Medical technological progress has been shown to be the main driver of health care costs. A key policy question is whether new treatment options are worth the additional costs. In this paper we assess the causal effect of percutaneous transluminal coronary angioplasty (PTCA), a major new heart...

New empirical evidence shows substantial heterogeneity in the altruism of healthcare providers. Spurred by this evidence, we build a spatial quality competition model with altruism heterogeneity. We find that more altruistic healthcare providers supply relatively higher quality levels and...

This article looks at the application of performance measurement systems in the health sector across OECD countries. The data comes from the 2017 OECD Survey on Performance Measurement Systems in the Health Sector and Responsibilities across Levels of Government. The results show that the...

Measuring health care productivity is important as health is a large sector of the economy and with the majority of funding coming from public sources, the outlook for productivity growth is a critical factor in the debate about fiscal sustainability. The UK has over 20 years’ experience of...

In light of the many discussions advocating the use of pay-for-performance and performance budgeting, this paper argues that discouraging experience with both approaches should temper expectations that performance measurement can be a reform that will make health care systems more "sustainable"...

Using a randomized field experiment, we show that health care specialists cream-skim patients by their expected profitability. In the German two-tier system, outpatient reimbursement rates for both public and private insurance are centrally determined but are more than twice as high for the...

This paper examines whether, in India, discriminatory practices by government-employed child caregivers along religious lines, lead to differential health outcomes among the care receiving children. Child caregivers participate in a novel allocation game where we incorporate treatments to...

The global framework for financing development, adopted in 2015, places great emphasis on mobilizing domestic resources to finance the Sustainable Development Goals, which include universal healthcare. In a recent paper Reeves et al. (2015) attribute progress towards universal healthcare to...

The global energy transition is happening, but too slowly to limit climate change to acceptable levels, for diverse reasons. Carbon emissions policies and measures focus too little on absolute emission targets and too much on relative measures such as carbon intensity. Focus is needed on early...

This paper looks at the prospects of a demographic dividend in Africa in the near future. While acknowledging that the fertility declines which change population age structures and thus dependency ratios have been slow to begin and often seem to have stalled once they have begun, we nevertheless...