Amanda Kowalski

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Amanda Kowalski
Alma mater Harvard University (AB); Massachusetts Institute of Technology (PhD)
Awards National Science Foundation CAREER Award; ASHEcon Medal
Scientific career
FieldsHealth Economics; Econometrics
Institutions University of Michigan
Thesis Essays on Medical Care Using Semiparametric and Structural Econometrics  (2008)
Academic advisors Jonathan Gruber; Jerry Hausman

Amanda Kowalski is an American health economist serving as the Gail Wilensky Professor of Applied Economics at the University of Michigan. [1] [2] She is an elected member of the executive committee of the American Economic Association, [3] and a research associate at the health, public economics, and aging programs of the National Bureau of Economic Research. [1] Kowalski's research focuses on health policy, in particular on the targeting of treatments and health insurance expansions to those that need them most. [1] She is the winner of the 2019 ASHEcon medal, awarded by the American Society of Health Economists to the best researcher under the age of 40. [4]

Contents

Education

Kowalski received her AB in Economics from Harvard University in 2003, and her PhD in Economics from the Massachusetts Institute of Technology in 2008, where her doctoral research was supervised by Jonathan Gruber and Jerry Hausman. [5] Between her undergraduate and graduate studies, Kowalski worked as a research assistant at the White House Council of Economic Advisers. [2] After completing her PhD, Kowalski joined the National Bureau of Economic Research as a post-doctoral fellow. [1] [2]

Career and research

Kowalski subsequently joined Yale University as an Assistant Professor, where she gained tenure in 2015. [1] In 2018, she moved to the University of Michigan, where she is the Gail Wilensky Professor of Applied Economics. [1] Over the course of her academic career, Kowalski has held visiting appointments at the Brookings Institution, Stanford Institute for Economic Policy Research, and Princeton Center for Health and Well-Being. [1] [2]

In addition to her academic appointments, Kowalski is a research associate at the National Bureau of Economic Research. She was elected to the 2024 executive committee of the American Economic Association, [3] and sits on the board of directors of the American Society of Health Economists. [6]

Kowalski's research interests are in health economics, particularly concerning the targeting of treatments and health insurance expansions to those that need them most. [1] Her research has examined several health policy reforms in the United States, including the 2006 Massachusetts health care reform and Patient Protection and Affordable Care Act. [1]

Massachusetts healthcare reform

Several of Kowalski's early works examined the health effects of the 2006 Massachusetts health care reform. In a paper with Jonathan Kolstad, [7] Kowalski shows that the reform increased the insured population of Massachusetts, with no corresponding increase in the growth rate in hospital costs. [8] This is because of decreases in average length of stay and the number of emergency department admissions. [8]

In a recent paper, [9] Kowalski also addresses discrepancies in estimated effects of the Massachusetts health care reform and Oregon Medicaid health experiment on emergency department visits. She shows that beneficiaries of the Massachusetts health care reform were healthier than their counterparts who received health insurance in Oregon, and that differences in group composition can explain divergent effects on emergency department visitation. [10]

Affordable Care Act and Medicaid expansion

Kowalski has also pursued research on the effects of Medicaid expansion. In a paper with David Brown and Ithai Lurrie, [11] Kowalski shows that expansions to Medicaid in the 1980s and 1990s increased covered children's earnings, increasing tax receipts and decreasing earned income tax credit claims. They find that these effects allowed the government to recoup 56 cents on every dollar of Medicaid spending. [12] [13] [14]

In an article in Brookings Papers on Economic Activity, [15] Kowalski shows that the ACA Medicaid expansions caused welfare losses, with results driven by states that experienced technical glitches [16] or ceded ACA enforcement to the federal government. [17]

Awards and honors

She is the recipient of a National Science Foundation CAREER Award, [18] and won the 2019 ASHEcon medal, awarded by the American Society of Health Economists to the best health economist under the age of 40. [4]

Related Research Articles

<span class="mw-page-title-main">Medicaid</span> United States social health care program for families and individuals with limited resources

In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant portion of their funding.

David Matthew Cutler is an American economist who is the Otto Eckstein Professor of Applied Economics at Harvard University. He was given a five-year term appointment of Harvard College Professor, which recognizes excellence in undergraduate teaching. He holds a joint appointment in the economics department and at Harvard Kennedy School and the Harvard School of Public Health, is a faculty member for the Harvard Center for Population and Development Studies, and serves as commissioner on the Massachusetts Health Policy Commission.

