Patient Cost-Sharing, Hospitalization Offsets, and the Design of Optimal Health Insurance for the Elderly

The RAND health insurance experiment (HIE) demonstrated that increasing coinsurance rates decreases medical care utilization. The HIE also found that health outcomes did not vary between individuals with high, low and zero coinsurance rates. A working paper by Chandra, Gruber and McKnight (“Patient Cost Sharing…“) re-examines whether or not this is the case using a…

Ranking Economics Journals

A working paper by Yolanda K. Kodrzycki and Pingkang David Yu of the Boston Fed attempts to rank economic journals according to their: 1) impact within the Economics field, 2) overall impact, 3) Policy Impact and 4) impact on non-economic journals. The top 10 journals in each category are as follows: Within Economics Overall Impact…

The Productivity Argument for Investing in Young Children

When constructing policy, we are often faced by an equity-efficiency tradeoff. For instance, increasing welfare benefits will increase equity but may reduce a poor individual’s incentive to work if the welfare benefits are tied to having low income. A recent NBER working paper by the nobel laureate James Heckman and co-author Dimitriy Masterov (“…Investing in…

Health Plan Report Cards

The National Committee for Quality Assurance (NCQA) is a “not-for-profit organization dedicated to improving health care quality.” One of their major initiatives is the Health Plan Employer Data and Information Set (HEDIS) which aims to evaluate the quality of care offered by various health plans. In a 2001 NBER working paper (“Learning…“), researchers Michael Chernew,…

Wal-Clinics

“Can you imagine if a Wal-Mart store operated like America’s health care system? You would walk into the store and there would be a huge array of merchandise. But you would not be able to tell the products apart. You would not know how much they cost. And in the end, you would not know…

Getting Doctors to Compete

There is an interesting post at GoozNews (“Getting Doctors to Compete“) in which Merrill Goozner comments on Harvard Business School professor Michael Porter’s belief that competition and integrated care are the solutions to the nation’s health care woes. “Where we need to go is an integrated practice model,” he said. His model entails patient-focused practice…