In the early 1990s, several US states enacted community rating regulations to equalize the private health insurance premiums paid by the healthy and the sick. Consistent with severe adverse selection pressures, their private coverage rates fell by 8-11 percentage points more than rates in...

In 1996, statutory sick pay was reduced for private sector workers in Germany. Using the empirical observation that trade union members are dismissed less often than non-members, we construct a model to predict how absence behaviour will respond to the sick pay reform. We show that union members...

In 2001, use of the STRIDE data base for the purposes of analyzing drug prices and the impact of public policies on drug markets came under serious attack by the National Research Council (Manski et al., 2001; Horowitz, 2001). While some of the criticisms raised by the committee were valid, many of...

We use the implementation of a new prospective payment system (PPS) for inpatient rehabilitation facilities (IRFs) to investigate the effect of changes in marginal and average reimbursement on costs. The results show that the IRF PPS led to a significant decline in costs and length of stay....

In this study, we examined the association between girls%u2019 participation in high school sports and the physical activity, weight, body mass and body composition of adolescent females during the 1970s when girls%u2019 sports participation was dramatically increasing as a result of Title IX....

To explore how well the safety net performs at eliminating differences in diagnosis and treatment of insured and uninsured women with breast cancer, we compared insured and uninsured women treated in a safety net setting. Controlling for socioeconomic characteristics, uninsured women are more...

L'objectif de cette etude est d'analyser les accidents routiers des vehicules commerciaux motorises (entreprises de transport par camions et par autobus). Nous voulons particulierement verifier comment les activites de prevention routiere des proprietaires et des conducteurs affectent les taux...

The paper analyzes the introduction of the long-term care insurance in Germany and provides an overview of some of the main arguments. It focuses on economic aspects of the new scheme, namely its impact on efficiency, distribution and employment as well as government budgets.

We present a model of optimal contracting between a purchaser (a principal) and a provider (an agent). We assume that: a) providers differ in efficiency and there are two types of provider; b) efficiency is private information (adverse selection); c) providers are partially altruistic or...

We present a model of optimal contracting between a purchaser and a provider of health services. We assume that providers can increase demand by increasing quality but can also inflate activity through a manipulative effort (upcoding or DRG creep). We derive and compare the optimal price and...