SAES-422 Multistate Research Activity Accomplishments Report
Sections
Status: Approved
Basic Information
- Project No. and Title: NC_old2172 : Behavioral economics and the intersection of healthcare and financial decision making across the lifespan
- Period Covered: 08/01/2018 to 07/31/2019
- Date of Report: 08/14/2019
- Annual Meeting Dates: 06/05/2019 to 06/06/2019
Participants
Barbara O’Neill – Rutgers University (on-line) Bidisha Mandal – Washington State University Carrie Johnson, Vice Chair – North Dakota Cooperative Extension Elizabeth Kiss – Kansas State University Jinhee Kim – Maryland Cooperative Extension (on-line) Lauren Jones – Ohio State University Lorna Wounded Head, Secretary -South Dakota State University Michael Gutter – University of Florida (on-line) Nilton Porto – University of Rhode Island Sheri Worthy– University of Georgia Soo Hyun Cho– California State University, Long Beach Swarn Chatterjee—University of Georgia Tim Griesdorn – University of Incarnate Word (on-line) Travis Mountain – Virginia Polytechnic Institute and State University Yilan Xu, Chair - University of Illinois (on-line)
Accomplishments
- The group has started several research projects on financial and health wellness.
- A publication of the group was listed among the Top 10 most downloaded articles of FCSRJ during 2018: Homeownership among Millennials: The Deferred American Dream. By Yilan Xu, Carrie Johnson, Suzanne Bartholomae, Barbara O’Neill, and Michael S. Gutter. FCSRJ 2015, December 44(2). 610 down loads.
- The group published thirteen peer-reviewed articles, and one manuscript is under peer review.
- Five presentations were made based on the NC 2172 research.
- Partnership and collaborations with external stakeholders: Currently NC 2172 team is in consultation with NORC for possible research collaboration on health and finance. The group is also partnering with UF Cancer Center and several oncology clinics to study financial toxicity of medical debt and the financial and health decision-making of cancer patients.
- Gutter, Mountain, and Salloum (2019) obtained funding from the Abt Associates (Source CFPB) for the project titled “Financial Well Being of Cancer Patients. Funded”.
Activities:
- The project was renewed in May 2018 as “NC2172: Behavioral economics and the intersection of healthcare and financial decision making across the lifespan.” In this past year, the group has been focusing on following through legacy projects and establishing new projects.
- The group has surveyed data sets that collect health insurance and patient related information in search for data to study financial and health wellness.
- The group is establishing an outreach website to disseminate the group’s research results. The first batch of blog, podcast, and infogram have been prepared for publication on the website out of the group’s most recent publication: O’Neill, B., Xu, Y., Johnson, C., Kiss, D.E., & Buyske, S. (2019). “As Soon As…” Finances: A Study of Financial Decision-Making. Journal of Personal Finance, 18(1), 37-53.
- The team is establishing partnerships with Cancer Centers and oncology clinics at member institutes to conduct surveys and collect data from cancer patients and their caregivers.
- Several presentations were made at the annual conferences of the American Council on Consumer Interests, North American Regional Science Council, Association for Financial Counseling and Planning Education,and the National Health Outreach Conference, the CFP Board Academic Research Colloquium.
- The group continued to publish at leading consumer and family science journals.
Presentations:
- Porto, N, Gutter. M and Cho, S. Anchoring Effects on Student Loan Decisions: Evidence from an Experimental Design, 2019 ACCI, Arlington, Virginia.
- Mandal, B. The effect of rurality of residential location on diagnoses of chronic conditions among older Medicaid enrollees. (2018). North American Regional Science Council, San Antonio, Texas.
- Kiss, D.E., Xu, Y., Saboe-Wounded Head, L, Gutter, M. and O’Neill, B. (2019) Insights from a Systematic Review of Retirement Planning Recommendations. American Council on Consumer Interests, Arlington, VA, 2019.
- Gutter,M.S.; Szurek, S.; Navarro, G.; Duncan, L.; and Lynch, W. (2019) Financial Toxicity Impacting Cancer Patients in Rural Populations. National Health Outreach Conference, Ft Worth Texas
- Kiss, D.E., Xu, Y., Saboe-Wounded Head, L, Gutter, M. and O’Neill, B. (2019) Retirement planning recommendations from a systematic analysis of financial planning journals. 2019 CFP Board Academic Research Colloquium
- Crawford, C. & Lawrence, F. Exceeding Expectations -The Synergy of Personal Finance and Positive Psychology to Boost Wellbeing in Retirement Planning.” Association for Financial Counseling and Planning Education. Association for Financial Counseling and Planning Education Annual Conference, Norfolk, VA, November 16, 2018.
