Health and Medicine

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.

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Abstract: The Federal response to dual use pathogens is being actively debated. We are at a critical juncture between free science exploration and government policy. Should science be regulated? We impede discovery and innovation at our peril. Yet, this issue must be viewed through the lens of the looming  infectious disease threat, globalization and its consequences, and environmental challenges such as climate change.

About the Speaker: Lucy Shapiro is a Professor in the Department of Developmental Biology at Stanford University School of Medicine where she holds the Virginia and D. K. Ludwig Chair in Cancer Research and is the Director of Stanford’s Beckman Center for Molecular & Genetic Medicine. She is a member of the scientific advisory boards of the Ludwig Institute for Cancer Research, the Pasteur Institute in Paris, and the Lawrence Berkeley National Labs and is a member of the Board of Directors of Pacific Biosciences, Inc. She founded the anti-infectives discovery company, Anacor Pharmaceuticals, that was recently sold to Pfizer. She has co-founded a second company, Boragen LLC, providing novel antifungals for agriculture and the environment. Her studies of the control of the bacterial cell cycle and the establishment of cell fate has yielded fundamental insights into the living cell and garnered her multiple awards including the International Canadian Gairdner Award, the Abbott Lifetime Achievement Award, the Selman Waksman Award and the Horwitz Prize. In 2013 President Obama awarded her the US National Medal of Science. She is an elected member of the US National Academy of Sciences, the National Academy of Medicine, and the American Academy of Arts & Sciences.

Lucy Shapiro Professor, Department of Developmental Biology, School of Medicine Stanford University
Seminars
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"An Efficient Gaussian Approximation and Regression Metamodeling Approach to Value of Information Analysis"

 

Please note: All research in progress seminars are off-the-record. Any information about methodology and/or results are embargoed until publication.

 

Abstract

Value of information (VOI) analysis is based on statistical decision theory, and has recently gained increased recognition for its potential application in resource allocation, research prioritization, and future data collection designs.  However, VOI remains underutilized due to many conceptual, mathematical and computational challenges of implementing Bayesian decision theoretic approaches in models of sufficient complexity for real-world decision making.  In this study, I propose a practical approach for conducting VOI analysis using a combination of probabilistic sensitivity analysis, linear regression metamodeling, and Gaussian approximation as an efficient replacement for traditional Bayesian updating.  I leverage the Central Limit Theorem to simplify the Bayesian updating process.  I illustrate my approach using a previously published cost-effectiveness analysis of several treatment strategies of gouty arthritis.  I present several measures of VOI, including the expected value of sample information for various sample sizes and the optimal sample size that maximizes the benefit of research while addressing many of the challenges of traditional VOI analyses.
 

Hawre Jalal
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The Japan Program held the third annual Stanford Summer Juku on Japanese Political Economy from August 10-13. Over 40 scholars from various parts of the US and Japan participated in the conference, which took place at the Bechtel Conference Center at Encina Hall. The first two days focused on political science and the second day on economics. Distinctive features of the Summer Juku are the long times allotted to each paper to allow for two in-depth discussants and discussion among participants, as well as ample time for informal discussions and interactions among participants allowing for collaborations and expansion of the network of researchers on Japan in political science and economics. Particularly notable this year was a large number of cross-disciplinary and cross-national collaborations between scholars ranging from political science, economics, management, infomatics, and medicine.

The first day included four papers in political science. Amy Catalinac from New York University presented her paper, "Positioning Under Alternative Electoral Systems: Evidence from 7,497 Japanese Candidate Election Manifestos", with discussants Gary Cox (Stanford) and Harukata Takenaka (National Graduate Institute for Policy Studies, Japan).

Daniel Smith (Harvard University) presented a paper co-authored by Yusaku Horiuchi (Dartmouth College) and Teppei Yamamoto (MIT) entitled "Identifying Multidimensional Policy Preferences of Voters in Representative Democracies: A Cojoint Field Experiment in Japan". The Discussants for the paper were Kay Shimizu (Columbia University) and Karen Jusko (Stanford).

Harukata Takenaka from the National Graduate Institute for Policy Studies presented his paper on “Changes in Power of Japanese Prime Minister: Still Away from a Westminster Model.” Tsuneo Akaha (Middlebury Institute of International Studies at Monterey) and Kenji Kushida (Stanford University) were the discussants.

