Angshuman Gooptu, PhD, MPP

This study found a significant association between non-adherence to medications and a higher likelihood of patients experiencing potentially inappropriate increases in treatment intensity. Sharing of objective patient refill data between retail pharmacies and prescribers can enable prescribers to have more targeted discussions with patients about their adherence and overall treatment plan. Additionally, it can increase safe medication prescribing and plausibly reduce adverse drug events and… Show more

This study found a significant association between non-adherence to medications and a higher likelihood of patients experiencing potentially inappropriate increases in treatment intensity. Sharing of objective patient refill data between retail pharmacies and prescribers can enable prescribers to have more targeted discussions with patients about their adherence and overall treatment plan. Additionally, it can increase safe medication prescribing and plausibly reduce adverse drug events and healthcare costs while improving patient health outcomes. Show less

Medicaid expansion undertaken through the Affordable Care Act (ACA) is already producing major changes in insurance coverage and access to care, but its potential impacts on the labor market are also important policy considerations. Economic theory suggests that receipt of Medicaid might benefit workers who would no longer be tied to specific jobs to receive health insurance (known as job lock), giving them more flexibility in their choice of employment, or might encourage low-income workers to… Show more

Medicaid expansion undertaken through the Affordable Care Act (ACA) is already producing major changes in insurance coverage and access to care, but its potential impacts on the labor market are also important policy considerations. Economic theory suggests that receipt of Medicaid might benefit workers who would no longer be tied to specific jobs to receive health insurance (known as job lock), giving them more flexibility in their choice of employment, or might encourage low-income workers to reduce their hours or stop working if they no longer need employment-based insurance. Evidence on labor changes after previous Medicaid expansions is mixed. To view the impact of the ACA on current labor market participation, we analyzed labor-market participation among adults with incomes below 138 percent of the federal poverty level, comparing Medicaid expansion and nonexpansion states and Medicaid-eligible and -ineligible groups, for the pre-ACA period (2005–13) and the first fifteen months of the expansion (January 2014–March 2015). Medicaid expansion did not result in significant changes in employment, job switching, or full- versus part-time status. While we cannot exclude the possibility of small changes in these outcomes, our findings rule out the large change found in one influential pre-ACA study; furthermore, they suggest that the Medicaid expansion has had limited impact on labor-market outcomes thus far. Show less

Prepared book chapter "Covenant I: Securing the Right Health Care and Well-Being" with Kosali Simon, Seth Freedman, Victoria Perez

The white paper serves as a case-study that leads to the formulation of a theoretical
economic framework to understand the relationship between volatility in markets and the
changes in leading economic indicators of business cycles in developed economies. We first
use data from Germany instead of the US to observe how equity market volatility in Germany
relates to returns from 2005 to 2013 — a period when Germany and the Eurozone region
underwent severe exogenous economic… Show more

The white paper serves as a case-study that leads to the formulation of a theoretical
economic framework to understand the relationship between volatility in markets and the
changes in leading economic indicators of business cycles in developed economies. We first
use data from Germany instead of the US to observe how equity market volatility in Germany
relates to returns from 2005 to 2013 — a period when Germany and the Eurozone region
underwent severe exogenous economic pressure from the Great Recession, originating from
the US followed by the Eurozone fiscal crisis originating in Greece. Second, we proxy for
risk-perception using economic sentiment survey data to test if sentiment is particularly
affected by shocks to the leading indicators to bypass problems with indicator data revisions.
Third, we test the direct relationship between volatility in sentiment data and volatility in equity
returns. Finally, we test our results on formulation of a dependent variable that proxies for
volatility introduced by Christiansen, Schmeling, & Schrimpf (2012). We are able to confirm that
leading economic indicators such as the long term interest rate, production prices,
manufacturing new-orders, and unemployment rates are significantly associated with the next
month’s market-volatility after controlling for momentum. Furthermore, we are able to observe
that investor’s sentiment about the economy significantly affects future volatility and is affected
by the previous month’s change in leading economic indicators of the business cycle.

Research Assistance by Yuan Fei Show less

We describe the Medicaid eligibility rules for the elderly. Medicaid is administered jointly by the Federal and state governments, and each state has significant flexibility on the details of the implementation. We document the features common to all states, but we also highlight the most salient state-level differences.



There are two main pathways to Medicaid eligibility for people over age 65: either having low assets and income, or being impoverished due to large medical… Show more

We describe the Medicaid eligibility rules for the elderly. Medicaid is administered jointly by the Federal and state governments, and each state has significant flexibility on the details of the implementation. We document the features common to all states, but we also highlight the most salient state-level differences.



There are two main pathways to Medicaid eligibility for people over age 65: either having low assets and income, or being impoverished due to large medical expenses. The first group of recipients (the categorically needy) mostly includes life-long poor individuals, while the second group (the medically needy) includes people who might have earned substantial amounts of money during their lifetime but have become impoverished by large medical expenses. The categorically needy program thus only affects the savings decision of people who have been poor throughout most of their lives. In contrast, the medically needy program provides some insurance even to people who have higher income and assets. Thus, this second pathway is to some extent going to affect the savings of the relatively higher income and assets people. Show less

We describe the Medicaid eligibility rules for the elderly. Medicaid is administered jointly by the Federal and state governments, and each state has significant flexibility on the details of the implementation. We document the features common to all states, but we also highlight the most salient state-level differences.

There are two main pathways to Medicaid eligibility for people over age 65: either having low assets and income, or being impoverished due to large medical expenses. The… Show more

We describe the Medicaid eligibility rules for the elderly. Medicaid is administered jointly by the Federal and state governments, and each state has significant flexibility on the details of the implementation. We document the features common to all states, but we also highlight the most salient state-level differences.

There are two main pathways to Medicaid eligibility for people over age 65: either having low assets and income, or being impoverished due to large medical expenses. The first group of recipients (the categorically needy) mostly includes life-long poor individuals, while the second group (the medically needy) includes people who might have earned substantial amounts of money during their lifetime but have become impoverished by large medical expenses. The categorically needy program thus only affects the savings decision of people who have been poor throughout most of their lives. In contrast, the medically needy program provides some insurance even to people who have higher income and assets. Thus, this second pathway is to some extent going to affect the savings of the relatively higher income and assets people. Show less