information and quality when motivation is intrinsic evidence from surgeon report cards abstract if profit maximization is the objective of a firm new information about quality should affect firm behavior only through its effects on market demand i consider an alternate model in which suppliers are motivated by a desire to perform well in addition to profit the introduction of quality report cards for cardiac surgery in pennsylvania provides an empirical setting to isolate the relative role of extrinsic and intrinsic incentives in determining surgeon response information on performance that was new to surgeons and unrelated to patient demand led to an intrinsic response four times larger than surgeon response to profit incentives jel d83 i11 l15

hospital choices hospital prices and financial incentives to physicians we estimate an insurer speci c preference function which rationalizes hospital referrals for privately insured births in california the function is additively separable in a hospital price paid by the insurer the distance traveled and plan and severity speci c hospital xed eects capturing hospital quality we use an inequality estimator that allows for errors in price and detailed hospital severity interactions and obtain markedly dierent results than those from a logit the estimates indicate that insurers with more capitated physicians are more responsive to price capitated plans send patients further to utilize similar quality lower priced hospitals but the cost quality trade odoes not vary with capitation rates the patient protection and aordable care act of 2010 includes provisions to establish ac countable care organizations acos in the medicare program these are groups of health care providers that oer services to a large number of patients and are eligible to share in any cost savings they achieve for the medicare program 1 private sector acos are forming in parallel to this initiative often with very similar structures and payment arrangements the proportion of savings acos keep is linked to their performance on quality standards the goal of the initiative is to reduce health care costs in both medicare and private insurance and to improve coordination of care the tying of cost savings to quality standards is designed to mitigate the concern that an increase in incentives to control costs might lead to a decrease in the quality of care the health policy literature has noted that similar cost control incentives are currently utilized by some health maintenance organizations hmos in california and elsewhere 2 in this paper we investigate the impact of these incentives on the cost and quality of care provided to patients focusing in particular on the choice of hospital for privately insured patients giving birth we use

tradeoffs from integrating diagnosis and treatment in markets for health care anyone who has consulted a doctor plumber or auto mechanic has experienced the tradeoffs in consulting a single expert to both diagnose and treat a problem in the presence of asymmetric information on one hand integrated diagnosticians those who also sell treatments may have the incentive to give advice that is not in the buyer s best interests as the theoretical models in curtis r taylor 1995 and asher wolinsky 1993 point out because the buyer has imperfect information on the scope of the problem if he did not he would not have needed to consult a diagnostician in the first place the diagnostician inevitably has the incentive to recommend treatments that are more profitable even if they are more costly of lower quality or less appropriate on the other hand joint production of diagnosis and treatment may be more efficient the diagnostician may have better information about how to treat the problem than he could or would provide to an independent third party or the diagnostician may be able to treat the problem himself less expensively or more effectively half the cost is opening the engine block we examine an important special case of this problem the costs and quality of care of a random sample of medicare beneficiaries with coronary artery disease we compare patients who were diagnosed by an integrated cardiologist one who also provides surgical treatment to patients who were diagnosed by a nonintegrated cardiologist we decompose the total effect of diagnosis by an integrated cardiologist into the parts due to the change in the type of treatment and the parts due to the relative efficiency of each type of treatment with this information we quantify the potential upsides and downsides to diagnosis by an integrated expert we identify these effects based on differences across geographic areas in the number of integrated cardiologists per capita our estimates are consistent under the assumption that unobserved patient characteristics and other determinants of spending are similar across areas with many versus few integrated cardiologists we explore the validity of this assumption below the paper proceeds in four sections section i reviews the previous empirical literature on the problems of obtaining diagnosis and treatment from a single expert when that expert has better information than the buyer on the source of the buyer s problem section ii discusses the details of the problem that we study and presents our models section iii describes our data section iv presents our results and section v concludes with the implications of our results for economic theory and health policy

reputational concerns with altruistic providers we study a model of reputational concerns when doctors differ in their degree of altruism and they can signal their altruism by their observable quality when reputational concerns are high following the introduction or enhancement of public reporting the less altruistic bad doctor mimics the more altruistic good doctor otherwise either a separating or a semi separating equilibrium arises the bad doctor mimics the good doctor with probability less than one pay for performance incentive schemes are unlikely to induce crowding out unless some dimensions of quality are unobservable under the pooling equilibrium a purchaser can implement the first best quality by appropriately choosing a simple payment scheme with a fixed price per unit of quality provided this is not the case under the separating equilibrium therefore policies that enhance public reporting complement pay for performance schemes

the highs and lows of the minimum wage effect a time series cross section study of the canadian law we examine the effects of minimum wage legislation in canada over the period 1975 93 for teenagers we find that a 10 increase in the minimum wage is associated with roughly a 2 5 decrease in employment we also find that this result is driven by low frequency variation in the data at high frequencies the elasticity is positive and insignificant the difference in the elasticity across the bandwidth has implications for the interpretation of employment dynamics as a result of minimum wage policy and experimental design in minimum wage studies it also provides a simple reconciliation of the new minimum wage research which reports very small negative or positive elasticities

