Irina B. Grafova

School of Public Health
Rutgers, The State University of New Jersey
683 Hoes Lane West
Piscataway, NJ 08854-5635

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Institutional Affiliation: School of Public Health, Rutgers, the State University of New Jersey

NBER Working Papers and Publications

November 2019How Do Economic Shocks Affect Family Health Care Spending Burdens?
with Alan C. Monheit, Rizie Kumar: w26443
We use data from the Medical Expenditure Panel Survey (MEPS) for the years 2004 - 2012 to examine the impact of economic shocks on the family’s out-of-pocket health care spending burden. We define this burden as the share of family income devoted to out-of-pocket health care spending. In contrast to static, cross-sectional analyses, our study examines how the within-family change in spending burden over the two-year MEPS observation period responds to losses in family income, insurance, and employment. We also consider the impact of such losses on single-mother and two-parent families. To do so, we apply fractional response and health expenditure models using the correlated random effects (CRE) method to control for time-invariant, unobserved heterogeneity across family units. We find evid...
July 2014How Does Family Health Care Use Respond to Economic Shocks? Realized and Anticipated Effects
with Alan C. Monheit, Rizie Kumar: w20348
Families in constrained economic circumstances resulting from economic shocks face difficult choices regarding how best to spend their diminished resources. As families strive to preserve their living standards, decisions regarding health care use and its allocation among family members may become more discretionary and complex. Using two-year panel data from the Medical Expenditure Panel Survey for 2004 to 2011, we examine how the intra-family allocation of health care spending responds to realized and anticipated changes in family economic status. We focus on the share of total family health care spending allocated to children, and measure realized economic shocks based on changes in the family's income, employment, and health insurance status. We account for anticipated economic shocks ...

Published: Alan C. Monheit & Irina B. Grafova & Rizie Kumar, 2020. "How does family health care use respond to economic shocks? realized and anticipated effects," Review of Economics of the Household, vol 18(2), pages 307-334.

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