Economics 4259: Economics of Health Services Grading and Assignments

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1 Department of Economics York University Spring, 2008 Paul Rilstone 1032 Vari Hall Economics 4259: Economics of Health Services Grading and Assignments Grading: The final grade for 4259 will be based on a midterm test scheduled for March 11 (25%), a final exam (40%), a presentation and written term project (35%). Missed/deferred exam policy: There are no makeups for missed midterm exams. Anyone missing the midterm exam will automatically have their final exam reweighted to be worth 65%. If a student receives a higher grade on the final exam than the midterm, the final exam will be worth 65%. There will be no automatic deferments offered for missed final exams. Anyone wishing to write a deferred final exam will be required to formally petition for such. Assignments: Each student is required to write a term paper. Students may opt to do one of several things in this regard. One is to write a paper on a topic of his/her choosing. Another is to do a comparative study of two or more governmental studies of the health care system which have been conducted over the past few years. A third (which all students in 4259 did last year) is to keep abreast of recent developments in health care by keeping a journal based on one or more news outlets. The journal will be used to write a term project in the form of policy analysis. In each case the student will be expected to comment from an economist s perspective. The projects should be pages in length. The projects are due in the final class. All projects must be cleared with me by the third week of classes.

2 Paul Rilstone Department of Economics York University Spring, 2008 Economics 4259/5459: Economics of Health Services Course Outline Course objectives: This course provides an economic analysis of health care services. It begins with a discussion of what makes the provision of health services different from that of most other goods and services we examine in economics. We will consider how to model the demand and supply of health care as an economic good. Specific topics include the market structure of health services, the demand for medical care, physicians and hospitals as suppliers of health services, health insurance, government provision of health services and international comparisons of health care systems. Prerequisites: Students should have a basic intermediate undergraduate background in microeconomics, calculus and econometrics. Technology and learning: If you are enrolled in this course you are automatically registered at the 4259/5459 WebCT site. Lecture notes and other communications will be handled through the WebCT site. If you wish to send me , it is to be done via the WebCT site. For instructions go to Text: There is no textbook per se in this course. However, students may find the following useful: Sherman Folland, Allen C. Goodman and Miron Stano (2006) The Economics of Health and Health Care, 5th ed, Pearson Prentice Hall, Upper Saddle River, NJ (Indicated as Folland below). Charles E. Phelps (1997) Health Economics, 2ond ed, Addison-Wesley, New York (Indicated as Phelps below) Robert G. Evans, Strained Mercy: The Economics of Canadian Health Care. (Available from (Indicated as Evans below) A.J. Culyer and J.P. Newhouse, editors (2000) Handbook of Health Economics, Volumes 1A and 1B, Elsevier Science, Amsterdam (Indicated as Handbook below) Ake Blomqvist and David M. Brown, editors (1994) Limits to Care, Reforming Canada s Health System in an Age of Restraint, C.D. Howe Institute, Toronto (Blomqvist below) The book by Folland et al has been placed on order at the York bookstore. 1

3 Topics and Reading List 1 1. Health as an economic good Arrow, Kenneth (1963) Uncertainty and the Welfare Economics of Medical Care, American Economic Review, pp Fuchs, Victor (1993) What is Health Economics?, Chapter 2 of the Future of Health Policy, Harvard University Press. Pauly, M. (1992) Is Medical Care Different?, in Issues in Health Economics, R.D. Luke, ed., Rockville, Md: Aspen Systems Corp Phelps, Chapter 1 Evans, Chapters 1 3 Folland, Chapters 1, 4 2. Overview of markets and externalities Blomqvist, A., Introduction: Economic issues in Canadian Health Care, Blomqvist, pp 3 52 Phelps, Chapter 2 Evans, Chapters 1 3 Dranove, David and Mark A. Satterthwaite, The Industrial Organization of Health Care Markets, Chapter 20 in Handbook Folland, Chapter 2 3. Health Care Econometrics Andrew M. Jones, Health Econometrics, Chapter 7 in Handbook, Greene, William H. (2000) Econometric Analysis, 4th ed, MacMillan, New York, chapters 14, 19, 20 Folland, Chapter 3 4. The production of health Gruber, Jonathan and Maria Hanratty (1995) The Labor Market Effects of Introducing National Health Insurance: Evidence from Canada, Journal of Business and Economics Statistics 13, Evans, R.G., and G. Stoddart (1990) Consuming Health Care, producing Health, Social Science and Medicine, 31, Mark, D.B. et al (1994) Use of medical resources and quality of life after acute myocardial infarction in Canada and the United States, New England Journal of Medicine, 331, Soderstrom, Lee, Health Care Reform in Canada: Restructuring the Demand Side, in Berndt, Ernest R., et al, Medical Care Prices and Output, Chapter 3 in Handbook Phelps, Charles E., Information Diffusion and Best Practice Adoption, Chapter 5 in Handbook Phelps, Chapter 3 Folland, Chapters Other readings may be added from time to time. 2