linear adjustment costs and seasonal labor demand evidence from retail trade firms standard models of dynamic labor demand rely on the presence of adjustment costs to explain the observed smoothness in employment patterns although the costs are often difficult to quantify the experience rating feature of the u s unemployment insurance ui system provides a measurable linear cost of adjustment using a unique data set with administrative data on over 8000 firms i estimate the effect of a ui induced linear adjustment cost on seasonal labor demand in retail trade i find strong support for the large role of adjustment costs in reducing the employment response of firms to seasonal fluctuations in demand

why don t people trust experts abstractcredence goods such as health care legal and financial services and auto repair create a conflict of interest by requiring experts to diagnose and provide services to uninformed consumers mistreatment of consumers appears widespread empirically but a simple explanation for mistreatment under realistic assumptions has proved elusive i generalize uwe dulleck and rudolf kerschbamer s credence good model to incorporate the highly realistic assumption that consumers do not observe experts cost functions the model guarantees equilibrium mistreatment in a wide range of price setting and market environments the model also yields testable implications regarding the nature of mistreating firms and the direction of mistreatment

selection in insurance markets theory and empirics in pictures government intervention in insurance markets is ubiquitous and the theoretical basis for such intervention based on classic work from the 1970s has been the problem of adverse selection over the last decade empirical work on selection in insurance markets has gained considerable momentum this research finds that adverse selection exists in some insurance markets but not in others and it has uncovered examples of markets that exhibit advantageous selection a phenomenon not considered by the original theory and one that has different consequences for equilibrium insurance allocation and optimal public policy than the classical case of adverse selection advantageous selection arises when the individuals who are willing to pay the most for insurance are those who are the most risk averse and so have the lowest expected cost indeed it is natural to think that in many instances individuals who value insurance more may also take action to lower their expected costs drive more carefully invest in preventive health care and so on researchers have taken steps toward estimating the welfare consequences of detected selection and of potential public policy interventions in this essay we present a graphical framework for analyzing both theoretical and empirical work on selection in insurance markets this graphical approach provides both a useful and intuitive depiction of the basic theory of selection and its implications for welfare and public policy as well as a lens through which one can understand the ideas and limitations of existing empirical work on this topic

the impact of the 1962 repatriates from algeria on the french labor market this paper uses census data to examine the impact on the french labor market of the 900 000 people repatriated from algeria in 1962 repatriates settled in regions culturally and climatically simil

monopolistic competition when price and quality are imperfectly observable consider the symmetric equilibrium of a monopolistically competitive industry in which manufacturers select price and quality to maximize expected profit and consumers maximize utility by conducting costly search among sellers using an optimal sequential search rule consumers search among sellers because i each consumer idiosyncratically evaluates each seller s quality and ii a retailing sector generates variation in the prices consumers pay consumers are handicapped in their search because their observations of firms price and quality levels are noisy an improvement in price information is represented by an increase in the precision with which consumers observe sellers prices similarly an improvement in quality information is represented by an increase in precision with which consumers observe sellers quality levels an improvement of either type of information may increase or decrease welfare the perverse case in which improved price information decreases welfare occurs when price competition among firms becomes so intense relative to quality competition that firms select severely suboptimal levels of quality a consumer searching among monopolistically competitive sellers may have difficulty accurately observing the price and quality of each seller s product he must infer from his prior beliefs and noisy observations the true values of the product s price and quality attributes we show that increasing the precision with which consumers observe an attribute of a product makes the inference problem easier and causes the demand the seller faces with respect to that attribute to become more elastic the equilibrium level of that attribute changes accordingly and since the equilibrium levels of price and quality interact the equilibrium level of the other attribute changes as well these equilibrium effects can be perverse in two ways first if the precision of quality observation is fixed then improvement in the precision of price observation can reduce welfare the chain of causation is this increasing the precision of price observation causes price to fall the resulting smaller price cost margin induces sellers to reduce quality de

the role of information in medical markets an analysis of publicly reported outcomes in cardiac surgery during the past two decades several public and private organizations have initiated programs to report publicly on the quality of medical care provided by specific hospitals and physicians these programs have sparked broad debate among economists and policy makers concerning whether and to what extent they have improved or harmed medical productivity we take advantage of a cross sectional time series of different hospitals to address two fundamental questions about quality reporting first we examine whether report cards affect the distribution of patients across hospitals second we determine whether report cards lead to improved medical quality among hospitals identified as particularly bad or good performers our data are from the longest standing effort to measure and report health care quality the cardiac surgery reporting system csrs in new york state using data for 1991 through 1999 we find that csrs affected both the volume of cases and future quality at hospitals identified as poor performers poor performing hospitals lost relatively healthy patients to competing facilities and experienced subsequent improvements in their performance as measured by risk adjusted mortality this abstract was borrowed from another version of this item

consumers willingness to pay for green electricity a meta analysis of the literature at present electricity generated from power plants using renewable sources costs more than electricity generated from power plants using conventional fuels consumers bear these expenses directly or indirectly through higher prices for renewable energy or taxes the number of studies published over the last few years focusing on people s preferences for renewables has increased steadily making it more and more difficult to identify key explanatory factors that determine people s willingness to pay wtp for renewables we present results of a meta regression on valuation of consumer preferences for a larger share of renewable energy in their electricity mix our meta regression results reveal a number of important factors that explain the differences in wtp values for renewable energy different valuation methods show widely different values with choice experiments producing the highest estimates our results further indicate that consumers wtp for green electricity differs by source with hydropower being the least valued variables that are often omitted from primary valuation studies are important in explaining differences in values these variables describe individual and household characteristics as well as information on the type of power plant that will be replaced by renewables further the marginal effect of a survey conducted in the us is pronounced we also assess the potential for using the results for out of sample value transfer and find a median error of 21 c 2015 elsevier b v all rights reserved

