WorldCat Identities

Cutler, David M.

Works: 260 works in 1,090 publications in 1 language and 19,313 library holdings
Genres: Conference papers and proceedings  History  Longitudinal studies 
Roles: Author, Editor, Other, htt, Contributor
Classifications: RA395.A3, 362.10973
Publication Timeline
Most widely held works by David M Cutler
Your money or your life : strong medicine for America's health care system by David M Cutler( )

17 editions published between 2004 and 2007 in English and held by 2,695 WorldCat member libraries worldwide

"The problems of medical care confront us daily : a bureaucracy that makes a trip to the doctor worse than a trip to the dentist, doctors who can't practice medicine the way they choose, more than 40 million people without health insurance. "Medical care is in crisis," we are repeatedly told, and so it is. Barely one of five Americans thinks the medical system works well." "Enter David M. Cutler, a Harvard economist who served on President Clinton's health care task force and later advised presidential candidate Bill Bradley. One of the nation's leading experts on the subject, Cutler argues in Your Money or Your Life that health care has in fact improved exponentially over the last fifty years, and that the successes of our system suggest ways in which we might improve care, make the system easier to deal with, and extend coverage to all Americans. Cutler applies an economic analysis to show that our spending on medicine is well worth it - and that we could do even better by spending more. Further, millions of people with easily manageable diseases, from hypertension to depression to diabetes, receive either too much or too little care because of inefficiencies in the way we reimburse care, resulting in poor health and in some cases premature death."--Résumé de l'éditeur
The changing hospital industry : comparing not-for-profit and for-profit institutions by David M Cutler( )

22 editions published between 1999 and 2007 in English and Undetermined and held by 1,937 WorldCat member libraries worldwide

"What determines a hospital's choice of for-profit or not-for-profit organizational form? And how does that form affect patients and society?" "This volume answers these questions through empirical research, providing a factual basis for discussing for-profit versus not-for-profit ownership of hospitals. Through the use of case studies and other empirical work, this collection provides a first look at the evidence about some new and important issues in the hospital industry." "This collection will have significant implications for public-policy reforms in this vital industry. The Changing Hospital Industry: Comparing Not-for-Profit and For-Profit Institutions will be of great interest to scholars in the fields of health economics, public finance, hospital organization, and management, and to health services researchers."--BOOK JACKET
Medical care output and productivity( )

15 editions published in 2001 in English and held by 1,880 WorldCat member libraries worldwide

Annotation With the United States and other developed nations spending as much as 14 percent of their GDP on medical care, economists and policy analysts are asking what these countries are getting in return. Yet it remains frustrating and difficult to measure the productivity of the medical care service industries. This volume takes aim at that problem, while taking stock of where we are in our attempts to solve it. Much of this analysis focuses on the capacity to measure the value of technological change and other health care innovations. A key finding suggests that growth in health care spending has coincided with an increase in products and services that together reduce mortality rates and promote additional health gains. Concerns over the apparent increase in unit prices of medical care may thus understate positive impacts on consumer welfare. When appropriately adjusted for such quality improvements, health care prices may actually have fallen. Provocative and compelling, this volume not only clarifies one of the more nebulous issues in health care analysis, but in so doing addresses an area of pressing public policy concern
Health at older ages : the causes and consequences of declining disability among the elderly( )

19 editions published between 2008 and 2009 in English and held by 1,760 WorldCat member libraries worldwide

"Americans are living longer-and staying healthier longer than ever before, despite the rapid disappearance of traditional pensions and health care benefits for retirees. In Health at Older Ages, a distinguished team of economists analyzesthe foundations of disability decline, quantifiesthis phenomenon in economicterms, and proposes what might be done to accelerate future improvements in the health of our most elderly populations." "This breakthrough volume argues that educational attainment, high socioeconomic status, an older retirement age, and accessible medical care have improved the health and quality of life of seniors. Along the way, it outlines the economic benefits of disability decline, such as an increased rate of seniors in the workplace, relief for the healthcare system and caregiving families, and reduced medical expenses for the elderly themselves. Health at Older Ages will be an essential contribution to the debate about meeting the medical needs of an aging nation."--Jacket
The quality cure : how focusing on health care quality can save your life and lower spending too by David M Cutler( )

