Meghan I. Esson
Introduction
My research investigates how insurance status, reimbursement policies, and regulatory changes shape healthcare provision, the financial resilience of healthcare providers, and patient outcomes. My current work centers on:
Healthcare Utilization and Financial Incentives: I examine the dynamics of emergency medical services, particularly how policy shifts like Medicaid expansion and private equity investments in ambulance services influence financial outcomes and patient health. My research has uncovered how Medicare's reimbursement structures lead to moral hazard among both consumers and providers, intensifying ambulance usage and upcoding practices, with significant spillover effects on emergency departments.
Hospital Financial Strategy and Risk Management: I explore how hospitals adjust their investment decisions in response to changes in tail risk, assessing the implications for patient health. This includes how Medicaid expansion interacts with state-level charity care mandates, impacting hospital finances.
Insurance Market Dynamics and Policy Implications: My research on moral hazard extends to insurance markets, where I analyze how charity care policies influence insurance take-up (or “charity hazard”), and how moral hazard, compounded by subsidies and community rating, can mimic adverse selection, posing challenges to insurance market stability.
Current Positions
- Assistant Professor, Finance
- Aegon Transamerica RMI Fellowship, Finance
Education
- PhD in Economics, University of Georgia
- BS in Economics, American University
Research Interests
- Insurance Economics
- Hospital Finances
- Risk/Uncertainty and Investment
- Health Economics
- Public Policy Analysis
Selected Awards & Honors
- Les B. Strickler Innovation in Instruction Award - American Risk and Insurance Association, 2024
Selected Publications
- Ellis, C. & Esson, M. (2021). Crowd-Out and Emergency Department Utilization. Journal of Health Economics. 80.
- Berry-Stölzle, T. & Esson, M. (2023). Capital Issuances and Premium Growth in the Property-Liability Insurance Industry: Evidence from the Financial Crisis and COVID-19 Recession. The Geneva Papers on Risk and Insurance - Issues and Practice.
Working Papers
- Ellis, C., Esson, M., & Liebman, E. (2025). Moral Hazard Induced Unraveling: Theory and Evidence from the Affordable Care Act.
- Ellis, C., Esson, M., & Liebman, E. (2024). Moral Hazard on the ACA Exchanges: Evidence from a Cost-Sharing Subsidy Discontinuity.
- Esson, M. (2024). Incentive Misalignment in Ambulance Reimbursement: An Analysis of Medicare Payment Systems.
- Esson, M. & Luo, J. (2024). Firm Investment in the Face of Tail Risk: Evidence from Hospitals.
- Ellis, C. & Esson, M. (2024). Private Equity in Public-Provider Markets: Operating Efficiency vs. Cream-Skimming.
Employment History
- Visiting Assistant Professor, Finance, University of Iowa, 2022 - 2023
- Assistant Professor, Department of Economics, Bentley University, 2019 - 2022