Let's put consumers in charge of health care

Businesses spend billions on health insurance. And what do they get for their money? A lot of unhappy employees. Workers fret about the quality of the care they receive, the burden of their out-of-pocket expenses, and the gaps in their coverage. For businesses, health care has become a lose-lose proposition: They pay way too much, and they get way too little. The problem is that the health care industry has been shielded from consumer pressure--by employers, insurers, and the government. As a result, costs have exploded even as choices have narrowed. But if companies embrace a new model of health coverage--one that places control over both costs and care directly into the hands of employees--the competitive forces that spur productivity and innovation in consumer markets can be loosed upon the inefficient, tradition-bound health care system. Moving to consumer-driven health care requires that companies revamp their health benefits in six ways: Give employees incentives to shop intelligently; offer a real choice of insurance plans; charge employees prices that accurately reflect the company's costs; let providers set their own prices; adjust payments for each enrollee based on need; and provide relevant information. Putting consumers in charge of health care may seem like a radical approach. But individuals are highly motivated to educate themselves about their health, their insurance, and their care, and they want to seek the most value for their money. Promoting that economic dynamic--the same that fuels consumer markets everywhere--is the best way to enhance the health care industry's productivity and quality.     

Activity-Based Costing for Economic Value Added®

Economic value added, which is the currently popular term for the traditional accounting concept of residual income (RI), subtracts from operating income an interest charge for invested capital. This paper provides an activity-based cost system that supports RI maximization. We construct a model of participative budgeting for a multi-activity firm in which the cost system allocates plant and equipment cost to products using a formula that includes the interest charge. The budget system we design enables decision makers to identify RI-improving opportunities for outsourcing and dropping unprofitable products. The budget system also has the open-architecture property that additional informal communication among activity managers can only serve to increase RI.     

Item non-response on income and wealth questions

This study investigates the mechanisms determining item nonresponse focusing on three issues: First, is there significant heterogeneity in item non-response across financial questions and in the association of covariates with item non-response across outcomes? Second, can the informational value of surveys be improved by matching interviewers and respondents based on their characteristics? Third, how does offering a “don’t know” answer option affect respondent behavior? The questions are answered based on detailed survey and interviewer data from the German Socioeconomic Panel using a broad set of income and wealth outcomes. We find considerable heterogeneity in non-response across financial items, little explanatory power of interviewer-respondent matches and strong evidence that ‘‘don’t know’’ answers result from mechanisms that differ from those yielding valid responses and outright refusals to respond.     

Mehr Transparenz in der Bildungspolitik

In a new report, the Academic Advisory Board at the Federal Ministry for Economic Affairs and Energy points out that not all information sources are used to analyse and improve education policy in Germany. Here it is argued that providing information on school policy measures across federal states can create new knowledge and improve outcomes considerably.     

Exploring Effects of CSR Initiatives in Strategic Postcrisis Communication Among Millennials in China and South Korea

ABSTRACT

This study explored what types of postcrisis CSR activities can make corporate crisis management effective and why. Eighty-one in-depth interviews with Chinese and South Korean millennials showed that they perceived postcrisis CSR positively even when they perceived an underlying self-serving motive. The interview data also revealed that postcrisis CSR initiatives relevant to the company’s business (CSR fit) and to the crisis at hand were more effective in both countries than the other CSR initiatives. Millennials in both countries valued CSR’s impact (benefiting the society as a whole), continuity (being long-term planned and sustainable), uniqueness (with few precedents), and transparency (fully disclosing detailed information) when evaluating various postcrisis CSR initiatives. Controllability (CSR being under full control of a company) was a significant criterion for South Korean millennials only. Theoretical and practical implications are discussed.     

The East German wage structure after transition1

Abstract We extend the literature on transition economies’ wage structures by investigating the returns to tenure and experience. This study applies recent panel data and estimation approaches that control for hitherto neglected biases. We compare the life‐cycle structure of East and West German wages for fulltime employed men in the private sector. The patterns in the returns to seniority are similar for the two regional labour markets. The returns to experience lag behind in the East German labour market, even almost 20 years after unification, with significant differences particularly for high‐skill workers. The results are robust when only individuals who started their labour market career in the market economy are considered. We expect that the different returns are related to the heterogeneity of work experience gathered in East as compared with West Germany.     

Soil,Striga, or subsidies? Determinants of maize productivity in northern Ghana

High yield gaps persist in sub‐Saharan Africa and increased fertilizer use is considered among the crucial measures to increase productivity. Despite high government investments, particularly in fertilizer subsidy programs (FSPs), overwhelming evidence has revealed their inefficiency. This study employs a multidisciplinary approach to identify the determinants of low maize yields in the Guinea savanna zone of Ghana. We conducted a socioeconomic household survey and analyzed plot‐specific soil samples. Econometric models were estimated based on both socioeconomic and soil variables. The results show that a common parasitic weed, Striga, and labile soil structure have significant effects on yield in the study region. Plot sizes were recorded both from farmers’ direct elicitation and using GPS devices. Considerable discrepancies were detected between self‐reported and GPS‐measured plot sizes. Fertilizer samples from randomly selected agro‐input shops were analyzed to control for adulterated or fake inputs. The measured nutrient contents of the samples reflected the composition indicated on the package labels. Findings underline the need of site‐specific data collection, supported by laboratory‐based soil test results, to efficiently address low productivity. Although there are no signs of fertilizer adulteration, governance challenges persist in targeting, timing, and elite capture in the distribution system of the subsidy program. The study shows that the FSP has not been an effective standalone measure. Rather, the government needs to invest in capacity building and extension services to address the site‐specific problems through comprehensive soil fertility management techniques and weed control. Promoting soil carbon management, minimum mechanical stress, crop rotation, and permanent soil cover should be further investigated as options for the region.     

Estimation of the business cycle: A modified Hodrick-Prescott filter

Hodrick-Prescott (HP) filtering of (most often, seasonally adjusted) quarterly series is analysed. Some of the criticism to the filter are adressed. It is seen that, while filtering strongly affects autocorrelations, it has little effect on crosscorrelations. It is argued that the criticism that HP filtering induces a spurious cycle in the series is unwarranted. The filter, however, presents two serious drawbacks: First, poor performance at the end periods, due to the size of the revisions in preliminary estimators, and, second, the amount of noise in the cyclical signal, which seriously disturbs its interpretation. We show how the addition of two model-based features (in particular, applying the filter to the series extended with proper ARIMA forecasts and backcasts, and using as input to the filter the trend-cycle component instead of the seasonally adjusted series) can considerably improve the filter performance. Throughout the discussion, we use a computationally and analytically convenient alternative derivation of the HP filter, and illustrate the results with an example consisting of 4 Spanish economic indicators.