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Partially Identifying Treatment Effects with an Application to Covering the Uninsured

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  • Brent Kreider
  • Steven C. Hill

Abstract

We extend the nonparametric literature on partially identified probability distributions and use our analytical results to provide sharp bounds on the impact of universal health insurance on provider visits and medical expenditures. Our approach accounts for uncertainty about the reliability of self-reported insurance status as well as uncertainty created by unknown counterfactuals. We construct health insurance validation data using detailed information from the Medical Expenditure Panel Survey. Imposing relatively weak nonparametric assumptions, we estimate that under universal coverage monthly per capita provider visits and expenditures would rise by less than 8 percent and 16 percent, respectively, across the nonelderly population.

Suggested Citation

  • Brent Kreider & Steven C. Hill, 2009. "Partially Identifying Treatment Effects with an Application to Covering the Uninsured," Journal of Human Resources, University of Wisconsin Press, vol. 44(2).
  • Handle: RePEc:uwp:jhriss:v:44:y:2009:i2:p409-449
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    Cited by:

    1. Martin Huber & Giovanni Mellace, 2015. "Sharp Bounds on Causal Effects under Sample Selection," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 77(1), pages 129-151, February.
    2. Brent Kreider & John V. Pepper & Craig Gundersen & Dean Jolliffe, 2012. "Identifying the Effects of SNAP (Food Stamps) on Child Health Outcomes When Participation Is Endogenous and Misreported," Journal of the American Statistical Association, Taylor & Francis Journals, vol. 107(499), pages 958-975, September.
    3. Wooyoung Kim & Koohyun Kwon & Soonwoo Kwon & Sokbae Lee, 2018. "The identification power of smoothness assumptions in models with counterfactual outcomes," Quantitative Economics, Econometric Society, vol. 9(2), pages 617-642, July.
    4. Patrick Hullegie & Tobias J. Klein, 2010. "The effect of private health insurance on medical care utilization and self‐assessed health in Germany," Health Economics, John Wiley & Sons, Ltd., vol. 19(9), pages 1048-1062, September.
    5. Stoye, Jörg, 2012. "Minimax regret treatment choice with covariates or with limited validity of experiments," Journal of Econometrics, Elsevier, vol. 166(1), pages 138-156.
    6. Craig Gundersen & Brent Kreider, 2008. "Food Stamps and Food Insecurity: What Can Be Learned in the Presence of Nonclassical Measurement Error?," Journal of Human Resources, University of Wisconsin Press, vol. 43(2), pages 352-382.
    7. Helen H. Jensen & Brent Kreider & Oleksandr Zhylyevskyy, 2019. "Investigating Treatment Effects of Participating Jointly in SNAP and WIC when the Treatment Is Validated Only for SNAP," Southern Economic Journal, John Wiley & Sons, vol. 86(1), pages 124-155, July.
    8. Brent Kreider & Richard J. Manski & John Moeller & John Pepper, 2015. "The Effect of Dental Insurance on the Use of Dental Care for Older Adults: A Partial Identification Analysis," Health Economics, John Wiley & Sons, Ltd., vol. 24(7), pages 840-858, July.
    9. Krauth Brian, 2016. "Bounding a Linear Causal Effect Using Relative Correlation Restrictions," Journal of Econometric Methods, De Gruyter, vol. 5(1), pages 117-141, January.
    10. Tsunao Okumura & Emiko Usui, 2014. "Concave‐monotone treatment response and monotone treatment selection: With an application to the returns to schooling," Quantitative Economics, Econometric Society, vol. 5, pages 175-194, March.
    11. Jensen, Helen H. & Kreider, Brent E. & Pepper, John V. & Zhylyevskyy, Oleksandr & Greder, Kimberly A., 2023. "Causal effects of mental health on food security," Journal of Health Economics, Elsevier, vol. 92(C).
    12. Punarjit Roychowdhury & Gaurav Dhamija, 2022. "Don't cross the line: Bounding the causal effect of hypergamy violation on domestic violence in India," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 185(4), pages 1952-1978, October.
    13. Gundersen, Craig & Kreider, Brent & Pepper, John, 2012. "The impact of the National School Lunch Program on child health: A nonparametric bounds analysis," Journal of Econometrics, Elsevier, vol. 166(1), pages 79-91.
    14. Brent Kreider & John V. Pepper & Manan Roy, 2016. "Identifying the Effects of WIC on Food Insecurity Among Infants and Children," Southern Economic Journal, John Wiley & Sons, vol. 82(4), pages 1106-1122, April.
    15. Gundersen, Craig & Kreider, Brent, 2009. "Bounding the effects of food insecurity on children's health outcomes," Journal of Health Economics, Elsevier, vol. 28(5), pages 971-983, September.
    16. Monique de Haan, 2011. "The Effect of Parents' Schooling on Child's Schooling: A Nonparametric Bounds Analysis," Journal of Labor Economics, University of Chicago Press, vol. 29(4), pages 859-892.
    17. Stefan Boes, 2009. "Bounds on Counterfactual Distributions Under Semi-Monotonicity Constraints," SOI - Working Papers 0920, Socioeconomic Institute - University of Zurich.
    18. Kreider, Brent, 2006. "Partially Identifying the Prevalence of Health Insurance Given Contaminated Sampling Response Error," Staff General Research Papers Archive 12588, Iowa State University, Department of Economics.
    19. Daniel Millimet & Manan Roy, 2015. "Partial identification of the long-run causal effect of food security on child health," Empirical Economics, Springer, vol. 48(1), pages 83-141, February.
    20. Seoyun Hong & Chang Sik Kim & Hyunchul Kim, 2022. "Measuring the Effects of Bid-Rigging on Prices with Binary Misclassification," Review of Industrial Organization, Springer;The Industrial Organization Society, vol. 61(3), pages 319-339, November.
    21. Jian Huang & Henriëtte Maassen van den Brink & Wim Groot, 2012. "Does education promote social capital? Evidence from IV analysis and nonparametric-bound analysis," Empirical Economics, Springer, vol. 42(3), pages 1011-1034, June.
    22. Manan Roy, 2012. "Identifying the Effect of WIC on Infant Health When Participation is Endogenous and Misreported," Departmental Working Papers 1202, Southern Methodist University, Department of Economics.

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