Health Economics - Lecture Ch01
Health Economics - Lecture Ch01
Health Economics - Lecture Ch01
Outline: I. What is Health Economics? II. The Relevance of Health Economics III. Economic Methods of Analysis IV. Does Economics Really Apply to Health Care? V. Is health care so different that it needs its own branch of economics?
Who are the health economists? - 96% hold Ph.D.s, nearly in economics - 64% work in a university setting (24% in econ departments, 26% in public health, 18% in med schools) - 15% work for nonprofit organizations and -12% work for government (mostly federal)
What do health economists do? 50% study the behavior of individuals 34% study the behavior of firms 50% study government policies 48% study health insurance 50% study outcomes research 31% study other issues
Source: Centers for Medicare and Medicaid Services , Offices of the Actuary: Data from the National Health Statistics Group http://www.cms.hhs.gov/NationalHealthExpendData/
In a share calculation, general inflation is cancelled out. Why has the health care share been increasing?
Source: BLS.gov
Capital Investment
III. Economic Methods of Analysis A. Features of Economic Analysis - Scarcity of societal resources - Assumption of rational decision making - Concept of marginal analysis - Use of economic models
B. An Example (1975) Milton Friedman and Simon Kuznets (both later Nobel laureates) studied the so-called physician shortage of the 1930s. - physicians earned 32 % per year more than dentists - training costs were 17 % higher - attributed part of the higher returns on investment to barriers to entry into the medical profession
The coinsurance rate is the percent that the patient pays out of pocket. As the coinsurance rate falls, people are paying less out of pocket. What is the impact on utilizing services?
V. Is health care so different that it needs its own branch of economics? distinctive features of the health sector: - presence and extent of uncertainty - prominence of insurance - information asymmetry - role of nonprofit firms - restrictions on competition - role of equity and need - government subsidies and public provision