<span class="mw-page-title-main">Massachusetts health care reform</span> 2006 healthcare reform law in Massachusetts

The Massachusetts health care reform, commonly referred to as Romneycare, was a healthcare reform law passed in 2006 and signed into law by Governor Mitt Romney with the aim of providing health insurance to nearly all of the residents of the Commonwealth of Massachusetts.

<span class="mw-page-title-main">Jonathan Gruber (economist)</span> American economist

Jonathan Holmes Gruber is an American professor of economics at the Massachusetts Institute of Technology, where he has taught since 1992. He is also the director of the Health Care Program at the National Bureau of Economic Research, where he is a research associate. An associate editor of both the Journal of Public Economics and the Journal of Health Economics, Gruber has been heavily involved in crafting public health policy.

Healthcare reform in the United States has a long history. Reforms have often been proposed but have rarely been accomplished. In 2010, landmark reform was passed through two federal statutes: the Patient Protection and Affordable Care Act (PPACA), signed March 23, 2010, and the Health Care and Education Reconciliation Act of 2010, which amended the PPACA and became law on March 30, 2010.

<span class="mw-page-title-main">Health insurance coverage in the United States</span>

In the United States, health insurance coverage is provided by several public and private sources. During 2019, the U.S. population overall was approximately 330 million, with 59 million people 65 years of age and over covered by the federal Medicare program. The 273 million non-institutionalized persons under age 65 either obtained their coverage from employer-based or non-employer based sources, or were uninsured. During the year 2019, 89% of the non-institutionalized population had health insurance coverage. Separately, approximately 12 million military personnel received coverage through the Veteran's Administration and Military Health System.

<span class="mw-page-title-main">Affordable Care Act</span> U.S. federal statute also known as Obamacare

The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act (PPACA) and colloquially known as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965.

Katherine Baicker is an American health economist best known for the Oregon Medicaid health experiment. She serves as the provost of the University of Chicago.

The Center for Medicare and Medicaid Innovation is an organization of the United States government under the Centers for Medicare and Medicaid Services (CMS). It was created by the Patient Protection and Affordable Care Act, the 2010 U.S. health care reform legislation. CMS provides healthcare coverage to more than 100 million Americans through Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), and the Health Insurance Marketplace.

<span class="mw-page-title-main">Gail Wilensky</span> American health economist (born 1943)

Gail R. Wilensky is an American health economist who has worked for Republican administrations and candidacies.

Amy Nadya Finkelstein is an American economist who is a professor of economics at the Massachusetts Institute of Technology (MIT), the co-director and research associate of the Public Economics Program at the National Bureau of Economic Research, and the co-Scientific Director of J-PAL North America. She was awarded the 2012 John Bates Clark Medal for her contributions to economics. She was elected to the National Academy of Sciences and won a MacArthur "Genius" fellowship in 2018.

Karen Davis is president of The Commonwealth Fund, a national philanthropy engaged in independent research on health and social policy issues. Davis is an economist, with a career in public policy and research. Before joining The Commonwealth Fund, she served as chairman of the Department of Health Policy and Management at The Johns Hopkins School of Public Health, where she also held an appointment as professor of economics. She served as deputy assistant secretary for health policy in the Department of Health and Human Services from 1977–1980, becoming the first woman to head a U.S. public health service agency.

Janet Currie is a Canadian-American economist and the Henry Putnam Professor of Economics and Public Affairs at Princeton University's School of Public and International Affairs, where she is Co-Director of the Center for Health and Wellbeing. She served as the Chair of the Department of Economics at Princeton from 2014–2018. She also served as the first female Chair of the Department of Economics at Columbia University from 2006–2009. Before Columbia, she taught at the University of California, Los Angeles and at the Massachusetts Institute of Technology. She was named one of the top 10 women in economics by the World Economic Forum in July 2015. She was recognized for her mentorship of younger economists with the Carolyn Shaw Bell Award from the American Economics Association in 2015.

<span class="mw-page-title-main">Oregon Medicaid health experiment</span>

The Oregon health insurance experiment was a research study looking at the effects of the 2008 Medicaid expansion in the U.S. state of Oregon, which occurred based on lottery drawings from a waiting list and thus offered an opportunity to conduct a randomized experiment by comparing a control group of lottery losers to a treatment group of winners, who were eligible to apply for enrollment in the Medicaid expansion program after previously being uninsured.