entry in monopoly market this paper develops new empirical models of market concentration from game theoretic models of entry we construct our models from inequality conditions that describe entrants equilibrium strategies in simultaneous move and sequential move games and use them to study the effects of entry in isolated monopoly markets for new automobiles from estimates of the market size necessary to support one and two dealers we conclude that monopoly dealers do not block the entry of a second dealer we also find that entry does not cause price cost margins to fall by much

identity and the economics of organizations on plebes first day at west point called r day they strip down to their underwear their hair is cut off they are put in uniform they then must address an older cadet with the proper salute and with the statement sir new cadet doe reports to the cadet in the red sash for the first time as ordered plebes must stand and salute and repeat and stand and salute and repeat until they get it exactly right all the while being reprimanded for every tiny mistake in the summary of david lipsky 2003 pp 145 154 who spent four years tracking a company of cadets at west point on r day you surrender your old self in stages but r day is just the beginning of the training and personal re engineering that is to come so that west point graduates emerge four years later as loyal officers in the u s army lipsky shows that despite some failure this tough program is remarkably successful in creating officers with the will to lead in battle economists current picture of organizations and work incentives has no place for the west point program and the motivations it seeks to inculcate in recruits in a standard economic model an individual s preferences are fixed and utility depends only on pecuniary variables the army s aim at west point is to change cadets preferences they wish to inculcate non economic motives in the cadets so that they have the same goals as the u s army alternatively stated the goal of west point is to change the identity of the cadets so they will think of themselves above all else as officers in the u s army they will feel bad about themselves they will lose utility if they fall short of the ideals of such an officer this change in identity

the long term effects of unemployment insurance evidence from new brunswick and maine 1940 1991 using data spanning half a century for adjacent jurisdictions in the united states and canada the authors study the long term effects of a generous unemployment insurance ui program on the distribution of weeks worked they find substantial effects for example in 1990 about 12 6 of working age men in maine s northernmost counties worked between 1 and 39 weeks just across the border in new brunswick the figure was 25 6 according to the estimates new brunswick s much more generous ui system accounts for more than three fourths of this differential in part because part year workers are drawn from both ends of the distribution of annual weeks worked 0 weeks and 40 52 weeks the generosity of new brunswick s program had only modest estimated effects on total labor supply even as it substantially increased ui program participation and expenditures

the nonprofit sector and industry performance abstract despite the importance of nonprofit industries in the economy little analysis has been conducted as to whether the behavior of such industries differs from that of for profit industries extending previous firm level analyses we propose a neoclassical theory with an endogenous nonprofit sector our analysis implies that nonprofit firms have a competitive advantage over for profit firms so that marginal changes in the industry operate through the for profit sector as such marginal industry behavior is identical to that of a for profit industry and nonprofit regulations may have a limited impact or even no impact on overall industry performance our theory has the methodological advantage that standard for profit analysis applies directly to nonprofit firms because they can be analyzed as for profit firms with lower costs we discuss aspects of the empirical literature that test this theory of nonprofit activity

short run demand for palestinian labor palestinian residents of the west bank and gaza strip who work in israel generally earn more than palestinians employed locally but this wage premium is highly volatile beginning with the 1987 palestinian uprising changes in wage differentials by work location parallel palestinian absences from work in israel this article interprets changing location differentials in response to exogenous shocks as movements along an israeli demand curve for migrant workers estimates of a model of the west bank and gaza strip labor market are used to evaluate the effect of policies governing palestinian access to the israeli labor market

minimum wage policy and employment effects evidence from brazil the international literature on minimum wages greatly lacks empirical evidence for latin america in brazil not only are minimum wage increases large and frequent but they also have been used as both a social policy and an anti inflationary policy this paper estimates the effects of the minimum wage on wages and employment using panel data techniques and brazilian monthly household data from 1982 to 2000 a number of conceptual and identification questions are discussed for example the paper summarizes various strategies on how best to measure the effect of a constant national minimum wage presenting a menu of minimum wage variables that are then used to estimate wage and employment effects the paper also uses an employment decomposition that separately estimates the effect of the minimum wage on hours per worker and on the number of jobs robust results indicate that an increase in the minimum wage strongly compresses the wages distribution with small adverse effects on employment

the impact of minimum wages in mexico and colombia there are diverging views about how minimum wages affect labor markets in developing countries advocates of minimum wages hold that they redistribute resources in a welfare enhancing way and can thus reduce poverty improve productivity and foster growth opponents on the other hand contend that minimum wage interventions result in a misallocation of labor and lead to depressed wages in the very sectors the rural and informal urban sectors where most of the poor are found with the effect of wasting resources and reducing the growth rate data from colombia and mexico for the 1980s provide an opportunity to evaluate the impact of minimum wages in mexico in the 1980s the minimum wage fell in real terms roughly 45 percent by 1990 mexico s minimum wage was about 13 percent of the average unskilled manufacturing wage during the same period the minimum wage in colombia increased at nearly the same rate reaching roughly 53 percent of the average unskilled wage the author charts how the mandated minimum wage affected the demand for skilled and unskilled labor in both countries during that decade findings are as follows in mexico minimum wages have had virtually no effect on wages or employment in the formal sector the main reason the minimum wage is not an effective wage for most firms or workers in the informal sector in turn there is considerable noncompliance with the mandated minimum wage especially among part time and female workers as a result significant numbers of workers are paid at or below minimum wages in colombia minimum wages have a much stronger impact on wages judging from their proximity to the average wage and both cross section and time series estimates the estimates imply that the elasticity of low paid unskilled employment with respect to minimum wages is in the range of 2 to 12 percent

