This page collects current working papers and projects in progress.

Job Market 2026–27

Health Costs of Firms Job Market Paper | Working paper

Abstract - Little is known about the contribution of firms to variation in workers’ healthcare expenditure. I use linked Dutch employer–employee data and workers moving across firms to separate persistent worker and firm differences in healthcare expenditure. Moving a worker to a firm with a fixed effect one standard deviation higher would raise expected annual expenditure by 17.8%. The top–bottom quintile gap in firm effects is comparable to the expenditure gradients by income and wealth. Over half of the across-firm dispersion is within industry. Supporting a health-risk interpretation, moving to a firm with higher coworker expenditure increases use of pain management medication, and exposure to high-effect firms predicts disability and mortality. These firms pay higher wage premia, but mainly between rather than within industries. Because healthcare is collectively financed, firms generate a fiscal externality: healthcare expenditure they do not fully bear.

When Is the Mover-Design Event Study Coefficient a Place-Effect Share? Companion Paper to the Job Market Paper | Working paper

Abstract - Mover-design event studies are a leading approach to separating place effects from sorting. The coefficient is often interpreted as the share of cross-sectional variation in location means due to places. I show the coefficient depends on how movers connect locations: two economies can be identical in place effects, sorting, and location means, yet deliver different mover coefficients. Only under directional isotropy, a testable condition, does the coefficient permit a cross-sectional reading: it averages the variance share of place effects and the share that equalizing them removes. An illustration in Dutch employer–employee wage data rejects the condition.

Relation to the job market paper - This paper makes precise what mover-design event-study coefficients do and do not identify, a question the literature had left implicit. The coefficient maps into a cross-sectional share only under a testable restriction on mobility patterns, and even then it recovers a share of the dispersion in firm averages, not the contribution of firms to expenditure differences across individual workers. That distinction is why the job market paper estimates the latter object directly rather than relying on the event-study share.

Working Papers

Disambiguating Information Interventions With Aurelien Baillon and Francesco Capozza | Working paper

Abstract - Information experiments read reported probabilities as beliefs. When the odds are unknown, a reported probability also reflects two ambiguity attitudes: aversion pushes it in the pessimistic direction; coarse perception pulls it toward one half. Information changes these attitudes as well as the belief, so a change in a reported probability is not a change in belief. We characterize the designs that identify the belief and both attitudes. A single elicited probability does not identify even the sign of the belief change; we give the threshold beyond which the sign is trustworthy. A known six-bet design identifies all three, run once in each information condition. We use it in a randomized experiment in a Dutch population panel, betting on a matched panel member’s doctor visits. At face value, the reported probabilities show no detectable effect, which is not evidence about beliefs. Recovered beliefs show improved predictive accuracy and lower ambiguity aversion.

Mental Health Literacy, Beliefs and Demand for Support among University Students Revise and Resubmit, Experimental Economics. With Michelle Acampora and Francesco Capozza | Working paper

Abstract - This paper assesses the impact of a mental health literacy intervention on the demand for mental health support among university students. We run a field experiment with 2,978 students at a large Dutch university. The intervention raises willingness to pay and demand for a mental-health app among male respondents, and shifts information demand from psychological counselling toward coaching, driven by students with moderate distress. Increased perceived effectiveness of low-intensity therapy appears to be the mechanism. A three-week follow-up suggests a moderate improvement in mental-health scores for treated female students, consistent with higher care-seeking.

Combining Boundary and Interior Information in Ordered Multi-Threshold Regression Discontinuity Designs With Saeed Badri | Working paper

Abstract - Ordered multi-threshold regression discontinuity designs often require aggregating local discontinuities across several known cutoffs. This paper shows that such aggregate parameters can be decomposed into boundary terms and smooth contrasts between adjacent thresholds. Interior observations do not identify a single RD jump, but they are informative about these smooth segment contrasts. We develop an integrated-derivative estimator for segment contrasts by numerically integrating nonparametric estimates of the derivative of the conditional mean between adjacent thresholds. We derive its asymptotic distribution, including the leading bias and a feasible variance formula. The main result shows that the integrated-derivative estimator is asymptotically independent of the corresponding boundary-level estimator for the same smooth contrast. This independence yields a transparent inverse-variance combination of boundary and interior signals. The combined estimator is an augmentation of boundary-level estimation and is most useful when boundary information is sparse or noisy. Simulations confirm the distributional approximation and show modest gains under regular designs and larger gains in sparse-boundary designs.

Childhood Mental Health Effects of Early-Life Exposure to a Parental Job Loss With Pilar Garcia-Gomez and Tom Van Ourti | Draft available upon request

Abstract - We study the mental health effects of early life exposure to paternal job loss. Using nationwide individual-level administrative register records, we focus on firm-closure-induced job losses for fathers with children below age five in the Netherlands. These children are more likely to take mental health-related medicines in their later childhood, and this increase is mainly driven by psychostimulant drugs. The increased uptake of psychostimulants ranges from 15 percent of mean uptake in the control group at age five to around 9 percent at age twelve. The effects are significantly larger for families with mothers being the main breadwinner, suggesting that the drop in paternal income resulting from displacement is not the main driver of psychostimulant uptake. We further find that the father is more likely to take mental health medication around the time of job loss, and that the children exposed to paternal job loss are more likely to live in dissolved families. We find no evidence of exposed children living in neighborhoods with different rates of psychostimulant consumption compared to control children, while parents of treated children do report more impulsive behavior and inattention symptoms.

Work in Progress

Mental Models of Mental Health With Sonia Bhalotra and Francesco Capozza.
Female Practice Ownership and Women's Care: Evidence from Local Variation in Practice Owners With Elisa de Weerd.
Do Patients or Physicians Drive Variation in Medication Costs in India? With Ajay Bhaskarabhatla, Owen O'Donnell, and Shalvi Thakur.
Dutch Colorectal Cancer Screening Program: Policy Learning under Equality Concerns and Capacity Constraints With I. Lansdorp-Vogelaar, O. O'Donnell, M. Robson, E. Toes-Zoutendijk, R. van Gestel, and Tom Van Ourti.

Medical and Health Policy