14 editions published in 2014 in English and held by 1,410 WorldCat member libraries worldwide

In the United States, the soaring cost of health care has become an economic drag and a political flashpoint. Moreover, although the country's medical spending is higher than that of any other nation, health outcomes are no better than elsewhere, and in some cases are even worse. In The Quality Cure, renowned health care economist and former Obama advisor David Cutler offers an accessible and incisive account of the issues and their causes, as well as a road map for the future of health care reform-one that shows how information technology, realigned payment systems, and value-focused o
Frontiers in health policy research by David M Cutler( )

13 editions published between 2003 and 2005 in English and Undetermined and held by 1,352 WorldCat member libraries worldwide

Frontiers in health policy research by David M Cutler( )

7 editions published in 2003 in English and Undetermined and held by 1,193 WorldCat member libraries worldwide

This important series presents timely economic research on health care and health policy issues. Each volume contains papers from an annual conference of researchers, government officials, and policy experts held in Washington, D.C. Topics include the effects of health policy reforms, changes in health care organization and management, measurement of health outcomes, health care output and productivity, the role of health-related behavior, health and aging, health and children, and health care financing
Measuring and modeling health care costs( Book )

6 editions published between 2018 and 2019 in English and held by 242 WorldCat member libraries worldwide

Health care costs represent nearly 18 percent of US gross domestic product and 20 percent of government spending. While there is detailed information on where these health care dollars are spent, there is much less evidence on how this spending affects health. The research in this volume seeks to connect out knowledge of expenditures with measurable results, probing questions of methodology, changes in the pharmaceutical industry, and the shifting landscape of physician practice. the research in this volume investigates ,for example, obesity's effect on health care spending, the effect of generic pharmaceutical releases, and the disparity between disease-based and population-based spending measures. This vast and varied volume applies a range of economic tools to the analysis of health care and health outcomes
Demographics and medical care spending : standard and non-standard effects by David M Cutler( Book )

23 editions published between 1998 and 1999 in English and held by 161 WorldCat member libraries worldwide

Abstract: In this paper, we examine the effects of likely demographic changes on medical spending for the elderly. Standard forecasts highlight the potential for greater life expectancy to increase costs: medical costs generally increase with age, and greater life expectancy means that more of the elderly will be in the older age groups. Two factors work in the other direction, however. First, increases in life expectancy mean that a smaller share of the elderly will be in the last year of life, when medical costs generally are very high. Furthermore, more of the elderly will be dying at older ages, and end-of-life costs typically decline with age at death. Second, disability rates among the surviving population have been declining in recent years by 0.5 to 1.5 percent annually. Reductions in disability, if sustained, will also reduce medical spending. Thus, changes in disability and mortality should, on net, reduce average medical spending on the elderly. However, these effects are not as large as the projected increase in medical spending stemming from increases in overall medical costs. Technological change in medicine at anywhere near its historic rate would still result in a substantial public sector burden for medical costs
Restraining the leviathan : property tax limitation in Massachusetts by David M Cutler( Book )

20 editions published between 1996 and 1997 in English and held by 148 WorldCat member libraries worldwide

Proposition 2.5, a ballot initiative approved by Massachusetts voters in 1980 sharply reduced local property taxes and restricted their future growth. We examine the effects of Proposition 2.5 on municipal finances and assess voter satisfaction with these effects. We find that Proposition 2.5 had a smaller impact on local revenues and spending than expected; amendments to the law and a strong economy combined to boost both property tax revenue and state aid above forecasted amounts. Proposition 2.5 did reduce local revenues substantially during the recession of the early 1990s. There were two reasons for voter discontent with the pre-Proposition 2.5 financing system: agency losses from inability to monitor government were perceived to be high, and individuals viewed government as inefficient because their own tax burden was high. Through override votes, voters approved substantial amounts of taxes above the limits imposed by the Proposition
Are medical prices declining? by David M Cutler( )