where the minimum wage bites hard introduction of minimum wages to a low wage sector between 1993 and april 1999 there was no minimum wage in the united kingdom except in agriculture in this paper we study the effects of the introduction of a national minimum wage nmw in april 1999 on one heavily affected sector the residential care homes industry this sector contains a large number of low paid workers and as such can be viewed as being very vulnerable to minimum wage legislation we look at the impact on both wages and employment our results suggest that the minimum wage raised the wages of a large number of care home workers causing a very big wage compression of the lower end of the wage distribution thereby strongly reducing wage inequality there is some evidence of employment and hours reductions after the minimum wage introduction though the estimated effects are not that sizable given how heavily the wage structure was affected

an individual health plan exchange which employees would benefit and why on average us workers fortunate enough to be offered health insurance through their place of work are given a small number of choices 80 percent of firms accounting for 37 percent of workers offered only one plan in 2005 although there are merits of limited choice including lower administrative costs for sponsoring employers and better pooling of risk within a given employee population substantial consumer surplus is forgone by preventing employees from selecting plans that best suit their needs in dafny ho and varela 2010 we build a model to quantify this deadweight loss using data on plan offerings and enrollment for 800 large us firms in 139 geographic markets over the period 1998 2006 we estimate a model of consumer preferences for characteristics of health plans we use the parameters of that model to predict employee choices under different hypothetical scenarios of expanded choice assuming employers total outlays for health insurance remain constant and plans are made available to new enrollees at large group rates we quantify those gains for each employee group year we observe for example big box retailer s employees in houston in 2003 and conclude these gains are sizable compared to average premiums we estimate that employees would be willing to forgo ten to 40 percent or more of their employer subsidies for the right to apply those subsidies to the plan of their choosing with the exact magnitude depending on the demand specification as well as the definition of the expanded choice set an individual health plan exchange which employees would benefit and why

nonprofit hospital mergers and the exercise of market power government challenges to mergers within the hospital industry have become more frequent many of those mergers involve nonprofit organizations rather than the for profit firms that are the norm in most other industries this difference in ownership has made no apparent difference in the antitrust agencies approach to proposed hospital mergers in this article i test the proposition that nonprofit and for profit hospitals price differently in response to the structure of the markets in which they compete based on a cross sectional analysis of california hospitals i find that estimated merger effects on hospital prices do vary by type of ownership in response to either higher market share or to the joint combination of higher share and higher market concentration private nonprofit hospital prices are statistically significantly lower than for profit hospital prices and on balance in this sample there is no evidence of any systematic price increasing effect on private nonprofit hospitals

international labor economics i argue for increased reliance on non u s data and policy evaluations to understand basic labor market parameters and to predict the effects of changes in u s labor market policies foreign experiences generate exogenous shocks to labor costs that create unusual opportunities to measure impacts on labor demand foreign policies often provide more variation in the underlying parameters in systems that are often structured like their american counterparts foreign data sets are often larger and better suited to inferring behavior an empirical examination shows the effect of author s location data set and journal on the research s subsequent impact

limited information and advertising in the u s personal computer industry traditional discrete choice models assume buyers are aware of all products for sale in markets where products change rapidly the full information assumption is untenable i present a discrete choice model of limited consumer information where advertising influences the set of products from which consumers choose to purchase i apply the model to the u s personal computer market where top firms spend over 2 billion annually on advertising i find estimated markups of 19 over production costs where top firms advertise more than average and earn higher than average markups high markups are explained to a large extent by informational asymmetries across consumers where full information models predict markups of one fourth the magnitude i find that estimated product demand curves are biased toward being too elastic under traditional models i show how to use data on media exposure to improve estimated price elasticities in the absence of micro ad data

the industrial organization of health care markets the u s health care sector is large and growing health care spending in 2011 amounted to 2 7 trillion and 18 percent of gdp approximately half of health care output is allocated via markets in this paper we analyze the industrial organization literature on health care markets focusing on the impact of competition on price quality and treatment decisions for health care providers and health insurers we conclude with a discussion of research opportunities for industrial organization economists including opportunities created by the u s patient protection and affordable care act

price discrimination and bargaining empirical evidence from medical devices many important issues in business to business markets involve price discrimination and negotiated prices situations where theoretical predictions are ambiguous this paper uses new panel data on buyer supplier transfers and a structural model to empirically analyze bargaining and price discrimination in a medical device market while many phenomena that restrict price discrimination are suggested as ways to decrease hospital costs e g mergers group purchasing organizations and transparency i find that 1 non discriminatory pricing actually works against hospitals because competition is more intense under price discrimination and 2 results depend ultimately on a previously unexplored bargaining effect

