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Conference Paper
The U.S. health care system and labor markets
This session will explore the impact of the U.S. health care system on U.S. labor markets. ; Why do employers believe that rising health care costs are a major cause for concern when economists insist that workers are the ones who actually bear the costs? What are the implications of large health care liabilities for the long-run viability of U.S. employers? How do rising health care costs affect employment and compensation decisions and labor mobility? Do behavioral insights shed any light on these issues?
Conference Paper
Employer-funded health care and labor markets: an insider’s view
This session will explore the impact of the U.S. health care system on U.S. labor markets. ; Why do employers believe that rising health care costs are a major cause for concern when economists insist that workers are the ones who actually bear the costs? What are the implications of large health care liabilities for the long-run viability of U.S. employers? How do rising health care costs affect employment and compensation decisions and labor mobility? Do behavioral insights shed any light on these issues?
Working Paper
How do Doctors Respond to Incentives? Unintended Consequences of Paying Doctors to Reduce Costs
Billions of dollars have been spent on pilot programs searching for ways to reduce healthcare costs. I study one such program, where hospitals pay doctors bonuses for reducing the total hospital costs of admitted Medicare patients (a ?bundled payment?). Doctors respond to the bonuses by becoming more likely to admit patients whose treatment can generate high bonuses, and sorting healthier patients into participating hospitals. Conditional on patient health, however, doctors do not reduce costs or change procedure use. These results highlight the ability of doctors to game incentive schemes, ...
Conference Paper
What is good care, and what is bad?
National health care goals generally include providing broad access to appropriate amounts of high-quality health care at appropriate cost to the ultimate payers. Yet all countries, regardless of how they deliver and finance health care, struggle to achieve a sustainable balance among the implicit tradeoffs. Does this struggle stem from the limited scope for competition in health care or from information asymmetries? Or does it simply reflect the inherent difficulty of measuring health care output and quality? Alternatively, does it result from deep-seated human behavior - a tendency for ...
Journal Article
Midlife Medicare : the case for reform heats up
Journal Article
Medical debt: a curable affliction health reform won’t fix
Medical illness and medical bills will continue to be leading causes of personal bankruptcy in the United States, even after health-care reform.
Report
Reforming the U. S. health care system: where there's a will, there could be a way
The essay in the 2005 annual report summarizes the themes and consensus-based prescriptions for action that emerged from the Boston Fed's 50th economic conference, Wanting It All: The Challenge of Reforming the U.S. Health Care System, held in June 2005.
Newsletter
U.S. health care insurance and the uninsured
With continuing increases in both health care spending and the number of Americans who are uninsured, everyone seems to have an opinion on how to rein in costs and provide better coverage. This month's Newsletter offers an overview of why costs are so high and what can be done to improve the situation.
Working Paper
Health-care policy as urban policy: Hospitals and community development in the postindustrial city
This paper seeks to explore urban hospital policy, its history, and, in particular, the contradictions, challenges, and opportunities that it poses for community development in U.S. cities. Are urban hospitals a largely overlooked resource for urban economic development that can provide a ladder of long-term upward mobility for impoverished inner-city communities? Or are urban hospitals an anchor that has been dropped into sand, and that may be swept away by the winds of the healthcare crisis that has begun to storm across the United States?