14 editions published between 1995 and 1996 in English and Undetermined and held by 145 WorldCat member libraries worldwide

We address long-standing problems in measuring health care prices by estimating two medical care price indices. The first, a Service Price Index, prices specific medical services, as does the current CPI. The second, a Cost of Living Index, measures the net valuation of treating a health problem. We apply these indices to heart attack treatment between 1983 and 1994. Because of technological change and increasing price discounts, the current CPI overstates a chain-weighted price index by three percentage points annually. For plausible values of an additional life-year, the real Cost of Living Index fell about 1 percent annually
The rise and decline of the American ghetto by David M Cutler( )

13 editions published between 1996 and 1997 in English and held by 144 WorldCat member libraries worldwide

Abstract: This paper examines segregation in American cities from 1890 to 1990. We divide the century into three time periods. From 1890 to 1940, ghettos were born as blacks migrated to urban areas and cities developed vast expanses filled with nearly exclusively black housing. From 1940 to 1970, black migration continued and ghettos expanded. Since 1970, there has been a decline in segregation as blacks have moved to suburban areas and central cities have become less segregated. Across all of these time periods there is a strong positive relation between urban population or density and segregation. We then examine why segregation has varied so much over time. We find evidence that the mechanism sustaining segregation has changed. In the mid-20th century taken by whites to exclude blacks from their neighborhoods. By 1990, these legal barriers enforcing segregation had been replaced by decentralized racism, where whites pay more than blacks to live in predominantly white areas
Paying for health insurance : the tradeoff between competition and adverse selection by David M Cutler( )

16 editions published in 1996 in English and held by 144 WorldCat member libraries worldwide

This paper uses data on health insurance choices by employees of Harvard University to examine the effect of alternative pricing rules on market equilibrium. In the mid-1990s, Harvard moved from a system of subsidizing more expensive insurance to a system of contributing an equal amount to each plan. We estimate a substantial demand response to the policy change, with a short-run elasticity of about -2. The reform also induced substantial" adverse selection. Because of this selection, the long-run demand response is three times the short-run response. Price variation induced by adverse selection is inefficient; we estimate the magnitude of the welfare loss from adverse selection at 2 percent of baseline health spending. Finally, as insurance choice was made more competitive, premiums to Harvard fell relative to premiums in the Boston area by nearly 10 percent. This savings was large enough to compensate for the inefficiency induced by adverse selection, so that reform overall was welfare enhancing
Prices and productivity in managed care insurance by David M Cutler( )

14 editions published in 1998 in English and held by 141 WorldCat member libraries worldwide

Integrating the health services and insurance industries (HMOs) could lower expenditure by reducing either the quantity of services or unit price. We compare the treatment of heart attacks and newly diagnosed chest pain in HMOs and traditional plans in two data sets. The nature of these health problems should minimize selection, and OLS and instrumental-variable estimates yield consistent results. HMOs have 30 to 40 percent lower expenditures than traditional indemnity plans. Actual treatments and health outcomes differ little; virtually all the difference in spending comes from lower unit prices. Managed care may yield substantial productivity improvements relative to traditional insurance
The anatomy of health insurance by David M Cutler( )

13 editions published in 1999 in English and held by 139 WorldCat member libraries worldwide