measuring market power in the ready to eat cereal industry the ready to eat cereal industry is characterized by high concentration high price cost margins large advertising to sales ratios and numerous introductions of new products previous researchers have concluded that the ready to eat cereal industry is a classic example of an industry with nearly collusive pricing behavior and intense nonprice competition this paper empirically examines this conclusion in particular i estimate price cost margins but more importantly i am able empirically to separate these margins into three sources i that which is due to product differentiation ii that which is due to multi product firm pricing and iii that due to potential price collusion the results suggest that given the demand for different brands of cereal the first two effects explain most of the observed price cost margins i conclude that prices in the industry are consistent with noncollusive pricing behavior despite the high price cost margins leading firms are able to maintain a portfolio of differentiated products and influence the perceived product quality it is these two factors that lead to high price cost margins

professional norms and physician behavior homo oeconomicus or homo hippocraticus abstract physicians treatment decisions determine the level of health care spending to a large extent the analysis of physician agency describes how doctors trade off their own and their patients benefits with a third party such as the collective of insured individuals or the taxpayers bearing the costs professional norms are viewed as restraining physicians self interest and as introducing altruism towards the patient we present a controlled experiment that analyzes the impact of professional norms on prospective physicians trade offs between their own profits the patients benefits and the payers expenses for medical care our data support the notion that professional norms derived from the hippocratic tradition shift weight to the patient in physicians decisions while decreasing their self interest and efficiency concerns

how does market power affect the impact of large scale wind investment in energy only wholesale electricity markets in the short run it is well known that increasing wind penetration is likely to reduce spot market electricity prices due to the merit order effect the long run effect is less clear because there will be a change in new capacity investment in response to the wind penetration in this paper we examine the interaction between capacity investment wind penetration and market power by first using a least cost generation expansion model to simulate capacity investment with increasing amounts of wind generation and then using a computer agent based model to predict electricity prices in the presence of market power we find the degree to which firms are able to exercise market power depends critically on the ratio of capacity to peak demand for our preferred long run generation scenario we show market power increases for some periods as wind penetration increases however the merit order counteracts this with the results that prices overall remain flat returns to peakers increase significantly as wind penetration increases the market power in turn leads to inefficient dispatch which is exacerbated with large amounts of wind generation

viewpoint replication in economics this examination of the role and potential for replication in economics points out the paucity of both pure replication checking on others published papers using their data and scientific replication using data representing different populations in one s own work or in a comment several controversies in empirical economics are used to illustrate how and how not to behave when replicating others work the incentives for replication are examined and proposals aimed at journal editors and authors are advanced that might stimulate an activity that most economists applaud but few perform

sinking swimming or learning to swim in medicare part d under medicare part d senior citizens choose prescription drug insurance offered by numerous private insurers we examine nonpoor enrollees actions in 2006 and 2007 using panel data our sample reduced overspending by 298 on average with gains by 81 percent of them the greatest improvements were by those who overspent most in 2006 and by those who switched plans decisions to switch depended on individuals overspending in 2006 and on individualspecific effects of changes in their current plans the oldest consumers and those initiating medications for alzheimer s disease improved by more than average suggesting that real world institutions help overcome cognitive limitations

mergers when prices are negotiated evidence from the hospital industry in recent years many hospitals have merged in part to gain bargaining leverage with managed care organizations mcos we investigate the price impact of hospital mergers by formulating and estimating an equilibrium bargaining model between hospital systems and managed care health insurers over prices for inpatient services we estimate the parameters of the model using claims and discharge data from northern virginia in 2006 inova health system proposed to acquire prince william hospital we nd that this merger would have raised prices signicantly and that the remedy of separate bargaining imposed by the ftc in a separate hospital case would have resulted in a larger price increase

bilateral monopolies and incentives for merger the paper presents a model of duopoly in which firms acquire inputs through bilateral monopoly relations with suppliers it combines a bargaining model with a duopoly model to examine how input pri

does competition between hospitals improve the quality of care hospital death rates and the nhs internal market payer driven competition has been widely advocated as a means of increasing efficiency in health care markets the 1990s reforms to the uk health service followed this path we examine whether competition led to better outcomes for patients as measured by death rates after treatment following heart attacks using data that until 1999 was not publicly available in any form on hospital level death rates we find that the relationship between competition and quality of care appears to be negative greater competition is associated with higher death rates controlling for patient mix and other observed characteristics of the hospital and the catchment area for its patients however the estimated impact of competition is small jel classification i1 l8 h4

the renewable energy policy paradox abstract one major avenue for policymakers to meet climate targets is by decarbonizing the power sector one component of which is raising the share of renewable energy sources renewables in electricity generation however promoting renewables in liberalized power markets creates a paradox in that successful penetration of renewables could fall victim to its own success with the current market architecture future deployment of renewable energy will necessarily be more costly and less scalable moreover transition towards a full 100 renewable electricity sector is unattainable paradoxically in order for renewable technologies to continue growing their market share they need to co exist with fossil fuel technologies ignoring these findings can slow adoption and increase the costs of deploying new renewable technologies this paper spots the incompatibility between electricity liberalization and renewable policy regardless of the country location or renewable technologies the paradox holds as long as market clear prices with short term marginal costs and renewable technology s marginal cost is close to zero and not dispatchable

