We examine the proposal by Peter Zweifel and Michael Breuer to combine risk-based premiums with a subsidy for individuals whose expenditure for health insurance exceeds a certain share of income. Assuming a maximin social welfare function and optimal linear income taxation, we find that this proposal is superior to social insurance if the correlation between productivity and health is not too l...

We explore how private drug plans set cost-sharing in the context of Medicare Part D. While publicly-provided drug coverage typically involves uniform cost-sharing across drugs, we document substantial heterogeneity in the cost-sharing for different drugs within privately-provided plans. We also document that private plans systematically set higher consumer cost sharing for drugs or classes ass...

We evaluate whether hospital adoption of electronic medical records (EMRs) leads to increases in billing where financial gains are large or where hassle costs of complete coding are low. The 2007 Medicare payment reform varied both financial incentives and hassle costs of coding. We find no significant impact of financial incentives on billing levels, inconsistent with bill inflation. However, ...

Measuring the output and productivity of the health care sector is important but difficult, and it has been a long-standing policy concern. Statistical agencies in some countries such as U.K., Eurostat, Australia, and the U.S. have done substantial research to investigate various approaches to measure the output. This paper reviews recent developments in the economic measurement of health care ...

Most systems of health care financing in EU member states currently include elements of income redistribution. The paper analyzes the effects of shifting this kind of redistribution to the tax system and argues that this reform could create two types of efficiency gains. On the expenditure side, it would facilitate the adoption of more incentive-compatible insurance contracts, for example throu...

This paper provides fi eld evidence on (a) how price framing aff ects consumers’ decision to switch health insurance plans and (b) how the price elasticity of demand for health insurance can be infl uenced by policymakers through simple regulatory eff orts. In 2009, in order to foster competition among health insurance companies, German federal regulation required health insurance companies to ...

This article aims at investigating the interplay between environmental quality, health and development. We consider an OLG model, where human capital dynamics depend on the current environment, through its impact on children’s school attendance. In turn, environmental quality dynamics depend on human capital, through maintenance and pollution. This two-way causality generates a co-evolution of ...

This paper empirically assesses the relative role of health plan prices, service quality and optional benefi ts in the decision to choose a health plan. We link representative German SOEP panel data from 2007 to 2010 to (i) health plan service quality indicators, (ii) measures of voluntary benefi t provision on top of federally mandated benefi ts, and (iii) health plan prices for almost all Ger...