This paper examines the causal effect of volume on outcome on the example of patients with a hip fracture. We use an instrumental variable approach and consider both the practice-makes-perfect and selective-referral hypothesis as well as unobserved patient heterogeneity. Our results indicate...

This paper seeks to understand the impact of the Medicare Rural Hospital Flexi- bility (Flex) Program on rural resident hospital choice and welfare. The Flex program created a new class of hospital, the Critical Access Hospital (CAH), which receives more generous reimbursement in return for...

Since 2003/2004, German hospitals are reimbursed based on a prospective payment scheme (diagnosis related groups, DRGs). Patient classification in neonatology is based inter alia on birth weight, with substantial discontinuities in reimbursement at the relevant thresholds. These discontinuities...

Although learning-by-doing is believed to be an important source of productivity growth there is limited evidence that production volume affects productivity in a causal sense. We document evidence of learning-by-doing in a high-skill profession where stakes are high; advanced cancer surgery....

Excessive alcohol consumption among youth and young adults is a major public health concern. On March 1, 2010 the German federal state of Baden-W rttemberg banned the sale of alcoholic beverages between 10pm and 5am in off-premise outlets (e.g. kiosks, petrol stations, supermarkets). We use rich...

Die Leistungsausgaben für Gesundheit steigen rapide an, der demografische Wandel verschärft die Situation noch zusätzlich. Stetig wachsende Leistungserwartungen sind mit limitierten und teils schwindenden Ressourcen nicht erfüllbar. Wie viel Privatisierung braucht das deutsche...