assessing competition in hospital care markets the importance of accounting for quality differentiation quality differentiation is especially important in the hospital industry where the choices of medicare patients are unaffected by prices unlike previous studies that use geographic market concentration to estimate hospital competitiveness this article emphasizes the importance of quality differentiation in this spatially differentiated market i estimate a random coefficients discrete choice model that predicts patient flow to different hospitals and find that demand responses to both distance and quality are substantial the estimates suggest that patients do not substitute toward alternative hospitals in proportion to current market shares implying that geographic market concentration is an inappropriate measure of hospital competitiveness

the incidence of mandated maternity benefits i consider the labor market effects of mandates which raise the costs of employing a demographically identifiable group the efficiency of these policies will be largely dependent on the extent to which their costs are shifted to group specific wages i study several state and federal mandates which stipulated that childbirth be covered comprehensively in health insurance plans raising the relative cost of insuring women of childbearing age i find substantial shifting of the costs of these mandates to the wages of the targeted group correspondingly i find little effect on total labor input for that group jel 118 j32 h51 in an era of tight fiscal budget constraints mandating employer provision of workplace benefits to employees is an attractive means for a government to finance its policy agenda consequently in recent years there has been a growth of interest in mandated benefits as a tool of social policy for example the centerpiece of president bill clinton s health care proposal is mandated employer provision of health insurance and more than 20 states have man

the merit order effect in the italian power market the impact of solar and wind generation on national wholesale electricity prices abstract italy promoted one of the most generous renewable support schemes worldwide which resulted in a high increase of solar power generation we analyze the italian day ahead wholesale electricity market finding empirical evidence of the merit order effect over the period 2005 2013 an increase of 1 gwh in the hourly average of daily production from solar and wind sources has on average reduced wholesale electricity prices by respectively 2 3 mwh and 4 2 mwh and has amplified their volatility the impact on prices has decreased over time in correspondence with the increase in solar and wind electricity production we estimate that over the period 2009 2013 solar production has generated higher monetary savings than wind production mainly because the former is more prominent than the latter however in the solar case monetary savings are not sufficient to compensate the cost of the related supporting schemes which are entirely internalized within end user tariffs causing a reduction of the consumer surplus while the opposite occurs in the case of wind

estimating welfare in insurance markets using variation in prices we provide a graphical illustration of how standard consumer and producer theory can be used to quantify the welfare loss associated with inefficient pricing in insurance markets with selection we then show how this welfare loss can be estimated empirically using identifying variation in the price of insurance such variation together with quantity data allows us to estimate the demand for insurance the same variation together with cost data allows us to estimate how insurers costs vary as market participants endogenously respond to price the slope of this estimated cost curve provides a direct test for both the existence and the nature of selection and the combination of demand and cost curves can be used to estimate welfare we illustrate our approach by applying it to data on employerprovided health insurance from one specific company we detect adverse selection but estimate that the quantitative welfare implications associated with inefficient pricing in our particular application are small in both absolute and relative terms

paying a premium on your premium consolidation in the us health insurance industry we examine whether and to what extent consolidation in the u s health insurance industry is leading to higher employer sponsored insurance premiums we make use of a proprietary panel dataset of employer sponsored healthplans enrolling over 10 million americans annually between 1998 and 2006 to explore the relationship between premium growth and changes in market concentration we exploit the differential impact of a large national merger of two insurance firms across local markets to estimate the causal effect of concentration on market level premiums we estimate real premiums increased by approximately 7 percentage points in a typical market due to the rise in concentration during our study period we also find evidence that consolidation facilitates the exercise of monopsonistic power vis a vis physicians whose absolute employment and relative earnings decline in its wake

a survey of the effects of the minimum wage on prices abstract it is well established in the literature that minimum wage increases compress the wage distribution firms respond to these higher labour costs by reducing employment reducing profits or raising prices while there are hundreds of studies on the employment effect of the minimum wage there are merely a handful of studies on its profit effects and only a couple of dozen studies on its price effects furthermore a comprehensive survey on minimum wage price effects is not available in the literature given the policy relevance of this neglected issue in this paper we summarize and critically compare the available evidence on the effects of minimum wages on prices

hospital integration and vertical consolidation an analysis of acquisitions in new york state abstract while prior studies tend to view hospital integration through the lens of horizontal consolidation i provide an analysis of its vertical aspects i examine the effect of hospital acquisitions in new york state on the distribution of market share for major cardiac procedures across providers in target markets i find evidence of benefits to acquirers via business stealing with the resulting redistribution of volume across providers having small effects if any on total welfare with respect to cardiac care the results of this analysis along with similar assessments for other services can be incorporated into future studies of hospital consolidation

swedish tax rates labor supply and tax revenues effective marginal tax rates on labor income for the representative swede have increased from roughly 50 percent in 1959 to 80 percent today the effects of this increase in the level of taxation are examined using a two sector model parameterized to correspond to the swedish economy the model contains a single household which allocates labor to either taxed essentially market or untaxed largely household uses the estimated long run effects are sufficient to explain up to 75 percent of the recent decline in the measured growth rate of the swedish gnp calculations of total tax revenues are also derived from the model these peak when the tax rate is approximately 70 percent indicating that sweden is presently on the downward sloping portion of its laffer curve