The fourth paper was “Territorial Issues and Support for the Prime Minister: A survey Experiment on Rally-‘Round-the Flag Effect in Japan” by Tetsuro Kobayashi (National Institute of Informatics, Japan) and Azusa Katagiri (Stanford), discussed by Tsuneo Akaha (Middlebury Institute of International Studies at Monterey) and Daniel Smith (Harvard).

The second day focused on political economy and international relations. Gene Park (Loyola Marymount University, and former Shorenstein Fellow at APARC) presented his paper co-authored with Saori Katada (University of Southern California) and Giacomo Chiozza (Vanderbilt University) entitled “Policy ideas and monetary policy: The Bank of Japan's delayed break with the monetary orthodoxy". Discussants were Azusa Katagiri (Stanford) and Ayako Saiki (De Netherlandsche Bank).

The second paper of the day was "The Political Economy of the Trans-Pacific Partnership: Implications beyond Economics" by Hiroki Takeuchi (Southern Methodist University), discussed by Kay Shimizu (Columbia University) and Gene Park (Loyola Marymount University). 

After lunch, Llewelyn Hughes (Australian National University) presented "Lead Markets, Vertical Specialization, and Standards Competition in Electric Vehicles" with discussants Kenji Kushida (Stanford University) and Phillip Lipscy (Stanford University). The final session was "Renegotiating the World Order: Institutional Change in International Relations” which were select chapters from a book manuscript by Phillip Lipscy (Stanford University). The discussants were Amy Catalinac (New York University) and Llewelyn Hughes (Australian National University). A group dinner followed the second day.

The third day was the kick-off for economics papers, where we also saw cross-disciplinary collaborations with colleagues from the US and Japan.

Karen Eggleston (Stanford University) presented “Medical spending and health care utilization in Japan, 2010-2014: Projections from Future Elderly Model microsimulation”, which was co-authored by Hawre Jajal (Stanford University), Brian K. Chen (University of Southern California), Hideki Hashimoto (University of Tokyo), Toshiaki Iizuka (University of Tokyo), Lena Shoemaker (Stanford University), and Jay Bhattacharya (Stanford University). Yong Suk Lee (Stanford University) was the discussant.

The second paper, "The adverse effects of value-based purchasing in health care: dynamic quantile regression with endogeneity" by Galina Besstremyannaya (Visiting Scholar, Stanford University), was discussed by Jay Battacharya (Stanford University) and Takeo Hoshi (Stanford University).

The third paper was ""How Do Agricultural Markets Respond to Radiation Risk? Evidence from the 2011 Disaster in Japan" by Kayo Tajima (Rikkyo University), Masashi Yamamoto (University of Toyama), and Daisuke Ichinose (Rikkyo University). Discussants for the paper presented by Tajima were Satoshi Koibuchi (Chuo University and Visiting Scholar, Stanford University) and Yong Suk Lee (Stanford University).

The final paper for the third day was "Shocks and Shock Absorbers in Japanese Bonds and Banks During the Global Financial Crisis" by Hyonok Kim (Tokyo Keizai University), Yukihiro Yasuda (Hitotsubashi University), and James A. Wilcox (University of California, Berkeley). Discussants were Sabrina Howell (New York University) and Suparna Chakraborty (University of San Francisco).

The final day included two papers. The first was "Impact of Financial Intermediary's Information Production on Market Value of Firm: Case Studies on the DBJ's Liquidity Providing During the Financial Crisis and the Environmental Rating of Firm" by Hiroaki Suzuoka (Development Bank of Japan), Atsushi Motohashi (Development Bank of Japan), Shinya Nakamura (Development Bank of Japan), Tomoya Maruoka (Development Bank of Japan), and Takamasa Uesugi (Development Bank of Japan), presented by Takamasa Uesugi. Discussants were Jess Diamond (Hitotsubashi University) and Masami Imai (Wesleyan University). The final paper was "Selective Disclosure: The Case of Nikkei Preview Articles" by William N. Goetzmann (Yale School of Management), Yasushi Hamao (University of Southern California), and Hidenori Takahashi (Kobe University), presented by Yasushi Hamao. Eiichiro Kazumori (University of Buffalo) was the discussant.

