Skip to main content

Welcome

CINCH - Health Economics Research Center

Monday Health Economics Seminar

04.04.2018

On Monday April 9, 2018, 14:00 - 15:30 Dr. Nils Gutacker (CHE, York) will present:

Pay-for-efficiency in the English NHS

Prospective payment systems incentivise providers to reduce production costs and adopt more efficient care pathways. When these incentives are insufficient or adoption is judged to be too slow, payers may decide to reimburse providers in excess of their production cost to accelerate adoption. The National Health Service in England introduced a pay-for-efficiency (P4E) policy in 2010 to reduce overnight hospital stays in favour of ambulatory care (i.e. day case surgery). For 32 conditions, hospitals now receive a higher DRG tariff for ambulatory care than for inpatient care, even though the marginal cost of production of ambulatory care is already lower. In this talk I will present results of a quasi-experimental evaluation of the P4E policy and discuss some of the methodological challenges in evaluating 32 different experiments as part of a single study.

Room: WST-C.02.12, Weststadttürme Berliner Platz 6-8, Essen

To find more on upcoming seminars, click here.


Monday Health Economics Seminar

16.01.2018

On Monday January 22, 2018, 14:00 - 15:30 Ieva Sriubaite (CINCH) will present:

Go your own way? The importance of environment in the formation of physician practice styles

Variations in regional health care expenditures are sometimes attributed to discretion in physician’s treatment decisions. It is less clear how such discretion translates into changes in quality of care. This paper contributes to the recent literature on provider practice styles by studying the extent to which treatment heterogeneity arise from physician and environment-specific factors, respectively, and relate this to changes in patient outcomes. We adapt an empirical approach similar to that of Molitor (2016), exploiting cardiologist migration across hospital regions in the US, and use administrative data on all coronary catheterization procedures performed in Swedish hospitals 2004-2015, together with detailed information on patients’ clinical health. Results indicate that cardiologists rapidly and strongly adapt their treatment style to the new environment after relocating. This effect appears to be mainly driven by peers. Furthermore, we find no indication that the changes in practice style have important effects on the quality of care.

Room: WST-C.02.11, Weststadttürme Berliner Platz 6-8, Essen

To find more on upcoming seminars, click here.


Monday Health Economics Seminar

02.01.2018

On Monday January 08, 2018, 14:00 - 15:30 Dr. Adam Pilny (RWI Essen) will present:

Are Doctors the Better Health Ministers? – The Limits of Technocracy

Technocratic governments are often assumed to outperform partisan politicians because professionals can rely on expertise and independence. Technocracy however has a downside that is too frequently overlooked: Technocrats are aligned with professions, which heavily seek for rents. We assess the effects of professionals in government on economic outcomes. We exploit self-compiled biographical data of German state health ministers between 1955 and 2015 who enjoy great autonomy in designing hospital policy. Our results show that total factor productivity (TFP) growth in hospital care substantially slows down when medical doctors become health ministers. We can link this to in-group favoritism: Doctors serving as health ministers increase total hospital employment, and the number of doctors in particular, but hospital outputs and capital inputs do not change. We conclude that technocrats tend to gratify their profession, which hampers innovation, efficiency and growth.

Room: WST-C.02.11, Weststadttürme Berliner Platz 6-8, Essen

To find more on upcoming seminars, click here.