Abstract：
:This paper analyses contracts to keep down costs while maintaining quality of health services when patient demand does not reflect quality. There is then a natural role for forms of contract that have emerged during the reforms of the NHS in Britain that differ from pure fixed price or cost reimbursement contracts. The optimal form depends on whether the provider is entirely self-interested or benevolent in having genuine concern for patient welfare. With fully benevolent providers there are roles for block and cost and volume contracts. With partially benevolent providers, some degree of cost sharing is typically optimal.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Chalkley M,Malcomson JMdoi
10.1016/s0167-6296(97)00019-2subject
Has Abstractpub_date
1998-01-01 00:00:00pages
1-19issue
1eissn
0167-6296issn
1879-1646pii
S0167629697000192journal_volume
17pub_type
杂志文章abstract：:The conventional theory of optimal coinsurance rates for health insurance with moral hazard indicates that coinsurance should vary with the price responsiveness or price-elasticity of demand for different medical services. An alternative theory called "value-based cost sharing" indicates that coinsurance should be low...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2008.07.003
更新日期：2008-12-01 00:00:00
abstract：:Intergenerational transmission of human capital from parents to offspring is widely documented. However, whether there are upward spillovers from children to parents remains understudied. This paper uses data from the China Health and Retirement Longitudinal Study to estimate the causal impact of educational attainmen...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2019.06.004
更新日期：2019-07-01 00:00:00
abstract：:In this paper, we examine the relationships between health care visits to general practitioners, public and private sector specialists using data from Italy, which has a mixed public-private health care system. We develop a simultaneous equations model that allows for the discreteness of measures of utilization and es...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2007.10.006
更新日期：2008-05-01 00:00:00
abstract：:Medical decision analyses typically focus on one disease, that is, on one source of risk. In many medical decisions multiple sources of risk co-exist, however. This paper analyzes the effect of such comorbidities on treatment decisions. The effect of comorbidities on treatment decisions depends primarily on the way in...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/S0167-6296(03)00045-6
更新日期：2003-09-01 00:00:00
abstract：:Previous studies of hospital competition have found that greater competition leads to higher hospital costs. In this paper we report how the behavior of California's hospitals has changed since the introduction of programs intended to contain the rate of increase of hospital costs. Using data that cover the period pre...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(88)90018-5
更新日期：1988-12-01 00:00:00
abstract：:Assessing the welfare impact of consumer health advisories is a thorny task. Recently, Shimshack and Ward (2010) studied how U.S. households responded to FDA's 2001 mercury-in-fish advisory. They found that the average at-risk household reduced fish consumption by 21%, resulting in a 17%-reduction in mercury exposure ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2014.06.005
更新日期：2014-09-01 00:00:00
abstract：:We use household survey data and a unique census of institutionalized children to analyze the impact of abortion legalization in Romania. We exploit the lift of the abortion ban in December 1989, when communist dictator Ceausescu and his regime were removed from power, to understand its impact on children's health at ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2011.08.004
更新日期：2011-12-01 00:00:00
abstract：:In a recent issue of this Journal, McRae and Tapon (1985) use the Canadian experience with compulsory patent licensing and three provincial drug reimbursement programs to evaluate post-patent barriers to entry in the pharmaceutical industry. In this paper we provide additional evidence on the influence of differing pr...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(87)90031-2
更新日期：1987-03-01 00:00:00
abstract：:This paper studies life-cycle preferences over consumption and health status. We show that cost-effectiveness analysis is consistent with cost-benefit analysis if the lifetime utility function is additive over time, multiplicative in the utility of consumption and the utility of health status, and if the utility of co...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(99)00014-4
更新日期：1999-12-01 00:00:00
abstract：:Why do people purchase health insurance? Many economists would answer that it permits purchasers to avoid risk of financial loss. This note suggests that health insurance is also demanded because it represents a mechanism for gaining access to health care that would otherwise be unaffordable. For example, although a U...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(98)00049-6
更新日期：1999-04-01 00:00:00
abstract：:Medicaid provides health insurance for 54 million Americans. Using the Census Bureau's Supplemental Poverty Measure (which subtracts out-of-pocket medical expenses from family resources), we estimated the impact of eliminating Medicaid. In our counterfactual, Medicaid beneficiaries would become uninsured or gain other...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2013.06.005
更新日期：2013-09-01 00:00:00
abstract：:The magnitude of the value of a statistical life (VSL) is critical to the evaluation of many health and safety initiatives. To date, the large and rigorous VSL research literature has not explicitly accommodated publication selectivity bias (i.e., the reduced probability that insignificant or negative VSL values are r...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2011.10.001
更新日期：2012-01-01 00:00:00
abstract：:Understanding how physicians respond to incentives from payment schemes is a central concern in health economics research. We introduce a controlled laboratory experiment to analyse the influence of incentives from fee-for-service and capitation payments on physicians' supply of medical services. In our experiment, ph...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2011.05.001
更新日期：2011-07-01 00:00:00
abstract：:We exploit exogenous variation in years of completed college induced by draft-avoidance behavior during the Vietnam War to examine the impact of college on adult mortality. Our estimates imply that increasing college attainment from the level of the state at the 25th percentile of the education distribution to that of...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2016.08.002
