Meredith Rosenthal +info
C. Boyden Gray Professor of Health Economics and Policy
Health Policy and Management
Harvard University, EUA
Dr. Rosenthal received her B.A in International Relations (Commerce) from Brown University in 1990 and her Ph.D. in Health Policy (Economics track) from Harvard University in 1998.
Her research focuses primarily on policies that will help slow the growth in healthcare spending and improve value. These efforts include changes in payment incentives, benefit design, and the provision of information and behavioral “nudges” to both patients and providers. Her research has influenced the design of provider payment systems in both the public and private sectors. She has advised federal and state policymakers in healthcare payment policy and implementation. She has also testified in Congressional hearings on direct-to-consumer advertising of prescription drugs and pay-for-performance and in legislative hearings in California and Massachusetts concerning healthcare provider payment and benefit design policies.
Dr. Rosenthal’s work has been published in the New England Journal of Medicine, the Journal of the American Medical Association, Health Affairs, and numerous other peer-reviewed journals. In 2014, Dr. Rosenthal was elected to the Institute of Medicine (recently renamed the National Academy of Medicine).
Session title: Price and utilization effects of vertical integration between physicians and hospitals
Vertical integration in health care has recently garnered scrutiny by U.S. antitrust authorities and state regulators. We examined trends, geographic variation, and price effects of vertical integration between physicians and hospitals using physician affiliations and all-payer claims data from Massachusetts in 2013-2017. Our work adds to the literature by differentiating effects according to the market share of the system with which the physician practice integrates. We found that vertical integration with small or medium systems led to price increases of 2.1%-7.7% for primary care physicians and 0.7%-2.4% for specialists. Vertical integration with large systems led to price increases of 12.0% for primary care physicians and 6.0% for specialists. Final utilization results are pending but preliminary findings show a shift in where patients get downstream care including specialist visits and hospitalizations (steering) and overall increases in specialist visits (inducement) for patients of primary care physicians that are integrated with larger health systems.
Judit Vall Castelló +info
Department of Economics, Universitat de Barcelona & Researcher at @FundacioIEB & at CRES-UPF
Judit Vall is Associate Professor at the Department of Economics of Universitat de Barcelona and Research Fellow at IZA and at the Centre for Research in Health and Economics of Pompeu Fabra University. She has previously been Research Director at the Centre for Research in Economics and Health Pompeu Fabra University (UPF).
She is an applied economist specialized in policy evaluation particularly in the areas of health economics and labour economics. She has been involved in international projects at NBER, UNICEF and Cambridge University and has published in journals like the Economic Journal, The Journal of Public Economics, Health Economics or the Journal of Population Economics, among others.
She was a Pre-doctoral Marie Curie Research Fellow at Maastricht University and a Robert Solow Postdoctoral Fellow at UPF. She has been a visiting scholar at University of Essex, at the Toulouse School of Economics and at the State University of New York at Stony Brook with a Fulbright-Schuman grant.
Session title: Gender gaps in Health: past/current trends and future evolution
In this session I present evidence on several variables that capture specific dimensions of the gender gaps in health in six European countries: France, Germany, Italy, Portugal, Spain and the UK. In all of the countries studied, women similarly rate their self-assessed health significantly worse than their male counterparts. This difference has remained pretty stable over time even if the (positive) gender gap in life expectancy has been progressively reducing in the last few years. Of course, general health can be divided into physical and mental health. Therefore, I present a number of graphs capturing both physical and mental health gender gaps as well as health care utilization patterns and mortality rates to try to understand the origin of the observed gender gaps in health. Finally, I explore the impact of covid-19 by gender to try to foresee the potential future evolution of these gender gaps by understanding the differential impact of the pandemic on women’s and men’s health.
Carlos Farinha Rodrigues +info
Lisbon School of Economics & Management, Portugal
Carlos Farinha Rodrigues é professor associado no Instituto Superior de Economia e Gestão (ISEG), Universidade de Lisboa. É consultor no Instituto Nacional de Estatística (INE) na área de estatísticas dos agregados familiares. Obteve o doutoramento na Universidade Técnica de Lisboa sob a supervisão de Tony Atkinson (Oxford University).
Os principais interesses de investigação centram-se na microeconomia, Distribuição de rendimentos, Pobreza e Desigualdade, Avaliação de Políticas Públicas e Microsimulação. Esteve envolvido nos projetos internacionais “GINI Growing Inequalities´ Impacts” e “EUROMOD – Tax-benefit microsimulation model for the European Union“. Foi coordenador dos projetos “Evaluation of means-tested benefits in alleviates child and aged poverty in Portugal” (2008 – 2009) e “Anti-poverty effectiveness and efficiency of the Minimum Income Program (RSI) in Portugal” (2007 – 2009). É autor de vários estudos sobre a pobreza e a desigualdade em Portugal como também sobre a eficácia de políticas sociais.
Session title: Desigualdades Sociais em Portugal e os múltiplos efeitos da pandemia
Os efeitos da crise pandémica sobre as desigualdades sociais fazem-se sentir através de múltiplos canais, muitas vezes evidenciando resultados contraditórios entre si. Os efeitos da crise económica e social gerados pelo COVID 19 são muito diferentes se considerarmos exclusivamente a desigualdade na distribuição do rendimento no curto prazo ou os impactos estruturais sobre o sistema de ensino e as suas repercussões na mobilidade social no médio e longo prazo por exemplo. Por outro lado, os efeitos da crise associada ao COVID 19 fizeram-se também sentir de forma diferenciada sobre diversos grupos sociais, gerando alterações nos perfis de pobreza, de bem-estar social e de desigualdade. Nesta comunicação apresentar-se-á uma análise preliminar dos múltiplos efeitos da pandemia sobre as desigualdades sociais.