Research

Job Market Paper

Get Fit with MA? Estimating the Impact of Medicare Advantage on Physical Activity

with Jing Li

Paper

This paper studies whether Medicare Advantage enrollment increases physical activity around the age-65 Medicare eligibility threshold. Using nationally representative survey data and a regression discontinuity difference-in-differences design, we find a larger increase in daily exercise among MA enrollees relative to the comparison group, with stronger responses among women, non-White adults, and adults without a college degree.

Topics: Medicare Advantage · Physical Activity · Healthy Aging · Causal Inference


Peer-Reviewed Publications

Associations between Use of Targeted Therapies, Hospitalizations and Emergency Department Visits Among Patients with Atopic Dermatitis: A Retrospective Cohort Study

with R. Ta, K. E. Lee, and J. Li

Journal of Managed Care & Specialty Pharmacy

Factors Associated with Discontinued Participation in a Fruit and Vegetable Incentive Program in Seattle, Washington (United States): The Role of Community-Based Organizations in Engaging Non-English Speakers

with P. Chaparro, J. Wallace, J. Jones-Smith, B. Baquero, and M. Knox

Preventive Medicine Reports (2026), 103567

Paper

This study examines discontinued participation in Seattle’s Fresh Bucks fruit and vegetable incentive program, with particular attention to the role of community-supported enrollment in engaging non-English-speaking households.


Working Papers

Cross-National Analysis of the Determinants of Later-Life Cognitive Performance in the United States, the Caribbean, and Mexico

with Jing Li, Chris Soria, Jorge Llibre-Guerra, M.-M. Liu, D. Acosta, I. Jiménez Velázquez, J. J. Llibre-Rodriguez, and William H. Dow

This study examines cross-national differences in later-life cognitive performance in the United States, the Caribbean, and Mexico, with particular attention to the contribution of education and other socioeconomic characteristics.

Available upon request.

Light Physical Activity, Functional Reserve, and Nursing-Home Use among Older Medicare Beneficiaries

with H. M. Kim

This study examines the relationship between light physical activity, functional reserve, and nursing-home use among older Medicare beneficiaries.

Available upon request.

Move to Move? Neighborhood Fitness Culture and Exercise Among Older Adults

This paper studies whether neighborhood fitness culture affects physical activity among older adults. Using the Health and Retirement Study linked to restricted ZIP-code identifiers, I examine whether changes in neighborhood fitness culture following residential moves are associated with changes in exercise behavior. The analysis combines a mover-based design with event-study evidence to study the role of local environments in shaping preventive health behavior.

Topics: Neighborhood Effects · Physical Activity · Healthy Aging

Available upon request.

Fitness and Childhood Obesity in Slovenia: Evidence from Municipal Data

with G. Starc, T. Jagrič, B. Leskošek, A. Martinko, M. Sorić, P. Došenović Bonča, and G. Jurak

This study examines geographic variation in childhood fitness and obesity using municipal-level data from Slovenia.

Available upon request.

Fitness as National Capital: A Simulation Model of Fitness and Healthcare Costs

with T. Jagrič, P. Došenović Bonča, G. Starc, B. Leskošek, A. Martinko, M. Sorić, and G. Jurak

This project develops a simulation framework linking population fitness to long-run healthcare costs.

Available upon request.

Do Unionized Firms Have Better Management Practices?

with Arnab Basu

Paper

Using restricted data from the World Management Survey, we examine the relationship between labor unions and management practices across private manufacturing firms in Latin America, North America, and Europe. We find that unionized firms are better managed overall, while the relationship differs across management domains. Unionized firms score lower on people-management practices but higher on operations, monitoring, and target-setting practices.


Work in Progress

Occupational Characteristics and Rural–Urban Disparities in Later-Life Cognitive Performance

with Jing Li and William H. Dow

This project examines whether occupational characteristics help explain rural–urban disparities in later-life cognitive performance. Using Health and Retirement Study data linked to O*NET, the analysis characterizes occupations along cognitive, social-interaction, and machine-related dimensions and studies their contribution to geographic differences in cognitive outcomes.

Where Seniors Sweat: Geographic Variation in SilverSneakers Uptake

with Liza Rovniak and Dori Rosenberg

This project studies geographic variation in participation in SilverSneakers among older adults, with a focus on differences in uptake, participation intensity, adherence, and dropout across communities. The analysis examines how local program availability, Medicare Advantage penetration, facility access, and population characteristics are associated with participation in supplemental fitness benefits.