SemesterFall Semester, 2020
DepartmentThe International Master Program of Applied Economics and Social Development (IMES) , First Year The International Master Program of Applied Economics and Social Development (IMES) , Second Year
Course NameHealth Economics
InstructorLIEN HSIEN-MING
Credit3.0
Course TypeElective
Prerequisite
Course Objective
Course Description
Course Schedule

Course Schedule



    ?09/16           Reading papers (6 hours)<       > Course Introduction

  ?  09/23           Reading papers (6 hours)<       > Introduction to Health Economics

  ?  09/30           Reading papers (6 hours) <       > Optiaml Health Insurance

  ?  10/07           Reading papers (6 hours)<       > Optiaml Health Insurance

  ?  10/14           Reading papers (6 hours)<       > Health Insurance (Moral Hazard)

  ?  10/20           Reading papers (6 hours)<       > Health Insurance (Moral Hazard)

  ?  10/28           Reading papers (6 hours)<       > Health Insurance (Moral Hazard)

  ?  11/03         Midterm Report<       >            

  ?  11/11           Reading papers (6 hours)<       > Provider Payment and Incentives

  ?  11/18           Reading papers (6 hours)<       > Provider Payment and Incentives

  ?  11/25           Reading papers (6 hours)<       > Benefits of Medical Care

  ?  12/02           Reading papers (6 hours)<       > Benefits of Medical Care

  ?  12/09           Reading papers (6 hours)<       > Selective Topics

  ?  12/16           Reading papers (6 hours)<       > Selective Topics

  ?  12/23           Reading papers (6 hours)<       > Selective Topics

  ?  12/30           Reading papers (6 hours)<       > Selective Topics

  ?  01/06   Final Report



 



Course Outline



  ?  Introduction to Health Economics

      -  *Newhouse, J. P. (1992) " Medicare Care Cost: How Much Welfare Loss?", Journal of Economic Perspectives, 6 (3): 13-29.

      -  *Michael E. Chernew and J. P. Newhouse (2012) "Health Care Spending Growth," Chapter 1 of Handbook of Health Economics II, M V. Pauly, T. G. McGuire, and P. P. Barrosa (ed) Elsevier.

      -  *Summer, Lawrence H. (2004) Fourth Annual Marshall J. Seidman Lecture on Health Policy

      -  Chapter 1 and 2, HR

  ?  Optiaml Health Insurance

      -  Chetty, Raj and Amy Finkelstein (2013) "Social insurance: Connecting theory to data," Handbook of Public Economics Volume 5: 111-193.

      -  *Culter, D. M and Zeckhauser, R. (2000) "The Anatomy of Health Insurance", Chapter11 of Handbook of Health Economics, A.J. Culyer and J. P. Newhouse (ed) Elsevier.

      -  *Thomas G. McGuire (2012) "Demand for Health Insurance," Chapter 5 of Handbook of Health Economics Volumne 2, M V. Pauly, T. G. McGuire, and P. P. Barrosa (ed) Elsevier.

      -  (Θ)Kenneth. J. Arrow. (1963) "The Welfare Economics of Medical Care," American Economic Review, 53, 941-973

      -  Pauly, M.V. (1968) "The Economics of Moral Hazard," American Economic Review, 49: 531-537.

  ?  Health Insurance (Moral Hazard)

      -  Aron-Dine, Aviva, Liran Einav and Amy Finkelstein (2013) "The RAND Health Insurance Experiment, Three Decades Later" Journal of Economic Perspectives 27(1): 197-222.

      -  *Chandra, A., Gruber, J. and McKnight, R. (2010a), `Patient cost-sharing and hospitalization offsets in the elderly', American Economic Review 100(1), 193-213.

      -  *Manning, W.G. et al. (1987) "Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment," American Economic Review, 77: 251-277.

      -  *Finkelstein, Amy, Sarah Taubman, Bill Wright, Mira Bernstein, Jonathan Gruber, Joseph P. Newhouse, Heidi Allen, Katherine Baicker, and the Oregon Health Study Group (2012) "The Oregon Health Insurance Experiment: Evidence from the First Year," Quarterly Journal of Economics 127(3): 1057-1106.

      -  *Finkelstein, Amy, 2007, " The Aggregate Effects of Health Insurance: Evidence from the Introduction of Medicare," Quarterly Journal of Economics, 122(1), 1-37.

      -  Han, Hsing-Wen, Hsien-Ming Lien and Tzu-Ting Yang (2016) "Patient Cost Sharing and Healthcare Utilization in Early Childhood: Evidence from a Regression Discontinuity Design" Manuscripts

      -  Chandra, A., Gruber, J. and McKnight, R. (2010b), `Patient cost sharing in low income populations', American Economic Review 100(2), 303-308

      -  Shigeoka, Hitoshi (2014) "The Effect of Patient Cost Sharing on Utilization, Health, and Risk Protection," American Economic Review 104(7): 2152-84.

      -  Chapter 10, Phelps

  ?  Provider Payment and Incentives

      -  *McGuire, T. G. (2000) "Physician Agency," in Anthony J. Culyer and Joseph P. Newhouse, eds., Chapter 9 of Handbook of Health Economics, Elsevier.

