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Andrew Olenski
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Journal Articles
Publisher: Journals Gateway
The Review of Economics and Statistics 1–31.
Published: 29 October 2024
Abstract
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Worker shortages are common in many industries. This paper examines the effect of government subsidies to address these shortages in the context of a reform that tied Medicaid payments to nursing home staffing levels. We find that the reform substantially increased staffing, especially for facilities serving many Medicaid patients. Facilities responded primarily by hiring workers in lower-wage roles rather than increasing hours of incumbent or high-wage staff. This contrasts with null effects we estimate for a non-incentivized rate increase, suggesting that the incentive structure of government payments—rather than just the level—is key to boosting employment in sectors facing worker shortages.
Includes: Supplementary data
Journal Articles
Publisher: Journals Gateway
The Review of Economics and Statistics 1–31.
Published: 30 April 2024
Abstract
View article
PDF
We use variational inference (VI), a technique from the machine learning literature, to estimate a mortality-based Bayesian model of nursing home quality accounting for selection. We demonstrate how one can use VI to quickly and flexibly estimate a high-dimensional economic model with large datasets. Using our facility quality estimates, we examine the correlates of quality and find that public report cards have near-zero correlation. We then show that in contrast to prior literature, higher quality nursing homes fared better during the pandemic: a one standard deviation increase in quality corresponds to 2.5% fewer Covid-19 cases.
Includes: Supplementary data