This article describes the anatomy of health insurance. It begins by considering the optimal design of health insurance policies. Such policies must make tradeoffs appropriately between risk sharing on the one hand and agency problems such as moral hazard (the incentive of people to seek more care when they are insured) and supplier-induced demand (the incentive of physicians to provide more care when they are well reimbursed) on the other. Optimal coinsurance arrangements make patients pay for care up to the point where the marginal gains from less risk sharing are just offset by the marginal benefits from less wasteful care being provided. Empirical evidence shows that both moral hazard and demand-inducement are quantitatively important. Coinsurance based on expenditure is a crude control mechanism. Moreover, it places no direct incentives on physicians, who are responsible for most expenditure decisions. To place such incentives on physicians is the goal of supply-side cost containment measures, such as utilization review and capitation. This goal motivates the surge in managed care in the United States, which unites the functions of insurance and provision, and allows for active management of the care that is delivered. The analysis then turns to the operation of health insurance markets. Economists generally favor choice in health insurance for the same reasons they favor choice in other markets: choice allows people to opt for the plan that is best for them and encourages plans to provide services efficiently. But choice in health insurance is a mixed blessing because of adverse selection -- the tendency for the sick to choose more generous insurance than the healthy. When sick and healthy enroll in different plans, plans disproportionately composed of poor risks have to charge more than they would if they insured an average mix of people. The resulting high premiums create two adverse effects: they discourage those who are healthier but would prefer generous care from enrolling in those plans (because the premiums are so high), and they encourage plans to adopt measures that deter the sick from enrolling (to reduce their overall costs). The welfare losses from adverse selection are large in practice. Added to them are further losses from having premiums vary with observable health status. Because insurance is contracted for annually, people are denied a valuable form of intertemporal insurance -- the right to buy health coverage at average rates in the future should they get sick today. As the ability to predict future health status increases, the lack of intertemporal insurance will become more problematic. The article concludes by relating health insurance to the central goal of medical care expenditures - better health. Studies to date are not clear on which approaches to health insurance promote health in the most cost-efficient manner. Resolving this question is the central policy concern in health economics
Employee costs and the decline in health insurance coverage by David M Cutler( )

11 editions published in 2002 in English and held by 136 WorldCat member libraries worldwide

This paper examines why health insurance coverage fell despite the lengthy economic boom of the 1990s. I show that insurance coverage declined primarily because fewer workers took up coverage when offered it, not because fewer workers were offered insurance or were eligible for it. The reduction in take-up is associated with the increase in employee costs for health insurance. Estimates suggest that increased costs to employees can explain the entire decline in take-up rates in the 1990s
Does public insurance crowd out private insurance? by David M Cutler( )

12 editions published in 1995 in English and held by 132 WorldCat member libraries worldwide

One popular option for health care reform in the U.S. is to make particular groups, such as children, eligible for public health insurance coverage. A key question in assessing the cost of this option is the extent to which public eligibility will crowd out the private insurance coverage of these groups. We estimate the extent of crowdout arising from the dramatic expansions of the Medicaid program during the 1987-1992 period. Over this time period, Medicaid eligibility for children increased by 50 percent and eligibility for pregnant women doubled. We estimate that between 50 percent and 75 percent of the increase in Medicaid coverage was associated with a reduction in private insurance coverage. This occurred largely because employees took up employer-based insurance less frequently, although employers may have encouraged them to do so by contributing less for insurance. There is some evidence that workers dropped coverage for their family and switched into individual policies
Pricing heart attack treatments by David M Cutler( )

13 editions published in 1999 in English and held by 132 WorldCat member libraries worldwide

In this paper, we estimate price indices for heart attack treatments, demonstrating the techniques that are currently used in official price indices and presenting some alternatives. We consider two types of price indices, a Service Price Index, which prices specific treatments provided, and a Cost of Living Index, which prices the health outcomes of patients. Both indices are complicated by price measurement issues: list prices and transactions prices are fundamentally different in the medical care field. The development of new or modified medical treatments further complicates the comparison of like' goods over time. And the Cost of Living Index is hampered by the need to determine how much of health improvement results from medical treatments in comparison to other factors. We describe methods to address each of these obstacles. We conclude that whereas traditional price indices when applied to heart attack treatments are rising at roughly 3 percent per year above general inflation, a corrected service price index is rising at perhaps 1 to 2 percent per year above general inflation, and the cost of living index is falling by 1 to 2 percent per year relative to general inflation. We discuss the implications of these results for official price index calculations
Market failure in small group health insurance by David M Cutler( )

12 editions published in 1994 in English and held by 131 WorldCat member libraries worldwide

