money surprises in the United States.