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Journal Article
Lessons from variations in state Medicaid expenditures
Because Medicaid is absorbing a large and growing share of government spending in every state, policymakers are under intense pressure to control the cost of this budget-breaking program. In search of clues concerning Medicaid cost containment, this article examines state data on per-recipient Medicaid spending by type of service. This effort suggests focusing on nursing homes, because per-recipient payments to these institutions are highly variable across states. Indeed, the article concludes that a key explanation for cross-state differences in per-recipient Medicaid expenses is the ...
Journal Article
Intra-firm trade: an update
Journal Article
U.S. monetary policy in an integrating world: 1960 to 2000
This article examines the impact of global developments on the practice of U.S. monetary policy, broadly defined to include regulatory and lender-of-last-resort functions as well as open market, discount, and intervention activity, over the past forty years. It is part of a paper presented at the forty-fifth economic conference of the Federal Reserve Bank of Boston. The authors briefly review a few familiar facts establishing the increased openness of the U.S. economy, and go on to explore episodes when external events beyond those included in the domestic outlook-events like significant ...
Conference Paper
Why the interest in reform?
Conference Paper
U.S. monetary policy in an integrating world: 1960 to 2000
Conference Paper
Rethinking the International Monetary System: an overview
Journal Article
Rethinking the International Monetary System: an overview
When the Federal Reserve Bank of Boston chose "Rethinking the International Monetary System" as the topic for its 43rd Economic Conference, it was clear that the worst international financial crisis in decades had caused tremors within the economics profession and the policymaking establishment. The miracle countries of Asia had suffered sharp currency devaluation and deep economic downturns, the turmoil had spilled over into Russia and Latin America, and a severe liquidity crisis had briefly threatened banking systems in the advanced countries. Not surprisingly, then, the events of the ...
Journal Article
Changes in inventory management: implication for the U.S. recovery
Inventories usually rise relative to sales during recessions, but they have remained remarkably lean during the recent downturn and the ensuing period of unusually slow growth. This article describes recent changes in inventory management and then presents statistical evidence that the introduction of these new techniques represented a structural change for the U.S. economy. ; The article also explores the implications of this structural shift for the current recovery. In the long run, reducing inventories permits greater efficiency and improves U.S. economic welfare. However, in the short ...
Journal Article
Medicaid
Medicaid has become Massachusetts preeminent budget buster. The largest single program in the budget, it will most likely be the most important source of spending increases between FY 1991 and FY 1995. But Massachusetts is not alone. Medicaid is producing budgetary headaches all across the country. This article explains why the Medicaid program has become a substantial burden for Massachusetts and other state governments and why that burden is likely to increase. It examines why Massachusetts Medicaid expenditures are above average and outlines some policy choices. ; One option involves ...