This paper uses data from 802,777 veterans assigned to 7,548 primary care providers (PCPs) within the Veterans Health Administration (VHA) to examine variations in the efficacy of primary care providers (PCPs), their consequences for health outcomes, and their determinants. Leveraging...

Although there is a large gap between Black and White American life expectancies, the gap fell 48.9% between 1990-2018, mainly due to mortality declines among Black Americans. We examine age-specific mortality trends and racial gaps in life expectancy in rich and poor U.S. areas and with...

We examine the impact of the opening of a new urgent care center (UCC) on health care costs and the utilization of care among nearby Medicare beneficiaries. We focus on 2006-2016, a period of rapid UCC expansion. We find that total Medicare spending rises when residents of a zip code are first...

The continuing drug overdose crisis in the U.S. has highlighted the urgent need for greater access to treatment. This paper examines the impact of openings and closings of substance abuse treatment facilities in New Jersey on emergency room visits for substance abuse issues among nearby...

We use restricted natality microdata covering the universe of U.S. births for 2015-2021 and California births from 2015 to August 2022 to examine the childbearing response to the COVID-19 pandemic. Although fertility rates declined in 2020, these declines appear to reflect reductions in travel...

Following decades of increasing child access to public health insurance, enrollments fell in many states between 2016 and 2019 and the number of uninsured children increased. This study provides the first national, quantitative assessment of the role of several common types of administrative...

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a widely used program. Previous research shows that WIC improves birth outcomes, but evidence about impacts on children and families is limited. We use a regression discontinuity leveraging an age five when...

We ask how competition influences the prescribing practices of physicians. Law changes granting nurse practitioners (NPs) the ability to prescribe controlled substances without physician collaboration or oversight generate exogenous variation in competition. In response, we find that general...

Firearm violence is a pervasive public health crisis in the United States, with significant numbers of homicides involving firearms, including indiscriminate shootings in public spaces. This paper investigates the largely unexplored consequences of stress induced by these attacks on newborn...

Black mothers with unscheduled deliveries are 25 percent more likely to deliver by C-section than non-Hispanic white mothers. The gap is highest for mothers with the lowest risk and is reduced by only four percentage points when controlling for observed medical risk factors, sociodemographic...