News

Does Health Spending Have to Grow?

In a new article, “The Health Financing Transition," Bill Savedoff and Victoria Fan provide a conceptual framework and empirical evidence regarding two long term trends in health spending – the growth of total health expenditure per person and a decline in the share of out-of-pocket health spending. They show that demand for health care services made possible by rising national income is the primary driver of spending growth but that public policy is the main driver of reductions in the out-of-pocket share. Seeing these trends in a long historical perspective makes it possible to focus health reform debates on what really matters – finding ways to pool health resources and raise the productivity of health care services.

Developing New National Data on Social Mobility

In Developing New National Data on Social Mobility, Amy Smith summarizes a workshop convened in June 2013 to consider options for a design for a new national survey on social mobility. The workshop was sponsored  by the National Science Foundation and convened by the Committee on Population and the Committee on National Statistics Division of Behavioral and Social Sciences and Education of the National Research Council. Scientific experts from a variety of social and behavioral disciplines collaborated to plan a new national survey on social mobility that will provide the first definitive evidence on recent and long-term trends in social mobility, with the objectives of coming to an understanding of the substantial advances in the methods and statistics for modeling mobility, in survey methodology and population-based survey experiments, in opportunities to merge administrative and survey data, and in the techniques of measuring race, class, education, and income. The workshop also focused on documenting the state of understanding of the mechanisms through which inequality is generated in the past four decades.

Can Results-Based Payments Reduce Corruption?

In a recent CGD working paper - "Can Results-Based Payments Reduce Corruption?" - William Savedoff and co-author Charles Kenny show how results-based aid programs allow honest recipients to focus on their work and make dishonest recipients work harder (because they can only divert funds when they achieve the same results with greater efficiency).