HMO Participation in Medicare+Choice

In recent years, many health maintenance organizations (HMOs) have exited Medicare+Choice (M+C), the program that provides a managed‐care option to Medicare. This paper answers the following questions: How does the equilibrium number of HMOs participating in county M+C markets vary with the capitation payment they are offered? How large a payment is required at the margin to ensure that various percentages of county markets have a M+C HMO, or to ensure that various percentages of Medicare beneficiaries have the choice of a M+C plan in their county of residence? The strategy for identifying the effect of government payment on HMO participation relies on a natural experiment; in 1997, Congress divorced M+C payments to HMOs from changes in underlying costs. The results in this paper suggest that the Centers for Medicare & Medicaid Services (CMS) has consistently underestimated the payment necessary to support HMOs in rural, sparsely populated areas. We also find that it would require a large incremental payment to support HMOs in M+C for the final 10% of counties or final 10% of Medicare beneficiaries.     

Migrant Agricultural Workers in Local and Global Contexts: Toward a Better Life?

Four books published between 2013 and 2014 make a vital contribution towards understanding the political and ideological tools by which states and employers construct hyper‐exploitable agricultural workers. In this review essay, we provide an assessment of how these books have advanced our understandings of migrant farm labour regimes in local and international perspectives. After presenting a synopsis of each text, we critically reflect on key lessons learned, offer questions that merit further attention, and suggest directions for future research. Our review finds that despite wide differences in geopolitical and legal contexts in which migrant agricultural workers cross borders, live and work, there are remarkable resemblances in the ways in which states use (and abuse) migrant labour. Likewise, there are glaring similarities in the consequent vulnerabilities migrants experience. While each author provides compelling and empirically rich observations based on local fields of study, generally lacking are broader global connections and policy discussions about how the problems raised can be meaningfully addressed. Given the seeming ubiquity of exploitative migrant agricultural worker regimes, the fundamental question left largely unanswered is: Must ‘local’ agricultural systems depend on vulnerable imported workers in order to provide affordable food for consumers, or are there workable alternatives to this arrangement?     

Women of an uncertain age: quantifying human capital accumulation in rural Ireland in the nineteenth century†

Geary and Stark find that Ireland's post‐Famine per capita GDP converged with British levels, and that this convergence was largely due to total factor productivity growth rather than mass emigration. In this article, new long‐run measurements of human capital accumulation in Ireland are devised in order to facilitate a better assessment of sources of this productivity growth, including the relative contribution of men and women. This is done by exploiting the frequency at which age data heap at round ages, widely interpreted as an indicator of a population's basic numeracy skills. Because Földvári, van Leeuwen, and van Leeuwen‐Li find that gender‐specific trends in this measure derived from census returns are biased by who is reporting and recording the age information, any computed numeracy trends are corrected using data from prison and workhouse registers, sources in which women ostensibly self‐reported their age. The findings show that rural Irish women born early in the nineteenth century had substantially lower levels of human capital than uncorrected census data would otherwise suggest. These results are large in magnitude and thus economically significant. The speed at which women converged is consistent with Geary and Stark's interpretation of Irish economic history; Ireland probably graduated to Europe's club of advanced economies thanks in part to rapid advances in female human capital.     

Improving the quality of corporate technical planning: dynamic analogues of QFD

This paper proposes a forecasting methodology based on a combination of QFD and S-curve analysis, In process industries there is a need to strengthen the linkages between process attributes, product attributes, and customer requirements. Industry planning processes accept the relationship between technological positioning, project portfolios, and market life cycles, but specific methods are seldom discussed.
QFD(Quality Function Deployment) can be used to translate customer requirements into product specifications and in turn to specify the process capabilities required to meet those customer requirements. The paper recommends that managements use analogues of QFD adapted to the need for dynamic changes in process capability.
This approach would focus on the interaction between key variables of customer requirements and the technological capabilities of the firm and its competitors, at present and in the future. Historical industry-wide capabilities would be projected through S-curve analysis, while customer requirements can be related to these capabilities through information from QFD studies focused on future customer requirements. Because of their potential complexity, these analyses should deal with only a very limited number of interacting attributes and special care should be given to the management of their implementation.