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Elena Prager University of Rochester

Elena Prager

Assistant Professor of Economics

  • Rochester NY UNITED STATES
  • Carol Simon Hall 3-149
  • Simon School of Business

Prager is an empirical economist and an expert in the industrial organization of health care markets and labor markets.


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Areas of Expertise

Health Care Pricing
Supplemental Nutrition Assistance Program (SNAP)
No-poaching Agreements
Mergers and Acquisitions
Labor Economics
Health Insurance
Health Care Economics
Employer Market Power
Collusion
Antitrust Policy

Media

Social

Biography

Elena Prager is an economist with expertise in antitrust enforcement, collusion, health insurance design, and health care prices. As part of her research on antitrust, she has written award-winning work on employer market power, including the effects of employer mergers on workers and the precursors to employer collusion. Prager’s research focuses on policy-relevant topics and is frequently cited by the Congressional Budget Office, Department of Justice, and Federal Trade Commission. She has presented at public-facing policy events and been interviewed by news outlets including National Public Radio and The New York Times. Prior to the University of Rochester, Prager was on the faculty of Northwestern University’s Kellogg School of Management.

Education

The Wharton School | University of Pennsylvania

PhD

Managerial Sciences and Applied Economics

2016

The Wharton School | University of Pennsylvania

MS

Health Care Management

2013

York University

International BBA

International Business Administration

2011

Affiliations

  • National Bureau of Economic Research

Selected Media Appearances

New Orleans Nurses Fight for a New Union as Hospitals Merge and Revenues Soar

Capital & Main  online

2024-02-09

Indeed, a 2021 study found that health care workers’ wages stagnate when hospital mergers increase market concentration. “Over a few years, it adds up,” said Elena Prager, one of the study’s authors and a professor at the University of Rochester. She added that stagnation is typically worst in the communities with the highest levels of concentration — such as New Orleans with its newly minted duopoly.


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Republicans push for more work requirements in debt ceiling negotiations

National Public Radio / Here & Now  radio

2023-05-25

Here & Now's Scott Tong speaks with Elena Prager, assistant professor of economics at the Simon Business School at the University of Rochester, about what the research tells us about the impact of work requirements.


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Unions Accuse UPMC of Wielding Market Power Against Workers

The New York Times  print

2023-05-18

This would be the first case to rely primarily on the argument that a powerful health care employer is using its clout in ways that harm workers, and prosecutors must decide whether they have strong enough evidence to take action. “They’re not going to want to fight a case they don’t think they can win,” said Elena Prager, an economist at the Simon Business School at the University of Rochester who has served as a visiting scholar with the Justice Department.


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Kroger aims to be America's grocery store. The Biden administration may have other ideas

Louisville Courier Journal  print

2023-03-29

Two colliding forces may control where millions of Americans shop for groceries in the coming years: Kroger, and a team of Biden administration lawyers. Six months after Kroger proposed one of the largest retail takeovers in history, regulators remain silent on whether they will permit or fight the $25 billion merger with rival grocer Albertsons.


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Do You Know Who Owns Your Vet?

Freakonomics Radio  online

2023-01-25

When small businesses get bought by big investors, the name may stay the same — but customers and employees can feel the difference. Let’s be clear: private equity is coming for your pet. Elena Prager offers an economics lesson on the meaning of "monopsony."


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You Deserve a Bigger Paycheck. Here’s How You Might Get It.

The New York Times  print

2021-09-23

In highly concentrated labor markets, wages fall — as economic theory would predict. For example, Elena Prager and Matt Schmitt examined hospital mergers and found that when hospitals expand through mergers and gain significant market power, the wage growth of employees declines. Notably, this decline affected skilled health care professionals like nurses — but not administrators and unskilled staff members like cafeteria workers, who could easily find jobs outside hospitals.


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Work rules for SNAP benefits don’t lead to more people working, study finds

National Public Radio / Marketplace  radio

2021-06-10

Work requirements “are indeed a direct cause of many people leaving SNAP,” said Elena Prager, a professor at the Kellogg School of Management at Northwestern University and another of the researchers. “Almost a quarter of people who are on SNAP end up losing their SNAP benefits as a direct result of work requirement implementation,” she said.


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Does Requiring Food-Stamp Recipients to Work Actually Increase Economic Self-Sufficiency?

Kellogg Insight  online

2020-10-01

The U.S. is one of the only wealthy countries that requires people receiving food stamps or similar benefits to work in order to continue to qualify for the aid program.

“The U.S. is quite unusual in how much it relies on work incentives for programs that in other countries would just be pure social safety net or welfare programs,” says Elena Prager, an associate professor of strategy at the Kellogg School. “The policy motivation is that it’s better to teach someone to fish than to just give them a fish.”


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