Welfare Implications of Heterogeneity in Value-Added Measures
Paper Session
Friday, Jan. 5, 2024 2:30 PM - 4:30 PM (CST)
- Chair: Michael David Ricks, NBER
Racial Disparities in the Quality of Nursing Home Care
Abstract
We document significant disparities in the quality of publicly-financed nursing home care provided to Black patients and White patients in the United States. To do so, we use detailed data on the physical and mental health of about 0.5 million Black and 4 million White nursing home patients covered by Medicare between 2011 and 2016 to estimate race-specific quality measures for almost 10,000 nursing homes. We estimate that, on average, Black patients in our sample receive a quality of nursing home care that is only about one-third of that received by White patients. About two-thirds of this disparity reflect differences in the quality of care received by observably similar Black and White patients in the same nursing home, rather than differences in which nursing homes different patients go to. Within-nursing home disparities are smaller in nursing homes that treat a larger share of Black patients and in for-profit nursing homes, and larger in nursing homes with higher staffing ratios.Teacher Labor Market Policy and the Theory of the Second Best
Abstract
The teacher labor market is a two-sided matching market where the effects of policies depend on the actions of both sides. We specify a matching model of teachers and schools that we estimate with rich data on teachers' applications and principals' ratings. Both teachers' and principals' preferences deviate from those that would maximize the achievement of economically disadvantaged students: teachers prefer schools with fewer disadvantaged students and largely away from their comparative advantage, and principals' ratings are weakly related to teacher effectiveness. In equilibrium, these two deviations combine to produce a surprisingly equitable current allocation where teacher quality is balanced across advantaged and disadvantaged students. To close academic achievement gaps, policies that address deviations on one side alone are ineffective or harmful, while policies that address both deviations could substantially increase disadvantaged students' achievement.Discussant(s)
Nolan G. Pope
,
University of Maryland
Martin Hackman
,
University of California-Los Angeles
Lars Lefgren
,
Brigham Young University
JEL Classifications
- I0 - General
- H4 - Publicly Provided Goods