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PSN: Health Care Delivery (Topic)最新文献

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Centralized Procurement and Delivery Times: Evidence from a Natural Experiment in Italy 集中采购和交货时间:来自意大利自然实验的证据
PSN: Health Care Delivery (Topic) Pub Date : 1900-01-01 DOI: 10.2139/ssrn.3927250
R. Clark, Decio Coviello, Adriano De Leverano
{"title":"Centralized Procurement and Delivery Times: Evidence from a Natural Experiment in Italy","authors":"R. Clark, Decio Coviello, Adriano De Leverano","doi":"10.2139/ssrn.3927250","DOIUrl":"https://doi.org/10.2139/ssrn.3927250","url":null,"abstract":"We study how delivery times and prices for hospital medical devices respond to the introduction of centralized procurement. Our identification strategy leverages a legislative change in Italy that mandated centralized purchases for a sub-set of devices. The statutory centralization generated a reduction in prices and an increase in delivery times for centralized purchases relative to non-centralized purchases. We use data on quantities and on suppliers to discuss the mechanisms potentially underlying our findings.","PeriodicalId":309156,"journal":{"name":"PSN: Health Care Delivery (Topic)","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121796569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Downgrading the Affordable Care Act: Unattractive Health Insurance and Lower Enrollment 降低平价医疗法案:缺乏吸引力的健康保险和低入学率
PSN: Health Care Delivery (Topic) Pub Date : 1900-01-01 DOI: 10.2139/ssrn.3191481
Brian Blase
{"title":"Downgrading the Affordable Care Act: Unattractive Health Insurance and Lower Enrollment","authors":"Brian Blase","doi":"10.2139/ssrn.3191481","DOIUrl":"https://doi.org/10.2139/ssrn.3191481","url":null,"abstract":"When the Patient Protection and Affordable Care Act (ACA) was signed into law in 2010, many groups projected how many people would enroll in health insurance plans satisfying the law’s new rules and requirements (ACA plans). Nearly six years later, enrollment in health insurance exchange plans is far short of initial projections, particularly for people who earn too much to qualify for subsidies to reduce high ACA plan deductibles. The dearth of exchange enrollees with at least a middle-class income indicates that the individual mandate is not motivating as many people, particularly younger, healthier, and wealthier people, to purchase coverage as was originally expected. Large insurer losses on ACA plans show that the overall risk pool is sicker and much more costly than originally projected, and are an indication that the law may require significant revision in order to avoid causing an adverse-selection spiral.","PeriodicalId":309156,"journal":{"name":"PSN: Health Care Delivery (Topic)","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122575042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Earnings Inequality: The Implications of the Rapidly Rising Cost of Employer-Provided Health Insurance 收入不平等:雇主提供的医疗保险成本迅速上升的影响
PSN: Health Care Delivery (Topic) Pub Date : 1900-01-01 DOI: 10.2139/ssrn.3191482
M. Warshawsky
{"title":"Earnings Inequality: The Implications of the Rapidly Rising Cost of Employer-Provided Health Insurance","authors":"M. Warshawsky","doi":"10.2139/ssrn.3191482","DOIUrl":"https://doi.org/10.2139/ssrn.3191482","url":null,"abstract":"Health insurance for a high-paid employee costs an employer the same amount as health insurance for a low-paid employee. At the same time, healthcare costs, and therefore health insurance premiums, are growing much more rapidly than earnings. Therefore, it is reasonable to expect that—while earnings will indeed become more unequal over time—total compensation will not become more unequal, or, when considered over the entire labor force, at least will not become as unequal. Direct empirical evidence supports this hypothesis, based on unique, unpublished survey data about employers’ compensation costs collected by the Bureau of Labor Statistics. The supporting results hold both for the period 1996–2008 and for the period 1992–2010. A regression estimated over the period 1990–2014 also bolsters the understanding that the rising cost of health care is a major cause of increasing earnings inequality. This finding suggests that the best policy to reduce inequality would be to effectively control the rate of growth in the cost of health care.","PeriodicalId":309156,"journal":{"name":"PSN: Health Care Delivery (Topic)","volume":"154 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123986667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Heterogeneous Returns to Medical Innovations 医疗创新的异质性回报
PSN: Health Care Delivery (Topic) Pub Date : 1900-01-01 DOI: 10.2139/ssrn.3943621
Volha Lazuka
{"title":"Heterogeneous Returns to Medical Innovations","authors":"Volha Lazuka","doi":"10.2139/ssrn.3943621","DOIUrl":"https://doi.org/10.2139/ssrn.3943621","url":null,"abstract":"This paper sets up a quasi-experiment to estimate the impact of medical innovations on the economic outcomes for the individual and their family based on the rich administrative data for Sweden covering 1 million persons. I find that an increase in medical innovations by one standard deviation raises family income by 15%. Medical innovations strongly influence not only own disposable and labour income and welfare payments but also a spouse’s income. I also find that the economic effects are heterogeneous in relation to the insurance eligibility of the health shock. Results also suggest decreasing yet always positive returns to scale.","PeriodicalId":309156,"journal":{"name":"PSN: Health Care Delivery (Topic)","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128221155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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