The impact of Medicaid on medical utilization in a vulnerable population: Evidence from COFA migrants
In March 2015, the State of Hawaii stopped covering the majority of migrants from countries belonging to the Compact of Free Association (COFA) in its Medicaid program. COFA migrants were required to obtain private insurance in the exchanges established under the Affordable Care Act. Using statewide hospital discharge data, we show that Medicaid-funded hospitalizations and emergency […]
Read MoreEstimating water demand using price differences of wastewater services
Many homes in Hawai‘i use cesspools and other on-site disposal systems (OSDS) instead of the municipal sewer system. Because bills combine water and waste-water services, and homes with OSDS do not pay for sewer service, OSDS residences have lower monthly bills compared to those with sewer-connected systems. We use this price difference in conjunction with […]
Read MoreHow Will Climate Change Affect Water Demand? Evidence from Hawai‘i Microclimates
The effect that climate change will have on water resource sustainability is gaining international interest, particularly in regions where stocks are strained due to changing climate and increasing populations. Past studies focus mainly on how water availability will be affected by climate change, with little attention paid to how consumer behavior is likely to react. […]
Read MoreThe Impact of the Medicaid Expiration on COFA Migrants and COVID19
By Timothy Halliday Policy Background [1] Under the Compacts of Free Association (COFA), citizens from three nation-states located in the Pacific Ocean (the Republic of Palau, the Republic of the Marshall Islands, and the Federated States of Micronesia) are given free entry to the United States. In return, the United States military has access to […]
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