Heidi Williams is a Professor of Economics at Dartmouth College and Director of Science Policy at the Institute for Progress. She is a graduate of Dartmouth College, and earned her MSc in development economics from Oxford University and her PhD in Economics from Harvard University. Prior to Dartmouth, Williams was the Charles R. Schwab Professor of Economics at Stanford University and an associate professor at the Massachusetts Institute of Technology. She is a member of the National Bureau of Economic Research.

<span class="mw-page-title-main">Medicaid coverage gap</span>

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Kosali Ilayperuma Simon is the Herman B Wells Endowed Professor in health economics at School of Public and Environmental Affairs (SPEA) at Indiana University which she joined in 2010.

Anna Aizer is a labor and health economist, who currently serves as the Maurice R. Greenberg Professor of Economics at Brown University where she is also a Faculty Associate at the Population Studies and Training Center. Her research focuses on child health and well-being, in particular the effect of societal factors and social issues on children's health.

Kate Ho is an economics professor at Princeton University. Since July 2018, Professor Ho has worked in partnership with Janet Currie, as a co-director of Princeton's Center for Health and Wellbeing. Ho specializes in the medical care market and its industrial organization with an emphasis on health insurers and hospitals. Ho studies how price effects and the conditions of care provided by hospitals. She has received several awards for her academic research. Professor Ho is a frequent keynote speaker at conferences across the United States of America.

Sarah Miller is an American health economist currently serving as associate professor of Business Economics and Public Policy in the University of Michigan Ross School of Business. Her research examines the short and long-term effects of health insurance expansions, and the impacts of income on individuals' health and well-being. In 2022, she received the ASHEcon medal, awarded by the American Society of Health Economists to the best health economist under the age of 40.

References

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  3. 1 2 "American Economic Association". www.aeaweb.org. Retrieved 2023-10-19.
  4. 1 2 "Past Award Winners: – ASHEcon" . Retrieved 2023-10-19.
  5. Kowalski, Amanda (2008-05-15). "Essays on Medical Care Using Semiparametric and Structural Econometrics" (PDF). DSpace@MIT. Retrieved 2023-10-19.
  6. "Governance – ASHEcon" . Retrieved 2023-10-27.
  7. Kolstad, Jonathan T.; Kowalski, Amanda E. (2012-12-01). "The impact of health care reform on hospital and preventive care: Evidence from Massachusetts". Journal of Public Economics. Fiscal Federalism. 96 (11): 909–929. doi:10.1016/j.jpubeco.2012.07.003. ISSN   0047-2727. PMC   3501746 .
  8. 1 2 Dokoupil, Tony (2010-11-14). "Mass.: How Health-Care Reform Helps Hospital Costs". Newsweek. Retrieved 2023-10-19.
  9. Kowalski, Amanda (2023-05-09). "Reconciling Seemingly Contradictory Results from the Oregon Health Insurance Experiment and the Massachusetts Health Reform". Review of Economics and Statistics. 105 (3): 646–664.
  10. Gorenstein, Dan (2016-06-27). "What are the true costs of Medicaid?". Marketplace. Retrieved 2023-10-19.
  11. Brown, David W; Kowalski, Amanda E; Lurie, Ithai Z (2019-07-25). "Long-Term Impacts of Childhood Medicaid Expansions on Outcomes in Adulthood". The Review of Economic Studies. 87 (2): 792–821. doi: 10.1093/restud/rdz039 . ISSN   0034-6527. PMC   7453338 .
  12. Sanger-Katz, Margot (2015-01-12). "How Medicaid for Children Partly Pays for Itself". The New York Times. ISSN   0362-4331 . Retrieved 2023-10-19.
  13. Council of Economic Advisers (2014-07-02). "Missed Opportunities: The Consequences of State Decisions Not to Expand Medicaid" (PDF). Retrieved 2023-10-19.
  14. Kliff, Sarah (2015-01-12). "Study: Medicaid expansion boosts kids' incomes and government tax revenue". Vox. Retrieved 2023-10-19.
  15. "The Early Impact of the Affordable Care Act". Brookings. Retrieved 2023-10-27.
  16. Kliff, Sarah (2017-09-05). "This is what Obamacare sabotage looks like". Vox. Retrieved 2023-10-27.
  17. Morath, Eric (2014-09-11). "Obamacare Participants Worse Off, But Don't Blame Washington — Blame States, Paper Says". Wall Street Journal. ISSN   0099-9660 . Retrieved 2023-10-27.
  18. "NSF Award Search: Award # 1350132 – CAREER: Public Health Insurance, Medical Expenditures, and Labor Market Outcomes". www.nsf.gov. Retrieved 2023-10-19.