Direct evidence on variations in work incentives across different property rights systems remains scarce. This paper examines absenteeism among individuals employed in worker cooperatives - firms that are ultimately controlled by their workforce. By leveraging employment data matched with sick...

Sick pay compensates for income loss during illness. However, it may distort labor supply by affecting gross wages if paid by employers and net wages if financed by social insurance contributions. We develop a dynamic general equilibrium model with endogenous, biologically founded health and...

Direct evidence on variations in work incentives across different property rights systems remains scarce. This paper examines absenteeism among individuals employed in worker cooperatives—firms that are ultimately controlled by their workforce. By leveraging employment data matched with sick...

We study how public school teachers use paid sick leave. Most US sick leave schemes operate as individualized credit accounts: Paid leave is earned, and unused leave accumulates. We construct a unique dataset of daily leave balances and behavior among 982 teachers for 2010–2018. Sick leave use...

We study how couples in the Medicare Part D program choose an insurance plan. Over 70 percent of enrollees choose the same plan as their spouse. Even among those with differing healthcare needs, well over half do so. Discrete-choice models suggest beneficiaries value being on the same plan as...

Establishment of public-private partnerships is an emerging model in health care delivery. This study evaluates a pioneering social health insurance program in India that enables eligible households to access private hospitals for tertiary care services free of cost, but does not build more...

Public insurance reimbursement policies shape the structure and reach of healthcare markets. In this study, we examine the 1980 federal Medicaid mandate requiring states to reimburse Certified Nurse-Midwives, one of the first reforms targeting non-physician providers. We find the mandate...

In the 2000s, the Government of the People's Republic of China extended basic health insurance to most of the population. In the 2010s, it introduced a catastrophic medical insurance (CMI) program to further improve urban and rural residents' protection against financial shocks due to inpatient...

We study the spillover effects of a large-scale public health insurance programme on early learning outcomes in Rwanda. The policy, the community based health insurance programme, which expands affordable healthcare services especially among rural and low-income families, was introduced in...

Medicare fraud poses a substantial challenge to healthcare systems, resulting in significant financial losses and undermining the quality of care provided to legitimate beneficiaries. This study investigates the use of machine learning (ML) to enhance Medicare fraud detection, addressing key...

Dieser Policy Brief ordnet zunächst die aktuelle Diskussion um die Einführung eines Karenztages sowie eine Kürzung der Lohnfortzahlung (= Absenkung der Lohnersatzrate) aus ökonomischer Sicht ein. In beiden Fällen geht es um staatliche Mindestabsicherungen im Krankheitsfall für abhängig...

Social health protection systems are constantly evolving, offering a wide range of institutional, administrative, and financial arrangements. International standards in social health protection are outcome-based, and grant flexibility in the institutional and administrative arrangements chosen...

Die Sozialabgaben in Deutschland haben mit 42 % die einst als unüberschreitbar geltende "Haltelinie" von 40 % bereits deutlich überschritten. Besonders dramatisch entwickeln sich die Zusatzbeiträge der gesetzlichen Krankenversicherung (GKV): von 1,7 % im Jahr 2024 auf aktuell 2,9 % im zweiten...

We leverage decades of administrative data and quasi-experimental variation in the introduction of universal long-term care (LTC) insurance in Germany in 1995 to examine whether health insurance expansions can stimulate local economies. We find that the LTC insurance rollout led not only to...

Unlike most developed countries, the U.S. lacks a federal paid sick leave policy. As a result, many workers must choose between losing earnings and attending to childcare responsibilities. To date, 17 states and the District of Columbia have adopted or announced paid sick leave mandates that...

Background Medicare Advantage (MA) penetration rates have shown an increase in rural areas in the past decade, increasing the bargaining power of MA plans relative to rural hospitals. We study the effect that this increase has had in the revenue of rural hospitals through reductions in the...

Background Adjusting the health insurance reimbursement rate is essential to optimize the allocation of medical resources. This paper investigates the effect of health insurance reimbursement rates on middle-aged and elderly people's choice of hospitals in China. Methods This study is conducted...

A common approach to markets with adverse selection is to regulate competition to minimize inefficiencies, while preserving consumer choice among firms. We study the role of procurement auctions - leading to sole provision by the winning firm - as an alternative market design. Relative to...

Sick pay compensates for income loss during illness. However, it may distort labor supply by affecting gross wages if paid by employers and net wages if financed by social insurance contributions. We develop a dynamic general equilibrium model with endogenous, biologically founded health and...

In the Philippines, hospital efficiency and quality are rarely measured because of the limited availability of administrative health data. We used 37 million inpatient claims from PhilHealth (2018-2023) to estimate hospital efficiency and quality across the Philippines. We found stark variation...

This report estimated the utilization of outpatient benefits of the Philippine Health Insurance Corporation and examined variations across local governments. We analyzed utilization patterns by key socio-demographic and economic characteristics to better understand healthcare inequalities. The...

Inequities in access to healthcare are pervasive in many low- and middle-income countries (LMICs), manifesting as large socio-economic gradients in healthcare utilization and subsequently, disparities in population outcomes. LMICs additionally often confront inefficient health systems,...

The financing of long-term care services and supports (LTSS) relies heavily on self-insurance in the form of housing or financial wealth. Exploiting both local market variation in housing prices and individual-level variation in stock market wealth from 1996 to 2016, we document that exogenous...

Establishment of public–private partnerships is an emerging model in health care delivery. This study evaluates a pioneering social health insurance program in India that enables eligible households to access private hospitals for tertiary care services free of cost, but does not build more...

Reaching universal health coverage is a central objective of social protection systems.Countries can choose a variety of mechanisms to secure the right to social health protection for all. This report focuses on those countries that have chosen a universal health insurance model. More...

The financing of long-term care services and supports (LTSS) relies heavily on self-insurance in the form of housing or financial wealth. Exploiting both local market variation in housing prices and individual-level variation in stock market wealth from 1996 to 2016, we document that exogenous...

The United States lacks a federal paid sick leave policy. However, 18 states and the District of Columbia have adopted or announced paid sick leave employer mandates to increase access to this benefit, creating a quasi-experimental setting to study whether paid sick leave affects healthcare use....

This paper presents evidence on how firms react to a more generous insurance against high sick pay costs. We exploit a reform launched in Sweden in 2015, which introduced different thresholds for insurance reimbursement depending on firm size. By comparing workers in smaller firms with workers...