Precautionary Saving and Social Insurance
Micro data studies of household saving often find a significant group in the population with virtually no wealth, raising concerns about heterogeneity in motives for saving. In particular, this…
Do the Rich Save More?
The question of whether higher–lifetime income households save a larger fraction of their income was the subject of much debate in the 1950s and 1960s, and while not resolved, it remains central to…
Technology Growth and Expenditure Growth in Health Care
- A. Chandra, J. Skinner
- Medicine, EconomicsNational Bureau of Economic Research bulletin on…
- 1 April 2011
A model of patient demand and supplier behavior is developed to explain parallel trends in technology growth and cost growth in the United States, showing that health care productivity depends on the heterogeneity of treatment effects across patients, the shape of the health production function, and the cost structure of procedures such as MRIs with high fixed costs and low marginal costs.
Labor Supply and Marital Separation
Panel data are used to estimate the effect of marital separation on labor supply. Female labor supply increases substantially and male labor supply declines marginally, lending support to the theory…
Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT): a randomized trial.
Patients in both the surgery and the nonoperative treatment groups improved substantially over a 2-year period, and conclusions about the superiority or equivalence of the treatments are not warranted based on the intent-to-treat analysis.
Racial, ethnic, and geographic disparities in rates of knee arthroplasty among Medicare patients.
- J. Skinner, J. Weinstein, S. Sporer, J. Wennberg
- MedicineNew England Journal of Medicine
- 2 October 2003
In the Medicare population, the rate of surgical treatment for osteoarthritis of the knee varies dramatically according to sex, race or ethnic group, and region, which underscores the importance of geography and sex in determining racial or ethnic barriers to health care.
A SUPERIOR MEASURE OF CONSUMPTION FROM THE PANEL STUDY OF INCOME DYNAMICS
- J. Skinner
Geography and the debate over Medicare reform.
A new approach to Medicare reform is proposed based on the principles of shared decision making and the promotion of centers of medical excellence and it is suggested that this proposal be tested in a major demonstration project.
Medicare upcoding and hospital ownership.
Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending
- D. Cutler, J. Skinner, A. Stern, D. Wennberg
- MedicineAmerican Economic Journal: Economic Policy
- 1 August 2013
The results indicate that patient demand is relatively unimportant in explaining variations, but physician organizational factors matter, but the most important factor is physician beliefs about treatment.