After the completion of four days of Summer Juku, participants who had enough time before their flights held an “uchiage” (completion celebration) gathering—a tradition at the conclusion of the Summer Juku—at “The Patio” in downtown Palo Alto for further informal exchange over drinks and appetizers.

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The participants of the Stanford Summer Juku held in August, 2015
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Abstract: The interactions between biological and cultural processes are critical determinants of human health. Successful public health programs must therefore be based on a synthesis of biological and anthropological research. By disentangling the impacts of behavior and biology on human health, we can update health care objectives and practices. Human movements and shifts in settlements across short and long time scales can result in misallocated health care resources and inefficient response to crises. I develop methods to quantify changing human population sizes and distributions to improve resource allocation in both routine health care settings and crisis response. This ranges from assessing health care system capacity for stable populations to outbreak control through vaccination and rapid response following population-scale disruptions due to natural disasters or political instability. This approach is also valuable in informing predictive mathematical models of human interactions and demographics to provide insight into a broader spectrum of human health issues. Here, I demonstrate these concepts specifically for the transmission and prevention of infectious diseases and access to health care in low-income settings ranging from rural Africa to urban America. 

 

About the Speaker: Nita Bharti is a Branco Weiss Society in Science fellow with an interdisciplinary background in Biology (PhD) and Anthropology (MA). She is a visiting scholar at Stanford’s Woods Institute of the Environment with a research associate appointment in the Biology Department and Center for Infectious Disease Dynamics at Penn State University. Her research integrates methods across social and natural sciences to identify and solve problems in human health, often in low-income settings. In addition to academic researchers across a wide variety of disciplines, her collaborators frequently include outreach and non-profit organizations as well as local authorities on public health and safety.

Nita Bharti Stanford Woods Institute for the Environment
Seminars
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This event is open to Stanford undergraduate students only. 

The Center on Democracy, Development, and the Rule of Law (CDDRL) is currently accepting applications from eligible juniors due February 12, 2016 who are interested in writing their senior thesis on a subject touching upon democracy, economic development, and rule of law (DDRL) from any university department. CDDRL faculty and current honors students will be present to discuss the program and answer any questions.

For more information on the CDDRL Senior Honors Program, please click here.

 


 

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CDDRL
Encina Hall, C152
616 Jane Stanford Way
Stanford, CA 94305-6055

(650) 725-2705 (650) 724-2996
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Senior Fellow at the Freeman Spogli Institute for International Studies
Professor, by courtesy, of Political Science
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Stephen Stedman is a Senior Fellow at the Freeman Spogli Institute for International Studies (FSI) and the Center on Democracy, Development and the Rule of Law (CDDRL), an affiliated faculty member at CISAC, and professor of political science (by courtesy) at Stanford University. He is director of CDDRL's Fisher Family Honors Program in Democracy, Development and Rule of Law, and will be faculty director of the Program on International Relations in the School of Humanities and Sciences effective Fall 2025.

In 2011-12 Professor Stedman served as the Director for the Global Commission on Elections, Democracy, and Security, a body of eminent persons tasked with developing recommendations on promoting and protecting the integrity of elections and international electoral assistance. The Commission is a joint project of the Kofi Annan Foundation and International IDEA, an intergovernmental organization that works on international democracy and electoral assistance.

In 2003-04 Professor Stedman was Research Director of the United Nations High-level Panel on Threats, Challenges and Change and was a principal drafter of the Panel’s report, A More Secure World: Our Shared Responsibility.

In 2005 he served as Assistant Secretary-General and Special Advisor to the Secretary- General of the United Nations, with responsibility for working with governments to adopt the Panel’s recommendations for strengthening collective security and for implementing changes within the United Nations Secretariat, including the creation of a Peacebuilding Support Office, a Counter Terrorism Task Force, and a Policy Committee to act as a cabinet to the Secretary-General.

His most recent book, with Bruce Jones and Carlos Pascual, is Power and Responsibility: Creating International Order in an Era of Transnational Threats (Washington DC: Brookings Institution, 2009).

