FSI’s researchers assess health and medicine through the lenses of economics, nutrition and politics. They’re studying and influencing public health policies of local and national governments and the roles that corporations and nongovernmental organizations play in providing health care around the world. Scholars look at how governance affects citizens’ health, how children’s health care access affects the aging process and how to improve children’s health in Guatemala and rural China. They want to know what it will take for people to cook more safely and breathe more easily in developing countries.
FSI professors investigate how lifestyles affect health. What good does gardening do for older Americans? What are the benefits of eating organic food or growing genetically modified rice in China? They study cost-effectiveness by examining programs like those aimed at preventing the spread of tuberculosis in Russian prisons. Policies that impact obesity and undernutrition are examined; as are the public health implications of limiting salt in processed foods and the role of smoking among men who work in Chinese factories. FSI health research looks at sweeping domestic policies like the Affordable Care Act and the role of foreign aid in affecting the price of HIV drugs in Africa.
Initial Functional and Economic Status of Patients with Multivessel Coronary Disease Randomized in the Bypass Angioplasty Revascularization Investigation (BARI)
Screening Surgeons for HIV Infection
Screening Surgeons for HIV Infection: A Cost-Effectiveness Analysis
Comprehensive Geriatric Assessment: Is It Too Comprehensive for Compliance and Cost-Effectiveness?
Meta-Analysis of Randomized Trials Comparing Coronary Artery Bypass Grafting with Percutaneous Transluminal Coronary Angioplasty in Multivessel Coronary Artery Disease, A
Cost-Effectiveness of Warfarin and Aspirin for Prophylaxis of Stroke in Patients with Non-Valvular Atrial Fibrillation
HMOs and Fee-for-Service Health Care Expenditures: Evidence from Medicare
Increasing levels of HMO activity may influence health expenditures in other sectors of the market. Medicare provides FFS coverage to the majority of its beneficiaries and may thus provide a way of examining these so-called spillover effects. This paper examines 1986-1990 Medicare FFS expenditures at the county- and MSA- levels, coupled with county- and MSA-level measures of HMO market share. Fixed-effects and IV estimates of the relationship between market share and expenditures are presented. All of the models imply that FFS expenditures are concave in market share and that expenditures are decreasing in market share for market shares above about 18%. Many of the estimates suggest that expenditures become decreasing in market share at much lower levels (between 0% and 10%). Fixed-effects estimates imply that increases in market share from 20 to 30 percent would be associated with expenditure reductions of 3.4% -6.6% in Part A expenditures and 2.5% - 5.6% in Part B expenditures. IV estimates imply larger responses. The results are consistent with the hypothesis that managed care can affect non-managed-care expenditures.