4 5. The demand for health Grossman, Michael (1972) On the Concept of Health Capital and the Demand for Health, Journal of Political Economy, 80, Grossman, Michael, The human capital model, Chapter 7 in Handbook, Manning, W.G. et al. (1987) Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment, American Economic Review, 77, Newhouse, J. (1993) Free for All: Lessons for the Rand Health Insurance Experiment, Chapter 11, Harvard University Press Hurley, Jeremiah, An overview of the normative economics of the health sector, Chapter 2 in Handbook, Phelps, Chapters 4 5 Folland, Chapters Physicians Ellis, R.P. and T.G. McGuire (1986) Provider Behavior Under a Prospective Reimbursement: Cost Sharing and Supply, Journal of Health Economics, 5, McGuire, Thomas G., Physician Agency, Chapter 9 in Handbook Fuchs, Victor (1993) How Canada Does It: Physicians Services, Chapter 6 of the Future of Health Policy, Harvard University Press. Phelps, Chapters 6 7 Folland, Chapters Hospitals Ma, C.A. (1994) Hospital Response Prospective Payment, Journal of Economics and Management Strategy Fuchs, Victor (1993) How Canada Does It: Acute Hospital Care, Chapter 7 of the Future of Health Policy, Harvard University Press. Phelps, Chapters 8 9 Sloan, Frank, A., Not For Profit Ownership and Hospital Behaviour, Chapter 31 in Handbook Folland, Chapters 13 14, Health Insurance Himmelstein, D.U. and S. Woolhandler (1986) Cost without benefit: administrative waste in US health care, New England Journal of medicine, 314, Arrow, K.J., The economics of moral hazard: further comment, American Economic Review, 58, Evans, R.G. (1987) Public health Insurance: the collective purchase of individual care, Health Policy, 7, Pauly, M.V. (1983) More on moral hazard, Journal of Health Economics, 2, Pauly, M.V. (1974) Overinsurance and public provision of insurance: the roles of moral hazard and adverse selection, Quarterly Journal of Economics, 88, Quam, L. (1989) Post War American health care: the many costs of market failure, Oxford Review of economic Policy, 5,

5 Phelps, Chapters Folland, Chapters Government Programs and Regulation Blomqvist, Ake, Conclusion: Themes in Health Care Reform, pp in Blomqvist Phelps, Chapters 12 13, 16 Folland, Chapters International Comparisons Kirkman-Liff, Bradford L., Health Care Reform in the Netherlands, Germany and the United Kingdom, pp in Blomqvist Moon, Marilyn, The Prospects for US Health Care Reform, in Blomqvist Gerdtham, Ulf G. and Bengt Jonsson, International comparisons of health expenditure: Theory, data and econometric analysis, Chapter 1 in Handbook, Phelps, Chapter 17 Folland, Chapters Pharmaceuticals McRae, James J. and Francis Tapon, Prices, Patents, and R&D Location in the Canadian Pharmaceutical Industry, pp in Blomqvist Scherer, F.M., The Pharmaceutical Industry, Chapter 25 in Handbook Santerre, Rexford E. and Stephen P. Neun (2000), Chapter 16 in Health Economics, Theories, Insights, and Industry Studies, Revised Edition, Dryden Press, Orlando Folland, Chapter 17 4