Uncertainty about the effort-performance relationship in threshold-based payment schemes
Publication date: Available online 15 September 2018Source: Journal of Health EconomicsAuthor(s): Anne Sophie Oxholm, Søren Rud Kristensen, Matt SuttonAbstractIncentive schemes often feature a threshold beyond which providers receive no additional payment for performance. We investigate whether providers’ uncertainty about the relationship between effort and measured performance leads to financially unrewarded performance in such schemes. Using data from the British Quality and Outcomes Framework, we proxy general practitioners’ uncertainty about the effort-performance relationship by their experience with the scheme ...
Source: Journal of Health Economics - September 15, 2018 Category: Health Management Source Type: research
Does experience rating reduce sickness and disability claims? Evidence from policy kinks
Publication date: September 2018Source: Journal of Health Economics, Volume 61Author(s): Tomi Kyyrä, Tuuli PaukkeriAbstractWe study whether the experience rating of employers’ disability insurance premiums affects the inflow to disability benefits in Finland. To identify the causal effect of experience rating, we exploit kinks in the rule that specifies the degree of experience rating as a function of firm size. Using comprehensive matched employer–employee panel data, we estimate the effects of experience rating on the inflow to sickness and disability benefits. We find that experience rating has little or no effect ...
Source: Journal of Health Economics - August 25, 2018 Category: Health Management Source Type: research
Gun Prevalence and Suicide
Publication date: Available online 20 August 2018Source: Journal of Health EconomicsAuthor(s): Simone BalestraAbstractIn light of the ongoing debate over tighter firearm regulations, this paper considers the relationship between gun prevalence and suicide. I exploit a reform in Switzerland that reduced the prevalence of military-issued guns in private households. In Switzerland, military service is compulsory for men, and military-issued guns account for nearly half of the total number of firearms available. The results show that the firearm suicide rate decreases by 9% for a reduction in gun prevalence of 1,000 guns per 1...
Source: Journal of Health Economics - August 21, 2018 Category: Health Management Source Type: research
The Relationship between Cigarettes and Electronic Cigarettes: Evidence from Household Panel Data
Publication date: Available online 20 August 2018Source: Journal of Health EconomicsAuthor(s): Chad Cotti, Erik Nesson, Nathan TefftAbstractWe use the Nielsen Consumer Panel to investigate the impact of tobacco control policies on purchases of electronic cigarettes (e-cigarettes), cigarettes, and smoking cessation products. We measure product quantity, product type, nicotine content, and liquid volume of e-cigarettes, and product quantity and nicotine content of cigarettes. Higher cigarette excise taxes decrease both cigarette and e-cigarette purchases, suggesting that cigarettes and e-cigarettes are complements, and highe...
Source: Journal of Health Economics - August 21, 2018 Category: Health Management Source Type: research
The Impact of Early Life Shocks on Human Capital Formation: Evidence from El Niño Floods in Ecuador
Publication date: Available online 17 August 2018Source: Journal of Health EconomicsAuthor(s): Maria Rosales-RuedaAbstractThis paper investigates the persistent effects of negative shocks in utero and in infancy on low-income children's health and cognitive outcomes and examines whether timing of exposure matters differentially by skill type. Specifically, I exploit the geographic intensity of extreme floods in Ecuador during the 1997-1998 El Niño phenomenon, which provides exogenous variation in exposure at different periods of early development. I show that children exposed to severe floods in utero, especially during t...
Source: Journal of Health Economics - August 18, 2018 Category: Health Management Source Type: research
