Tatyana Deryugina – University of Illinois

Natural Disasters and Elective Medical Services


We match information on hurricanes to data on Medicare hospital elective visits and charges from 1997-2013, comparing counties impacted by hurricanes to nearby unaffected counties. We find that the average hurricane reduces elective services by about 7% in the month it makes landfall. For the most severe hurricanes, we estimate a reduction of more than 20%. Services return to baseline fairly rapidly, but for severe hurricanes it takes a year or more to make up lost revenues. Similar responses in the months after hurricanes of different severity suggest that capacity constraints limit the ability of providers to make up for lost revenues.



Tatyana Deryugina is an Associate Professor of Finance at the University of Illinois. Her research agenda focuses on environmental risk. She has studied the economic costs of both natural and man-made environmental shocks, including hurricanes, climate change, hazardous substance spills, and air pollution. Her work includes evaluating the impacts of Hurricane Katrina on the long-run labor market outcomes and survival of residents of New Orleans; estimating the social costs of acute air pollution exposure; and assessing the effect of temperature on the U.S. economy. She has also investigated how farmers adjust their crop insurance choices in anticipation of disaster assistance, how scientific opinions affect laypersons’ beliefs about climate change, and how building energy codes and electricity prices affect energy consumption.
Tatyana Deryugina is a co-editor at the Journal of the Association of Environmental and Resource Economists (JAERE) and at Environmental and Energy Policy and the Economy. She also serves on the board of editors of AEJ: Policy. She is affiliated with the National Bureau of Economic Research, the Institute for the Study of Labor (IZA), the E2e Project, and the CESifo Research Network.
Professor Deryugina holds a PhD in Economics from MIT, a BA in Applied Mathematics from UC Berkeley, and a BS in Environmental Economics and Policy from UC Berkeley.

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