IDEAS home Printed from https://ideas.repec.org/p/arx/papers/1908.00216.html
   My bibliography  Save this paper

Hiring in the substance use disorder treatment related sector during the first five years of Medicaid expansion

Author

Listed:
  • Olga Scrivner
  • Thuy Nguyen
  • Kosali Simon
  • Esm'e Middaugh
  • Bledi Taska
  • Katy Borner

Abstract

Effective treatment strategies exist for substance use disorder (SUD), however severe hurdles remain in ensuring adequacy of the SUD treatment (SUDT) workforce as well as improving SUDT affordability, access and stigma. Although evidence shows recent increases in SUD medication access from expanding Medicaid availability under the Affordable Care Act, it is yet unknown whether these policies also led to a growth in the changes in the nature of hiring in SUDT related workforce, partly due to poor data availability. Our study uses novel data to shed light on recent trends in a fast-evolving and policy-relevant labor market, and contributes to understanding the current SUDT related workforce and the effect of Medicaid expansion on hiring attempts in this sector. We examine attempts over 2010-2018 at hiring in the SUDT and related behavioral health sector as background for estimating the causal effect of the 2014-and-beyond state Medicaid expansion on these outcomes through "difference-in-difference" econometric models. We use Burning Glass Technologies (BGT) data covering virtually all U.S. job postings by employers. Nationally, we find little growth in the sector's hiring attempts in 2010-2018 relative to the rest of the economy or to health care as a whole. However, this masks diverging trends in subsectors, which saw reduction in hospital based hiring attempts, increases towards outpatient facilities, and changes in occupational hiring demand shifting from medical personnel towards counselors and social workers. Although Medicaid expansion did not lead to any statistically significant or meaningful change in overall hiring attempts, there was a shift in the hiring landscape.

Suggested Citation

  • Olga Scrivner & Thuy Nguyen & Kosali Simon & Esm'e Middaugh & Bledi Taska & Katy Borner, 2019. "Hiring in the substance use disorder treatment related sector during the first five years of Medicaid expansion," Papers 1908.00216, arXiv.org.
  • Handle: RePEc:arx:papers:1908.00216
    as