更新日期：2016-12-01 00:00:00
abstract：:Policymakers in countries around the world are faced with rising health care costs and are debating ways to reform health care to reduce expenditures. Estimates of price elasticity of expenditure are a key component for predicting expenditures under alternative policies. Using unique individual-level data compiled fro...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2012.07.002
更新日期：2012-12-01 00:00:00
abstract：:The fatality risk-money tradeoff that is the value of a statistical life (VSL) may vary with the nature of the fatality event. While all fatalities involve loss of future life expectancy, the morbidity effects and their duration may differ. This article analyzes fatality risks accompanied by morbidity effects of diffe...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2016.01.011
更新日期：2016-03-01 00:00:00
abstract：:This paper presents the first attempt to use a discrete choice experiment to derive distributional weights for quality adjusted life years (QALYs), based on characteristics (age and severity) of the beneficiaries. A novel approach using the Hicksian compensating variation is applied. Advantages include derivation of w...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2011.01.003
更新日期：2011-03-01 00:00:00
abstract：:Using the theory of multiproduct cost functions, a treatment cost function is derived for diseases which progress through a number of stages. The output classes are conceived as the stages at detection of the disease, with the unit of output within each class being the treated case. The derivation clarifies the assump...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(95)00007-5
更新日期：1995-08-01 00:00:00
abstract：:Recent analyses suggest that cigarette excise taxes lower prenatal smoking. It is unclear, however, whether the association between taxes and prenatal smoking represents a decline among women of reproductive age or a particular response by pregnant women. We address this question directly with an analysis of quit and ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2003.06.003
更新日期：2003-11-01 00:00:00
abstract：:This study uses data on 8561 elderly respondents from the 1991 Medicare Current Beneficiary Survey to examine adverse selection in the supplemental private insurance market. Logit models of supplemental insurance choices provided modest but mixed evidence of self-selection on the basis of observable health status. Wea...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(97)00011-8
更新日期：1997-10-01 00:00:00
abstract：:Partial expected value of perfect information (EVPI) quantifies the value of removing uncertainty about unknown parameters in a decision model. EVPIs can be computed via Monte Carlo methods. An outer loop samples values of the parameters of interest, and an inner loop samples the remaining parameters from their condit...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2010.03.006
更新日期：2010-05-01 00:00:00
abstract：:Despite its salience as a regulatory tool to ensure the delivery of unprofitable medical services, cross-subsidization of services within hospital systems has been notoriously difficult to detect and quantify. We use repeated shocks to a profitable service in the market for hospital-based medical care to test for cros...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2014.06.007
更新日期：2014-09-01 00:00:00
abstract：:The price effects of the Swedish pharmaceutical substitution reform are analyzed using data for a panel of all pharmaceutical product sold in Sweden in 1997-2007. The price reduction due to the reform was estimated to average 10% and was found to be significantly larger for brand-name pharmaceuticals than for generics...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2010.08.003
更新日期：2010-12-01 00:00:00
abstract：:The relationship between retirement and mortality is studied with a unique administrative data set covering the full population of Norway. A series of retirement policy changes in Norway reduced the retirement age for a group of workers but not for others. Difference-in-differences estimation based on monthly birth co...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2013.03.001
更新日期：2013-05-01 00:00:00
abstract：:Flat capitation (uniform prospective payments) makes enrolling healthy enrollees profitable to health plans. Plans with relatively generous benefits may attract the sick and fail through a premium spiral. We simulate a model of idealized managed competition to explore the effect on market performance of alternatives t...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(97)00029-5
更新日期：1998-06-01 00:00:00
abstract：:The noncooperative character of resource allocation in a national health service may contribute to excessive waiting lists. A theory of hospital waiting lists is derived from this idea. Waiting lists imply loss of efficiency; the hospital's resources are drawn away from medical work. Although there is scope for Pareto...
journal_title：Journal of health economics
pub_type： 杂志文章,评审
doi：10.1016/0167-6296(93)90040-l
更新日期：1993-04-01 00:00:00
abstract：:Waiting times for hospital care are a significant issue in the UK National Health Service (NHS). The reforms of the health service in 1990 gave a subset of family doctors (GP fundholders) both the ability to choose the hospital where their patients were treated and the means to pay for some services. One of the key fa...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(01)00129-1
更新日期：2002-03-01 00:00:00
abstract：:We present findings from a field experiment conducted at 40 elementary schools involving 8000 children and 400,000 child-day observations, which tested whether providing short-run incentives can create habit formation in children. Over a 3- or 5-week period, students received an incentive for eating a serving of fruit...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2015.11.004
更新日期：2016-01-01 00:00:00
abstract：:Estimates of the surplus loss due to physician practice variation measure the area under the 'shifted' demand curve. This method is valid only if the unshifted demand curve is derived form the distribution of true(ex post) values of care. If the unshifted demand curve does not reflect the true value of care, then the ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(95)00005-3
更新日期：1995-06-01 00:00:00
abstract：:This paper uses seven waves of British Household Panel Survey (BHPS) data to examine the link between health developments while smoking (both one's own and those of other smokers in the same household) and future cigarette consumption. We find those whose health worsens when smoking smoke less in the future, and are m...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(01)00140-0
更新日期：2002-07-01 00:00:00