      -  *Newhouse, J. P. (1996) "Reimbursing Health Plans and Health Providers: Efficiency in Production versus Selection?", Journal of Economic Literature.

      -  *Ellis, R. and McGuire, T.G. (1993) "Supply-Side and Demand-Side Cost Sharing in Health Care," Journal of Economic Perspectives, 7: 135-151.

      -  Gaynor, Martin and Paul Gertler, " Moral Hazard and Risk Spreading in Partnerships," Rand Journal of Economics, 1995, 26(4), 591-614.

      -  *Gruber, J. and Owings, M. (1996) "Physician Financial Incentives and Cesarean Section Delivery," RAND Journal of Economics, 27: 99-123.

      -  Yip, W. (1998), "Physician Responses to Medical Fee Reductions: Changes in the Volume and Intensity of Supply of Coronary, Artery Bypass Graft (CABG) Surgeries in the Medicare and Private Sectors," Journal of Health Economics, 17 (6): 675-699.

      -  Han, Hsing-Wen and Hsien-Ming Lien (2010) "Can Raising the Payment of Natural Delivery Lower the Cesarean Rate?" Taiwan Journal of Public Health, 29 (3), 218-227

      -  *Meredith B. Rosenthal, PhD; Richard G. Frank, PhD; Zhonghe Li, MA; Arnold M. Epstein, MD, MA (2005). "Early Experience With Pay-for-Performance: From Concept to Practice". JAMA 294 (14): 1788--1793

      -  M .B. Rosenthal and R. G. Frank (2006). "What Is the Empirical Basis for Paying for Quality in Health Care?". Medical Care Research and Review 63 (2): 135--57

      -  Ma, C.A. (1994) "Health Care Payment Systems: Cost and Quality Incentives," Journal of Economics & Management Strategy, 3(1):93-112.

      -  Ma, C.A. and McGuire, T.G. (1997) "Optimal Health Insurance and Provider Payment," American Economic Review, 87(4):685-704.

      -  Ellis, Randall. and McGuire, T.G.. (1986), "Provider Behavior Under Prospective Reimbursement: Cost Sharing and Supply", Journal of Health Economics, 5 (2): 129-152

      -  Duggan, Mark, and Fiona Scott Morton (2010) "The Effect of Medicare Part D on Pharmaceutical Prices and Utilization," American Economic Review 100(1): 590-607.

      -  Clemens, Jeffrey and Joshua Gottlieb (2014) "Do physicians' financial incentives affect medical treatment and patient health?" American Economic Review 104(4): 1320-1349.

      -  Dafny, Leemore (2005) "How do hospitals respond to price changes?" American Economic Review 95(5): 1525-1547.

  ?  Benefits of Medical Care

      -  *Card, David, Carlos Dobkin, Nicole Maestas (2009) " Does Medicare Save Lives?" Quarterly Journal of Economics, 124(2), 597--636..

      -  *Currie, Janet, and Jonathan Gruber (1996), " Saving Babies: The Efficacy and Cost of Recent Expansions of Medicaid Eligibility for Pregnant Women," Journal of Political Economy, 104(6), 1263-1296.

      -  *David, Cutler.(2004) "Are the Benefits of Medicine Worth What We Pay for it?", Fifth Annual Herbert Lourie Memorical Lecture on Health Policy

      -  *David M. Cutler, Allison B. Rosen, and Sandeep Vijan, (2006) "The Value of Medical Spending in the United States, 1960--2000"  N Engl J Med 355:920-927

      -  *Douglas Almond, Joseph Doyle, Amanda Kowalski, and Heidi Williams (2010) "Estimating Marginal Returns to Medical Care: Evidence from At-risk Newborns" The Quarterly Journal of Economics

      -  *Piper, Joyce, et al.(1990) " Effects of Medicaid Eligibility Expansion on Prenatal Care and Pregnancy Outcomes in Tennessee," JAMA, 264(17), 2219-2223

      -  Miller, Amalia, and Catherine Tucker (2011) "Can Health Care Information Technology Save Babies?" Journal of Political Economy 119 (2): 289--324.

  ?  Early Life Health, Schooling, and Productivity

      -  Douglas Almond and Janet Currie (2011) "Killing Me Softly: The Fetal Origins Hypothesis" . Journal of Economic Perspectives, 25 pp 153-172

      -  Douglas Almond, Kenneth Chay and David Lee (2005) "The Costs of Low Birth Weight" Quarterly Journal of Economics, 120, 1031-1084.

      -  Almond, Doug, Lena Edlund, and Marten Palme, " Chernobyl's Subclinical Legacy: Prenatal Exposure to Radioactive Fallout and School Outcomes in Sweden," Quarterly Journal of Economics, 2009, 124(4), 1729-1772.

      -  Almond, Doug and Kenneth Chay, "The Long Run and Intergenerational of Poor Infant Health: Evidence from Cohorts Born during the Civil Rights Era," mimeo, 2006.

      -  *Bleakley, Hoyt (2007) " Disease and Development: Evidence from Hookworm Eradication in the American South," Quarterly Journal of Economics, 122(1), 73-117.