hospital competition in hmo networks abstract we develop a framework for analyzing bargaining relationships between hospitals and hmos under selective contracting using a unique dataset on hospitals in the los angeles area from 1990 to 1993 we estimate the determinants of actual negotiated prices paid to hospitals by two major hmos we find that a hospital s bargaining power and thus its price decrease when the hmo can readily turn to alternative networks that exclude the hospital we simulate the effect of hypothetical hospital mergers on bargaining power and find that some hospital mergers even in urban areas with many nearby hospitals can lead to significant price increases

intrinsic motivation and optimal incentive contracts i study the role of intrinsic motivation on optimal incentive contracts agents engage in efforts to generate projects with both financial return and intrinsic value to the agent in a neutral environment where intrinsic motivation has no direct effect on the disutility of effort static contracts are unaffected by intrinsic motivation in contrast the firm s profits from an implicit contract are increasing in the degree to which the agent is intrinsically motivated showing that implicit contracts and intrinsic motivation are complements the results are further extended to consider the role of multiple implicit contracts and product market strategy

the impact of renewables on electricity prices in germany an estimation based on historic spot prices in the years 2011 2013 abstract germany s public opinion and media usually attribute increasing electricity prices to the high share of renewables in the german power system but average electricity prices at the european energy exchange dropped during the last years due to an excess of renewable energy this study uses historic market data in order to quantify the effect of renewables on prices historic demand and supply curves from 2011 to 2013 have been used to reconstruct electricity prices under the assumption that no wind and pv would be available the analysis reveals an astonishingly high increase of market prices up to 5 29 ct kwh due to a lack of non renewable power capacities in 2013 the available conventional capacity would not have been able to cover the demand during 269 hours the estimated maximum deficit of 5 6 gw is in good agreement to data published by the german grid operators the discussion of the origin of this deficit leads to the conclusion that the current situation has not been caused by renewables the liberalization of the european energy market established investment risks that hindered required investment a long time before the renewables boomed

insurer pricing and consumer welfare evidence from medigap this article examines the welfare impact of imperfect competition in the medicare supplement insurance medigap market two firms control nearly three fourths of the medigap market and premiums exceed claims by over 25 i find that a low price elasticity and consumers brand preferences lead firms to engage in substantial marketing and price above cost therefore the strategic behavior of insurers facing relatively inelastic demand is critical in explaining poor market performance i also find that insurers do not capture all of the rents in this market rents also accrue to actors who perform marketing functions including agents and brokers

the determinants of individual unemployment durations in an era of high unemployment this paper presents the results of an econometric analysis of the conditional probability of leaving unemployment for two male inflow cohorts entering unemployment at very different points in time 1978 and 1987 the effect of income while unemployed is found to be much weaker for the i987 cohort an elasticity of o i compared with 0 4 and is only found to be significant for teenagers and in the first three months of a spell demand constraints measured by the local unemployment rate are found to have a stronger negative effect on the exit probability for the i987 cohort than in 1978 the i 980s witnessed continual high levels of unemployment in britain and the movement of unemployment up the economic and political agenda unemployment results in major output and income losses and is the cause of much misery to those involved the nation is poorer because of it for both reasons it is therefore important to understand the process that generates a given level of unemployment this process can be considered in terms of two key probabilities the probability of an individual entering unemployment and the probability of an unemployed individual leaving unemployment to take up a job or for other reasons these probabilities will vary with the characteristics of the individual concerned and over time changes in the aggregate unemployment rate can under certain assumptions be decomposed into changes in the inflow rate into unemployment and changes in the steady

how do health insurer market concentration and bargaining power with hospitals affect health insurance premiums the us health insurance industry is highly concentrated and health insurance premiums are high and rising rapidly policymakers have focused on the possible link between the two leading to aca provisions to increase insurer competition however while market power may enable insurers to include higher profit margins in their premiums it may also result in stronger bargaining leverage with hospitals to negotiate lower payment rates to partially offset these higher premiums we empirically examine the relationship between employer sponsored fully insured health insurance premiums and the level of concentration in local insurer and hospital markets using the nationally representative 2006 2011 kff hret employer health benefits survey we exploit a unique feature of employer sponsored insurance in which self insured employers purchase only administrative services from managed care organizations to disentangle these different effects on insurer concentration by constructing one concentration measure representing fully insured plans transactions with employers and the other concentration measure representing insurers bargaining with hospitals as expected we find that premiums are indeed higher for plans sold in markets with higher levels of concentration relevant to insurer transactions with employers lower for plans in markets with higher levels of insurer concentration relevant to insurer bargaining with hospitals and higher for plans in markets with higher levels of hospital market concentration

differentiation and competition in hmo markets this paper examines how differentiation among health maintenance organizations hmos affects local market competition most markets for hmos appear sufficiently unconcentrated however differences among hmos may make competition less intense than the number of competitors would suggest to investigate this possibility we distinguish hmos that serve only local markets from those that operate regional or national networks we analyze how hmos of one type affect the profitability of the other using an equilibrium model of entry and product choice while the two types of hmos have strong competitive effects within segments the competitive effect of differentiated firms is negligible