Abstract: Typically, health insurance premiums depend at least in part on the previous costs of the insuring firm, a factor termed 'experience rating'. This link between health status and future premiums raises concerns of market failure, since it limits the ability of firms to insure the price at which they can purchase insurance in future years. This paper examines the economic factors influencing experience rating. The first part of the paper demonstrates that experience rating is quantitatively important. Premiums at the 90th percentile of the distribution are 2 1/2 times greater than premiums at the 10th percentile of the distribution, and this difference does not appear to be due to the generosity of benefits or the demographic composition of the firm. The second part of the paper then discusses explanations for the prevalence of community rating, including inability to write long-term contracts, lack of demand from firms with below average costs, and public policies that provide subsidies to the uninsured. The last part of the paper examines these predictions empirically. I find evidence that firms with high-wage employees and low turnover have less premium variability than firms with low-wage employees or high turnover, but no evidence that public policies affect premium variability
Health care and the public sector by David M Cutler( )

12 editions published in 2002 in English and held by 128 WorldCat member libraries worldwide

This paper summarizes the many aspects of public policy for health care. I first consider government policy affecting individual behaviors. Government intervention to change individual actions such as smoking and drinking is frequently justified on externality grounds. External costs of smoking in particular are not very high relative to current taxes, however. More important quantitatively are the internal costs of smoking to the smoker. A recent literature has debated whether such internalities justify government action. I then turn to markets for medical care and health insurance. Virtually all governments provide health insurance for some part of the population. Governments face several fundamental choices in this provision. The first choice is between operating the medical system publicly or contracting for care from private providers. The make-or-buy decision is difficult in medical care because medical quality is not fully observable. Thus, private sector efficiency may come at the expense of quality. A second choice is in the degree of cost sharing. More generous insurance reduces the utility cost of illness but also leads to overconsumption of care when sick. Optimal insurance balances the marginal costs of risk bearing and moral hazard. In the US, government policy has historically tilted towards more generous insurance, by excluding employer payments for health insurance from income taxation. The welfare loss from this subsidy has been a theme of much research. Finally, governments face issues of competition and selection. Sick people prefer more generous insurance than do healthy people. If insurers know who is sick and who is healthy, they will charge the sick more than the healthy. This differential pricing is welfare loss, since it denies sick people the benefits of ex ante pooling of risk type. Even if insurers cannot separate sick from healthy, there are still losses: high costs of generous plans discourage people from enrolling in those plans. Generous plans also have incentives to reduce their generosity, to induce sick people to enroll elsewhere. Adverse selection is empirically very important. To date, public policies have not been able to offset it. Finally, I turn to the distributional aspects of medical care. Longstanding norms support at least basic medical care for everyone in society. But the generosity of health programs for the poor runs up against the possibility of crowding out private insurance coverage. Analysis from Medicaid program expansions shows that crowdout does occur. Still, coverage expansions are worth the cost, given the health
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Your money or your life : strong medicine for America's health care system
The changing hospital industry : comparing not-for-profit and for-profit institutionsMedical care output and productivityHealth at older ages : the causes and consequences of declining disability among the elderlyThe quality cure : how focusing on health care quality can save your life and lower spending tooFrontiers in health policy researchFrontiers in health policy researchMeasuring and modeling health care costs
Alternative Names
Cutler, D.

Cutler, D. 1965-

Cutler, D. M. 1965-

Cutler, David

Cutler, David 1965-

Cutler, David M.

Cutler, David Matthew‏

Cutler, David Matthew 1965-

David Cutler American economist

David Cutler Amerikaans econoom

David Cutler amerikansk ekonom

David Cutler amerikansk økonom

David Cutler eacnamaí Meiriceánach

David Cutler economista estadounidense

David Cutler economista estatunidenc

David Cutler économiste américain

David Cutler ekonomist amerikan

David Cutler US-amerikanischer Wirtschaftswissenschaftler

ديفيد كاتلر عالم اقتصاد أمريكي

大衛·卡特勒 研究者

English (282)