Milestones:
- The group has started a project to study trends in Medicaid take-up rates in non-expansion states from 2012 until 2017. Multiple studies have documented significant increases in Medicaid enrollment rates and reductions in uninsured rates among the low-income population in states that opted to expand Medicaid under the Affordable Care Act (ACA). An interesting phenomenon is that there appears to be an increase in Medicaid enrollment rates in non-expansion states too, along with a substantial drop in uninsurance rates. While the latter trend could be driven by the individual and employer mandates of the ACA, the increase in Medicaid coverage rates in non-expansion states is puzzling. The objective of this study is to understand the Medicaid eligibility conditions in each of the non-expansion states before and after the ACA, and to examine the socio-economic background of Medicaid enrollees in these states in the two time periods. The group planned to submit grant proposal for funds to conduct surveys in partnership with NORC to investigate reasons for Medicaid non-enrollment among the eligible population in both expansion and non-expansion states.
- The group has started an outreach website to disseminate the research results of the group. The production of outreach materials, including blogs, podcasts, and infograms, will be integrated as part of the research process of the group.
- On August 1, Sharon Devaney will have completed 10 years as Editor of the Family and Consumer Sciences Research Journal, published by Wiley Blackwell. She has served as editor for 40 issues with approximately 250 articles published during those 10 years. Each issue includes a 2- to 3-page Editorial Note to introduce the issue.
Impacts
- Twenty institutions from across the U.S. have come together to examine the intersection of financial capability and health decisions. Consumers face many choices related to paying for health insurance and healthcare. A 2017 Urban Institute reports that medical debt is the most common financial burden in the U.S. with current estimates suggesting that 1 in 6 Americans have past due healthcare bills on their credit report. This implies that there is an important relationship between the physical and financial health of American families. A better understanding of how families make simultaneous financial and health decisions will advance research on how health access affects a variety of financial outcomes for families; including wealth and asset building, retirement planning, and human capital investments. A group of researchers of NC 2172 have identified several urgent research topics in this area. They have conducted symposium discussions at national conferences to collect field data about health outreach practitioners’ and financial wellness extension specialists’ view of the intersection of financial and health wellness. More impact will be emerging at this point as the project spans 2018-2023.
Publications
Mandal, Bidisha, and Michael P. Brady. "The Roles of Gender and Marital Status on Risky Asset Allocation Decisions." Journal of Consumer Affairs. In press. https://doi.org/10.1111/joca.12261
O’Neill, B., Xu, Y., Johnson, C., Kiss, D.E., & Buyske, S. (2019). “As Soon As…” Finances: A Study of Financial Decision-Making. Journal of Personal Finance, 18(1), 37-53.
Johnson, C.L., Hanson, B., Evans, D., Kim, J., Long, A., & Fife, J. (2019). How Americans define affordable housing. Family and Consumer Sciences Research Journal, 47(4).
Bartholomae, S., Kiss, D. E., Jurgenson, J. B., O’Neill, B., Worthy, S. L., & Kim, J. (2019). Framing the human capital investment decision: Examining gender bias in student loan borrowing. Journal of Family and Economic Issues, 40(1), 132-145.
Mountain, T. P., Kim, N., Gutter, M. S., Kiss, E., Cho, S. H., & Johnson, C. (2019). An exploration of gender bias, framing, and student loan decisions through an experimental design. Journal of Family and Economic Issues. https://doi.org/10.1007/s10834-019-09640-4
DeVaney, S. A., Wilmarth, M. J., Lee, Y-A., Delgadillo, L., & Spangler, A. (2019). Helping Graduate Students Develop a Research Path. Family and Consumer Sciences Research Journal, 47(4), June, 384-394.
Cho, S. H., Kim, K. T., & DeVaney, S. A. (2019). Racial and Ethnic Differences in Holding a Retirement Saving Motive: A Decomposition Analysis. Consumer Interests Annual.
Book Review: Successful Academic Writing: A Complete Guide for Social and Behavioral Scientists. By A. A. Singh and L. Lukkarila. Reviewed by Sharon A. DeVaney. (2018). Family and Consumer Sciences Research Journal, 46(3), March. 317-319.
Book Review: Treating People Well: The Extraordinary Power of Civility at Work and in Life. By L. Berman and J. Barnard. Reviewed by Sharon A. DeVaney. (2018). Family and Consumer Sciences Research Journal, 47(1), September, 105-106.
Book Review: 100 Years Enriching Lives. Family and Consumer Sciences at University of Georgia. By S. Shannon-Paximadas. (2018). Family and Consumer Sciences Research Journal, 47(2), December, 191-194.
Crawford, C., & Lawrence, F. (2019). Exceeding expectations: The synergy of personal finance and positive psychology to boost well-being in retirement planning. Proceedings of the Association for Financial Counseling and Planning Education.
Crawford, C., Lawrence, F. & Herring, D. (2018). Retirement planning: Boosting wellbeing by combining financial and positive psychology research and best practices. Consumer Interests Annual, 64.
Rabbani, A., O’Neill, B, Lawrence, F.,& Grable, J. (2018). The investment risk tolerance assessment: A resource for extension educators. Journal of Extension, 56(7), https://joe.org/joe/2018december/pdf/JOE_v56_7tt4.pdf.