      -  *Bleakley, Hoyt (2010) " Malaria Eradication in the Americas: A Retrospective Analysis of Childhood Exposure," American Economic Journal: Applied Economics, 2(2), 1-45.

      -  *Douglas Almond, " Is the 1918 Influenza Pandemic Over? Long-Term Effects of In Utero Exposure in the Post-1940 US Population," Journal of Political Economy, 2006, 114(4), 672-712.

      -  Cutler, David Winnie Fung, Michael Kremer, Monica Singhal, and Tom Vogl (2010) " Early-life Malaria Exposure and Adult Outcomes: Evidence from Malaria Eradication in India," American Economic Journal: Applied Economics, 2(2), 72-94.

      -  Lucas, Adrienne (2010) " Malaria Eradication and Educational Attainment: Evidence from Paraguay and Sri Lanka," American Economic Journal: Applied Economics, 2(2), 46-71.

      -  Thomas, Duncan, et al., " Iron Deficiency and the Well-Being of Older Adults: Early Results from a Randomized Nutrition Intervention," mimeo, 2003.

      -  Maccini, Sharon and Dean Yang (2009) " Under the Weather: Health, Schooling and Socioeconomic Consequences of Early Life Rainfall," American Economic Review, 99(3), 1006-1026.

  ?  Pharmaceuticals

      -  Fiona Scott Morton, Margaret Kyle, "Markets for Pharmaceutical Products," Chapter 12 of Handbook of Health Economics II, M V. Pauly, T. G. McGuire, and P. P. Barrosa (ed) Elsevier.

      -  *Toshiaki Iizuka (2012) "Physician Agency and Adoption of Generic Pharmaceuticals," American Economic Review, 102(6): 2826-2858

      -  Toshiaki Iizuka (2007) "Experts' Agency Problems: Evidence from the Prescription Drug Market in Japan," RAND Journal of Economics, 38(3), pp. 844-862

      -  *Liu, Ya-Ming, Yea-Huei Kao Yang and Chee-Ruey Hsieh (2009) "Financial Incentives and Physicians' Prescription Decisions on the Choice between Brand-name and Generic Drugs: Evidence from Taiwan." Journal of Health Economics 28(2), 341-349.

      -  Liu, Y.M., Y.H. Kao Yang and C.R. Hsieh (2012). "Regulation and Competition in the Taiwanese Pharmaceutical Market under National Health Insurance." Journal of Health Economics 31(3), 471-483.

      -  Cutler, David (2008) "Are We Finally Winning the War on Cancer?" Journal of Economic Perspectives 22(4): 3-26.

      -  Cutler, David, Allison Rosen, and Sandeep Vijan (2006) "Value of Medical Innovation in the United States: 1960-2000," New England Journal of Medicine 355 (9): 920-927.

      -  Finkelstein, Amy (2004) "Static and dynamic effects of health policy: Evidence from the vaccine industry." Quarterly Journal of Economics 119(2): 527-64.

  ?  Causes and Consequences of Geographic Variation

      -  Chandra, Amitabh and Douglas O. Staiger (2007) "Productivity Spillovers in Healthcare: Evidence from the Treatment of Heart Attacks," Journal of Political Economy 115 (1): 103--40.

      -  Chandra, Amitabh, Amy Finkelstein, Adam Sacarny, and Chad Syverson (2016) "Healthcare Exceptionalism? Productivity and Allocation in the U.S. Healthcare Sector," American Economic Review 106(8): 2110-2144.

      -  Finkelstein, Amy, Matthew Gentzkow, and Heidi Williams (2016) "Sources of Geographic Variation in Health Care: Evidence from Patient Migration," Quarterly Journal of Economics Forthcoming. http://www.nber.org/papers/w20789.

      -  Skinner, Jonathan (2011) "Causes and consequences of regional variations in health care," Handbook of Health Economics Volume 2, Mark Pauly, Thomas McGuire, and Pedro Barros (editors), New York NY: Elsevier

      -  Song, Yunjie, Jonathan Skinner, Julie Bynum, Jason Sutherland, John E. Wennberg, and Elliot Fisher (2010) "Regional variations in diagnostic practices," New England Journal of Medicine 363(1): 45-53.



 



 



 


Teaching Methods
Teaching Assistant

No TA


Requirement/Grading

There will be a weekly class presentation; each student takes turns to give a 45-mins presentation of an assigned paper. There will also be assignments; students are expected to work independently. There will be either an final exam or a report which students are expected to work in groups; the details will be decided in the first class. Grading will be as follows:



Presentation    40%

Report    60%.

 


Textbook & Reference

    There is no textbook for this course; however, the following three books are helpful for understanding the backgrounds of health systems of the United States and Taiwan.



The Economics of Health and Health Care, by Sherman Folland, Allen C and Goodman, and Miron Stano (United States, hereafter FGM)

Health Economics, by Sloan, F. A. and C.R. Hsieh. 2012, Cambridge: MIT Press.

Health Economics, by Chee-Ruey Hsieh, and Rachel Ru (Taiwan, hereafter HR)


Urls about Course
www3.nccu.edu.tw/~hmlien
Attachment