Research


Expanding Access to Healthcare in North Carolina: House Bill 149, Takeways and Summarization of Bill Sections.

August 22, 2022

On June 2nd, 2022, the North Carolina Senate voted 44-2 to pass House Bill 149 Expanding Access to Healthcare. While H.B. 149 has gotten significant media coverage related to the Medicaid expansion component, the bill includes several significant changes that will impact state health policy and the business of health in North Carolina. H.B. 149 is composed of five sections: Medicaid expansion, work requirements for certain beneficiaries, certificate of need reform, modernization of nursing regulations, and health insurance reforms. More

Measuring the True Value of Corporate Well-Being Interventions.

July 01, 2021
White Paper

For more than a year, researchers across the University of North Carolina at Chapel Hill’s (UNC) Kenan-Flagler Business School (KFBS) and School of Medicine (SOM) worked with Sharecare, Inc. (Sharecare) to establish a framework for measuring the true value of corporate well-being interventions and develop a measurement tool to quantify their impact over time. The goal of the research was to assess the value of implementing corporate well-being interventions to improve employee health and lower direct medical costs to employers. More

Competition or Conflict of Interest—Stark Choices.

February 22, 2021

The coronavirus disease 2019 pandemic has brought into focus the limits on flexibility and innovation associated with market consolidation in care delivery. While anecdotes about the ossification in care delivery predominate, broader economic indicators point to the negative outcomes of consolidation. More

Prioritize High-Risk Demographics in Vaccine Rollout.

January 29, 2021

People of color are overrepresented relative to their shares of the total population in coronavirus infections, hospitalizations, and deaths. The same is true for people living in over-crowded multigenerational households. Because people of color are more likely to live in multigenerational households than are Whites, the pandemic is having a double whammy effect in communities of color throughout the U.S. More

Solutions for Medicare’s Continual Fiscal Crisis.

January 28, 2021

There are bipartisan Medicare payment proposals that would reduce Medicare payments included in previous Obama and Trump budgets that could go a long way to filling the budget shortfall. While previous policy proposals either proposed new revenue sources or payment reductions, recent policies are pragmatic in nature and attempt to modify either beneficiary or provider behavior. More

Focusing Provider Attention: An Empirical Examination of Incentives and Feedback in Flu Vaccinations.

January 19, 2021

Background: Influenza imposes heavy societal costs through healthcare expenditures, missed days of work, and numerous hospitalizations each year. Considering these costs, the healthcare and behavioral science literature offers suggestions on increasing demand for flu vaccinations. And yet, the adult flu vaccination rate fluctuated between 37% and 46% between 2010 and 2019. More

Estimating Undetected COVID-19 Infections.

January 08, 2021

We specify and estimate a time-varying Markov model of COVID-19 cases for the US in 2020. We find that the estimated level of undetected infections spiked in March and remained elevated through May. However, since late April estimated undetected infections have generally declined though it was not until June or July that detected cases exceeded the estimated number of undetected cases. More

The future of healthcare: Value creation through next-generation business models.

January 04, 2021

While the consumption of healthcare services will likely continue to grow, it is unclear that industry profit pools will expand over the next three years given the impact of the COVID-19 pandemic. Healthcare players who develop new and innovative business models will create disproportionate value in this environment, even as they face long-term challenges. More

Wealth and Insurance Choices: Evidence from U.S. Households.

January 01, 2021

Theoretically, wealthier people should buy less insurance, and should self-insure through saving instead, as insurance entails monitoring costs. Here, we use administrative data for 63,000 individuals and, contrary to theory, find that the wealthier have better life and property insurance coverage. More

The Public Can Trust the FDA’s Vaccine Review Process.

October 16, 2020

With the upcoming November election and calls by President Trump for 1 or more vaccines for coronavirus disease 2019 (COVID-19) to be ready before the end of the year, if not by the election, many have started to wonder whether the US Food and Drug Administration (FDA) can withstand this type of political pressure. More