    Download full text from publisher

    File URL: http://arxiv.org/pdf/1908.00216
    File Function: Latest version
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ellen Bouchery & Judith Dey, "undated". "Substance Use Disorder Workforce," Mathematica Policy Research Reports 47d4d14a7a32485eba249dfb3, Mathematica Policy Research.
    2. Brad Hershbein & Lisa B. Kahn, 2018. "Do Recessions Accelerate Routine-Biased Technological Change? Evidence from Vacancy Postings," American Economic Review, American Economic Association, vol. 108(7), pages 1737-1772, July.
    3. Jeffrey Clemens & Lisa B. Kahn & Jonathan Meer, 2021. "Dropouts Need Not Apply? The Minimum Wage and Skill Upgrading," Journal of Labor Economics, University of Chicago Press, vol. 39(S1), pages 107-149.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Olga Scrivner & Thuy Nguyen & Kosali Simon & Esmé Middaugh & Bledi Taska & Katy Börner, 2020. "Job postings in the substance use disorder treatment related sector during the first five years of Medicaid expansion," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-15, January.
    2. Emilio Colombo & Alberto Marcato, 2021. "Skill Demand and Labour Market Concentration: Theory and Evidence from Italian Vacancies," DISEIS - Quaderni del Dipartimento di Economia internazionale, delle istituzioni e dello sviluppo dis2104, Università Cattolica del Sacro Cuore, Dipartimento di Economia internazionale, delle istituzioni e dello sviluppo (DISEIS).
    3. Adams-Prassl, Abi & Balgova, Maria & Qian, Matthias, 2020. "Flexible Work Arrangements in Low Wage Jobs: Evidence from Job Vacancy Data," IZA Discussion Papers 13691, Institute of Labor Economics (IZA).
    4. Brian Callaci & Matthew Gibson & Sérgio Pinto & Marshall Steinbaum & Matt Walsh, 2024. "Grads on the Go: The Effect of Franchise No-Poaching Restrictions On Worker Earnings," Upjohn Working Papers 24-405, W.E. Upjohn Institute for Employment Research.
    5. Elodie Andrieu & Malgorzata Kuczera, 2023. "Minimum Wage and Skills -Evidence from Job Vacancy Data," Working Papers 034, The Productivity Institute.
    6. Daniel Kreisman & Jonathan Smith & Bondi Arifin, 2023. "Labor Market Signaling and the Value of College: Evidence from Resumes and the Truth," Journal of Human Resources, University of Wisconsin Press, vol. 58(6), pages 1820-1849.
    7. Abi Adams-Prassl & Tom Waters & Maria Balgova & Matthias Qian, 2023. "Firm concentration & job design: the case of schedule flexible work arrangements," IFS Working Papers W23/14, Institute for Fiscal Studies.
    8. Kapelyuk, Sergey & Karelin, Iliya, 2023. "Digital Skills: Classification, Empirical Estimates of the Demand," MPRA Paper 119644, University Library of Munich, Germany.
    9. Adams-Prassl, Abigail & Balgova, Maria & Qian, Matthias, 2020. "Flexible Work Arrangements in Low Wage Jobs: Evidence from Job Vacancy Data," CEPR Discussion Papers 15263, C.E.P.R. Discussion Papers.
    10. Nicholas Bloom & Tarek Alexander Hassan & Aakash Kalyani & Josh Lerner & Ahmed Tahoun, 2021. "The diffusion of disruptive technologies," CEP Discussion Papers dp1798, Centre for Economic Performance, LSE.
    11. José Azar & Emiliano Huet-Vaughn & Ioana Marinescu & Bledi Taska & Till von Wachter, 2019. "Minimum Wage Employment Effects and Labor Market Concentration," NBER Working Papers 26101, National Bureau of Economic Research, Inc.
    12. John Carter Braxton & Kyle F. Herkenhoff & Jonathan Rothbaum & Lawrence Schmidt, 2021. "Changing Income Risk across the US Skill Distribution: Evidence from a Generalized Kalman Filter," Opportunity and Inclusive Growth Institute Working Papers 55, Federal Reserve Bank of Minneapolis.
    13. Hershbein, Brad, 2018. "Discussion for JME special issue: APST paper," Journal of Monetary Economics, Elsevier, vol. 97(C), pages 68-70.
    14. Adams, Camilla & Meer, Jonathan & Sloan, CarlyWill, 2022. "The minimum wage and search effort," Economics Letters, Elsevier, vol. 212(C).
    15. Maciej Berk{e}sewicz & Herman Cherniaiev & Robert Pater, 2021. "Estimating the number of entities with vacancies using administrative and online data," Papers 2106.03263, arXiv.org.
    16. Barth, Erling & Davis, James C. & Freeman, Richard B. & McElheran, Kristina, 2023. "Twisting the demand curve: Digitalization and the older workforce," Journal of Econometrics, Elsevier, vol. 233(2), pages 443-467.
    17. Grinis, Inna, 2017. "The STEM requirements of "non-STEM" jobs: evidence from UK online vacancy postings and implications for skills & knowledge shortages," LSE Research Online Documents on Economics 85123, London School of Economics and Political Science, LSE Library.
    18. Stephan Brunow & Stefanie Lösch & Ostap Okhrin, 2022. "Labor market tightness and individual wage growth: evidence from Germany," Journal for Labour Market Research, Springer;Institute for Employment Research/ Institut für Arbeitsmarkt- und Berufsforschung (IAB), vol. 56(1), pages 1-21, December.
    19. David Deming & Lisa B. Kahn, 2018. "Skill Requirements across Firms and Labor Markets: Evidence from Job Postings for Professionals," Journal of Labor Economics, University of Chicago Press, vol. 36(S1), pages 337-369.
    20. Zhang, Ming-ang & Lu, Shuling & Zhang, Sihan & Bai, Yanfeng, 2023. "The unintended consequence of minimum wage hikes: Evidence based on firms' pollution emission," Energy Economics, Elsevier, vol. 125(C).

    More about this item

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:arx:papers:1908.00216. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: arXiv administrators (email available below). General contact details of provider: http://arxiv.org/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.