pharmaceuticals in u s health care determinants of quantity and price the u s pharmaceutical industry has again become the focus of considerable controversy in understanding the economics underlying this industry distinctions between short medium and long run costs are critical as is that between economic and accounting costs consumers heterogeneous valuations create strong incentives for non uniform pricing and targeted marketing the conflict between static efficiency price new drugs low near short run marginal cost and dynamic efficiency price new drugs high maintain incentives for innovation is deep and enduring this trade off is becoming more severe as the relative costs of bringing new drugs to market have increased sharply

physician response to fee changes with multiple payers this paper develops a general model of physician behavior with demand inducement encompassing the two benchmark cases of profit maximization and target income behavior it is shown that when income effects are absent physicians maximize profits and when income effects are very strong physicians seek a target income the model is used to derive own and cross price expressions for the response of physicians to fee changes in the realistic context of more than one payer under the alternative behavior assumptions of profit maximization and target income behavior the implications for public and private fee policy and empirical research on physician response to fees are discussed

prices versus policy an analysis of the drivers of the primary fossil fuel mix abstract energy policymakers often attempt to shape their countries energy mix rather than leave it purely to market forces by calibrating and simulating a dynamic stochastic general equilibrium dsge model this paper analyzes the primary fossil fuel mix in the usa and compares it to germany and the uk given the different evolution of the mixes and the different roles played by relative prices and policy in north america and europe it is found that the model explains well the evolution of the primary fossil fuel mix in the usa for the period 1980 2014 suggesting that relative fossil fuel prices generally dominated in determining the mix during this time however this is not the case for germany and the uk for both countries the model performs well only for the period after the market oriented reforms in the 1990s additionally the volatility of private consumption and output for the pre and post reform periods is evaluated for germany and the uk and it is found that the liberalized energy markets brought about a transition from coal to natural gas but with increased macroeconomic volatility

adverse selection and inertia in health insurance markets when nudging hurts this paper investigates consumer inertia in health insurance markets where adverse selection is a potential concern we leverage a major change to insurance provision that occurred at a large firm to identify substantial inertia and develop and estimate a choice model that also quantifies risk preferences and ex ante health risk we use these estimates to study the impact of policies that nudge consumers toward better decisions by reducing inertia when aggregated these improved individual level choices substantially exacerbate adverse selection in our setting leading to an overall reduction in welfare that doubles the existing welfare loss from adverse selection jel d82 g22 i13 a number of potential impediments stand in the way of efficient health insur ance markets the most noted of these is adverse selection first studied by akerlof 1970 and rothschild and stiglitz 1976 in insurance markets prices reflect the expected risk costs of the insured pool whether the reason is price regulation or private information when insurers cannot price all risk characteristics riskier consumers choose more comprehensive health plans this causes the equilibrium prices of these plans to rise and healthier enrollees to select less comprehensive coverage than they would otherwise prefer

on some economic principles of the energy transition abstract energy transitions are complex processes difficult to characterize using a small number of features we provide a simple framework for the energy transition pointing out that some scenarios have a higher probability the document is organized around four key propositions i the current energy transition is driven by policies rather than by technology improvements ii the energy transition disrupts liberalized electricity markets and undermines their economic foundation iii given the current technologies and technological perspectives the energy transition to renewable sources is going to be incomplete iv there is a change in consumer preferences for cleaner energy demanding new business models these propositions lead to the following consequences a the outcome in terms of electricity prices and energy production will depend on the policies applied as there are multiple possible policies and paths of energy transition b a complete transition based on renewable energy may be technically possible but difficult to manage in liberalized markets requiring a new design c there is a change in consumers preferences towards decarbonized energy creating new business opportunities and jeopardizing traditional business models it is difficult to make accurate predictions on the energy transition but we provide general guidelines for policymakers companies and investors

effects of renewables on the stylized facts of electricity prices abstract many countries around the world have increased their renewable installed capacity due to a greater awareness of climate concerns under this new framework with renewables being among the main generation sources the literature warns of a dramatic change in price behaviour some of the most commonly claimed effects of having a significant proportion of renewable generating sources in the total electricity production mix include i a systematic decrease in overall wholesale market prices ii a higher occurrence of price jumps and iii a significant increase in price volatility the goal of the present study is to test whether these changes in price behaviour have actually come about to do so we focus on the spanish day ahead electricity market as a paradigmatic example in line with the literature it is found a statistically negative relationship between the renewable generation share and the day ahead market marginal prices as well we have obtained statistical confirmation of the fact that renewables generation share volatility is transferred to price volatility though similarly to other generation technologies finally in contrast to the general belief that the introduction of renewable generation would give rise to extreme positive prices according to our results increases in renewables generation share reduce the probability of upward jumps in prices the results obtained are of interest for portfolio managers practitioners and regulators

choice price competition and complexity in markets for health insurance abstract the united states and other nations rely on consumer choice and price competition between competing health plans to allocate resources in the health sector while a great deal of research has examined the efficiency consequences of adverse selection in health insurance markets less attention has been devoted to other aspects of consumer choice the nation of switzerland offers a unique opportunity to study price competition in health insurance markets switzerland regulates health insurance markets with the aim of minimizing adverse selection and encouraging strong price competition we examine consumer responses to price differences in local markets and the degree of price variation in local markets using both survey data and observations on local markets we obtain evidence suggesting that as the number of choices offered to individuals grows their willingness to switch plans given a set of price dispersion differences declines which allows large price differences for relatively homogeneous products to persist we consider explanations for this phenomenon from economics and psychology