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Report
Has COVID Changed Consumer Payment Behavior?
Merry, Ellen A.; Stavins, Joanna; Greene, Claire (2022-01-02)
The COVID-19 pandemic has caused large changes in consumer spending, including how people make their payments. We use data from a nationally representative survey of US consumers collected before the pandemic in 2018 and 2019 and in 2020 to analyze changes in consumer payment behavior during the pandemic. We find that compared with their payment behavior in 2019, consumers had shifted some of their purchases from in person to online by fall 2020, significantly lowered their use of cash for purchases, and shifted their person-to-person (P2P) payments away from paper (cash and checks). Those ...
Consumer Payments Research Data Reports , Paper 2022-01

Working Paper
How Important Is Health Inequality for Lifetime Earnings Inequality?
Hosseini, Roozbeh; Kopecky, Karen A.; Zhao, Kai (2021-01-04)
Using a dynamic panel approach, we provide empirical evidence that negative health shocks reduce earnings. The effect is primarily driven by the participation margin and is concentrated in less educated individuals and those with poor health. We build a dynamic, general equilibrium, life cycle model that is consistent with these findings. In the model, individuals whose health is risky and heterogeneous choose to either work, or not work and apply for social security disability insurance (SSDI). Health affects individuals’ productivity, SSDI access, disutility from work, mortality, and ...
FRB Atlanta Working Paper , Paper 2021-1

Report
Access to medication-assisted treatment for opioid use disorder: is Rhode Island different, and why?
Burke, Mary A. (2019-11-01)
This paper assesses the prevalence of medication-assisted treatment (MAT) among treatment episodes for opioid use disorder (OUD) in Rhode Island, as compared with the remaining New England states and the United States as a whole. Based on the Treatment Episode Data Set (TEDS-A), a national census of admissions into publicly funded treatment facilities for substance use disorders, we find that during the period beginning in 2000 through 2017, Rhode Island exhibited a greater tendency to use MAT as part of OUD treatment compared with the average state in the United States and compared with the ...
Current Policy Perspectives , Paper 19-2

Report
An Approach to Predicting Regional Labor Market Effects of Economic Shocks: The COVID-19 Pandemic in New England
Jackson, Osborne (2020-06-29)
The emergence of the COVID-19 pandemic led state and local governments throughout New England and much of the nation to issue ordinances restricting activity that might otherwise contribute to the spread of the disease. Individuals also freely adjusted their behavior, hoping to reduce the chances of infecting themselves or others. As a result, many employers have experienced substantial reductions in sales revenue, which were expected to generate harmful effects on the labor market. Even though the reversal of mandated policies and voluntary behavior changes are well under way, the initial ...
Current Policy Perspectives

Report
Did the Medicaid Expansion Crowd Out Other Payment Sources for Medications for Opioid Use Disorder? Evidence from Rhode Island
Burke, Mary A.; Sullivan, Riley (2022-04-14)
Using information from the all-payer claims database for Rhode Island covering more than three-quarters of health insurance enrollees in the state from April 2011 through May 2019, this paper offers new measures of the association between the Medicaid expansion and the rate of receipt of buprenorphine and methadone for opioid use disorder (OUD). These robust measures adjust for the extent to which new Medicaid payments for these medications that started in 2014 crowded out payments from either non-Medicaid insurance or from non-insurance subsidies for the treatment of opioid abuse. We find ...
Current Policy Perspectives

Report
Sectoral Mobility during the COVID-19 Pandemic
Jackson, Osborne; Cox, Catherine (2022-12-07)
This study uses the longitudinal design of the US Current Population Survey to describe sectoral mobility trends for workers before and after the emergence of COVID-19. We find a small increase in the 15-month rate of workers who switched industries following the onset of the pandemic, likely driven by workers who did not have an unemployment stint following job separation. However, larger changes in sectoral mobility during this time are evident when we examine differences across regions, industries, and individuals who are stratified by characteristics such as sex, age, or education. These ...
Current Policy Perspectives

Report
Can Treatment with Medications for Opioid Use Disorder Improve Employment Prospects? Evidence from Rhode Island Medicaid Enrollees
Burke, Mary A.; Sullivan, Riley (2022-12-01)
The nation’s long-standing crisis of opioid abuse intensified during the COVID-19 pandemic, with opioid-related deaths rising to nearly 81,000 in 2021, an increase of more than 60 percent from just two years earlier. Also during the pandemic, the labor force participation rate in the United States fell precipitously, and as of September 2022 it remained depressed by more than a full percentage point relative to its February 2020 level despite record numbers of job openings in 2021 and 2022. The unfortunate confluence of labor shortages and record-setting opioid mortality highlights the need ...
New England Public Policy Center Research Report , Paper 22-3

Working Paper
You can be too thin (but not too tall): social desirability bias in self-reports of weight and height
Carman, Katherine Grace; Burke, Mary A. (2016-08-15)
Previous studies of survey data for the United States and other countries find that on average women tend to understate their body weight, while on average both men and women overstate their height. Social norms have been posited as a potential explanation for misreporting of weight and height, but researchers disagree on the validity of that explanation. This paper is the first to present a theoretical model of self-reporting behavior for weight and height that explicitly incorporates social desirability bias. The model generates testable implications that can be contrasted with predictions ...
Working Papers , Paper 16-15

Working Paper
Who Gets Medication-assisted Treatment for Opioid Use Disorder, and Does It Reduce Overdose Risk? Evidence from the Rhode Island All-payer Claims Database
Yu, Hao; Wharam, James Frank; Wen, Hefei; Carman, Katherine Grace; Burke, Mary A.; Sullivan, Riley (2021-02-01)
This paper uses the all-payer claims database (APCD) for Rhode Island to study three questions about the use of medication-assisted treatment (MAT) for opioid use disorder (OUD): (1) Does MAT reduce the risk of opioid overdose; (2) are there systematic differences in the uptake of MAT by observable patient-level characteristics; and (3) how successful were federal policy changes implemented in 2016 that sought to promote increased use of buprenorphine, one of three medication options within MAT? Regarding the first question, we find that MAT as practiced in Rhode Island is associated with a ...
Working Papers , Paper 21-3

Working Paper
Rising Geographic Disparities in US Mortality
Gandhi, Kavish; Couillard, Benjamin K.; Foote, Christopher L.; Skinner, Jonathan; Meara, Ellen (2021-09-01)
The 21st century has been a period of rising inequality in both income and health. In this study, we find that geographic inequality in mortality for midlife Americans increased by about 70 percent from 1992 to 2016. This was not simply because states such as New York or California benefited from having a high fraction of college-educated residents who enjoyed the largest health gains during the last several decades. Nor was higher dispersion in mortality caused entirely by the increasing importance of “deaths of despair,” or by rising spatial income inequality during the same period. ...
Working Papers , Paper 21-9

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