Economics

Healthcare fragmentation linked to coordination challenges and higher costs

Policies aiming to improve healthcare productivity often focus on reducing care fragmentation. Care fragmentation occurs when services are spread across many providers, potentially making coordination difficult. Using Medicare claims data, we analyze the effect of moving to a region with more fragmented care delivery. We find that 60% of regional variation in care fragmentation is independent of patients' individual demand for care and moving to a region with 1 SD higher fragmentation increases care utilization by 10%. When patients move to more fragmented regions, they increase their use of specialists and have fewer encounters with primary care physicians. More fragmented regions have more intensive care provision on many margins, including services sometimes associated with overutilization (hospitalizations, emergency department visits, repeat imaging studies) as well as services associated with high value care (vaccines, guideline concordant for diabetics).

ECON Students Get Firsthand View of the Economies of Chile, Argentina

Dartmouth Economics students applied what they learned from Econ 70 class: “Immersion Experience in Applied Economics and Policy : Macroeconomic Policy in Latin America” by traveling to Santiago, Chile, and Buenos Aires, Argentina this winter.

During the visit, the students continued their research by meeting with policy makers, business leaders, and civil society representatives and learn from their experiences then share their conclusions.

The course and trip are led by Professor Doug Irwin and Professor Marjorie Rose.

Read more on the Dartmouth News.

 

How Trade Advances Global Prosperity

 

Nina Pavcnik, the Niehaus Family Professor in International Studies and chair of the economics department, and Douglas Irwin, the John French Professor in Economics, were invited to be interviewed by Bloomberg forum producers for the three-minute video “How Trade Advances Global Prosperity,” along with renowned development economist Jayati Ghosh and Pulitzer Prize winning journalist Thomas Friedman.

Professor Christopher Snyder named editor of the Journal of Law and Economics

The Journal of Law and Economics is an academic journal published by the University of Chicago Press. It publishes articles on the economic analysis of regulation and the behavior of regulated firms, the political economy of legislation and legislative processes, law and finance, corporate finance and governance, and industrial organization. The journal is sponsored by the University of Chicago Law School.

Professor Snyder's research focuses on Industrial Organization, Microeconomic Theory and Law and Economics. His recent work has focused on healthcare and vaccines and the economics of open access journals, among other things. In addition to teaching undergraduate students, he is a research associate with the NBER in the Law and Economics Program. Snyder also serves as Secretary-Treasurer of the Industrial Organization Society, and as an Associate Editor for the Review of Industrial Organization.

Congratulations to Prof. Irwin for Jones Biennial Prize

Please join us in congratulating Professor Doug Irwin being awarded the Alice Hanson Jones Biennial Prize for his book "Clashing over Commerce: A History of US Trade Policy." The Prize is awarded every other year for an Outstanding Book on North American Economic History by the Economic History Association. More information about the prize and previous winners is provided here.

 

How Women’s Suffrage Improved Education for a Whole Generation of Children

While a growing literature has shown that women prefer investments in child welfare and increased redistribution, little is known about the long-term effect of empowering women. Exploiting plausibly exogenous variation in U.S. suffrage laws, we show that children from economically disadvantaged backgrounds who were exposed to women’s political empowerment during childhood experienced large increases in educational attainment, especially blacks and Southern whites. We also find improvements in earnings among whites and blacks that experienced educational gains. We employ newly digitized data to map these long-term effects to contemporaneous increases in local education spending and childhood health, showing that educational gains were linked to improvements in the policy environment.

Assistant Professor Na’ama Shenhav's research "Who Benefited from Women's Suffrage?" was featured in the Atlantic.

Ran Zhuo '17 awarded the Rintels Prize

Dartmouth Economics Department is proud to announce that Ran Zhuo ’17 was awarded the Rintels Prize for the best honors thesis in the Social Sciences for the Class of 2017 for her thesis titled "Do Low Price Guarantees Guarantee Low Prices? Evidence from Competition between Amazon and Big-Box Stores."

The selection committee noted that "Ran identified a question that was full of economics, policy relevant, and poorly addressed in the prior literature".

Ran graduated as a valedictorian from the Class of 2017, with a BA in Economics and Mathematics. She is currently a Ph.D. student in business economics at Harvard and her thesis was published in December 2017 issue of the Journal of Industrial Economics.  

Ran is the third economics major in four years to win the Rintels prize, following the footsteps of  Ayushi Narayan '14 and Aaron Goodman '15.  

Not Working : Where Have All the Good Jobs Gone?

 

Prof. BlanchFlower’s new book “Not Working : Where Have All the Good Jobs Gone?” published by Princeton University Press is forthcoming in June, 2019.

In this revelatory and outspoken book, David Blanchflower draws on his acclaimed work in the economics of labor and wellbeing to explain why today’s postrecession economy is vastly different from what came before. He calls out our leaders and policymakers for failing to see the Great Recession coming, and for their continued failure to address one of the most unacknowledged social catastrophes of our time. Blanchflower shows how many workers are underemployed or have simply given up trying to find a well-paying job, how wage growth has not returned to prerecession levels despite rosy employment indicators, and how general prosperity has not returned since the crash of 2008.

A little randomness can go a long way

The following excerpt is from Professor Bruce Sacerdote ‘s article "What to expect when a college assigns students to random roommates".

"Duke University recently announced that first-year students will now be randomly assigned to their dormmates. The goal is to give students a chance to meet and learn from peers from a completely different background. Is this silly social engineering or smart policy?

First, let’s acknowledge that roommates and dormmates matter for students’ social networks. In one study – titled “How Do Friendships Form?” – David Marmaros and I examined email behavior among thousands of college students. First-year roommates exchange 45 times more emails with each other than with a randomly chosen member of the incoming class.

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The bonds that students form their first year are long lasting. By senior year, former first year roommates are still emailing each other at 10 times the rate that they would with other students on campus.

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