Director, Fisher Family Honors Program in Democracy, Development and Rule of Law
Director, Program in International Relations
Affiliated faculty at the Center for International Security and Cooperation
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Encina Hall, C148
616 Jane Stanford Way
Stanford, CA 94305

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Olivier Nomellini Senior Fellow at the Freeman Spogli Institute for International Studies
Director of the Ford Dorsey Master's in International Policy
Research Affiliate at The Europe Center
Professor by Courtesy, Department of Political Science
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Francis Fukuyama is the Olivier Nomellini Senior Fellow at Stanford University's Freeman Spogli Institute for International Studies (FSI), and a faculty member of FSI's Center on Democracy, Development and the Rule of Law (CDDRL). He is also Director of Stanford's Ford Dorsey Master's in International Policy, and a professor (by courtesy) of Political Science.

Dr. Fukuyama has written widely on issues in development and international politics. His 1992 book, The End of History and the Last Man, has appeared in over twenty foreign editions. His book In the Realm of the Last Man: A Memoir will be published in fall 2026.

Francis Fukuyama received his B.A. from Cornell University in classics, and his Ph.D. from Harvard in Political Science. He was a member of the Political Science Department of the RAND Corporation, and of the Policy Planning Staff of the US Department of State. From 1996-2000 he was Omer L. and Nancy Hirst Professor of Public Policy at the School of Public Policy at George Mason University, and from 2001-2010 he was Bernard L. Schwartz Professor of International Political Economy at the Paul H. Nitze School of Advanced International Studies, Johns Hopkins University. He served as a member of the President’s Council on Bioethics from 2001-2004. He is editor-in-chief of American Purpose, an online journal.

Dr. Fukuyama holds honorary doctorates from Connecticut College, Doane College, Doshisha University (Japan), Kansai University (Japan), Aarhus University (Denmark), the Pardee Rand Graduate School, and Adam Mickiewicz University (Poland). He is a non-resident fellow at the Carnegie Endowment for International Peace. He is a member of the Board of Trustees of the Rand Corporation, the Board of Trustees of Freedom House, and the Board of the Volcker Alliance. He is a fellow of the National Academy for Public Administration, a member of the American Political Science Association, and of the Council on Foreign Relations. He is married to Laura Holmgren and has three children.

(October 2025)

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Brett Carter is an Associate Professor in the Department of Political Science and International Relations at the University of Southern California, a Hoover Fellow at Stanford University's Hoover Institution, and a Faculty Affiliate at Stanford's Center on Democracy, Development and the Rule of Law. He received a Ph.D. from Harvard University, where he was a fellow at the Harvard Academy for International and Area Studies.

Carter studies politics in the world's autocracies. His first book, Propaganda in Autocracies: Institutions, Information, and the Politics of Belief (Cambridge University Press), draws on the largest archive of state propaganda ever assembled — encompassing over eight million newspaper articles in six languages from nearly 60 countries around the world — to show how political institutions shape the propaganda strategies of repressive governments. It received the William Riker Prize for the Best Book in Political Economy, the International Journal of Press/Politics Hazel Gaudet-Erskine Best Book Award, Honorable Mention for the Gregory Luebbert Award for the Best Book in Comparative Politics, and Honorable Mention for the APSA Democracy & Autocracy Section's Best Book Award.

His second book, in progress, shows how politics in Africa’s autocracies changed after the fall of the Berlin Wall and how a new era of geopolitical competition — marked by the rise of China and the resurgence of Russia — is changing them again.

Carter’s other work has appeared in the Journal of Politics, British Journal of Political Science, Perspectives on Politics, Journal of Conflict Resolution, Security Studies, China Quarterly, Journal of Democracy, and Foreign Affairs, among others. His work has been featured by The New York Times, The Economist, The National Interest, and NPR’s Radiolab.

Hoover Fellow
CDDRL Affiliated Scholar
CDDRL Visiting Scholar, 2020-2021
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Encina Hall, C150
616 Jane Stanford Way
Stanford, CA 94305

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Center Fellow, Freeman Spogli Institute for International Studies
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Didi Kuo is a Center Fellow at the Freeman Spogli Institute for International Studies (FSI) at Stanford University. She is a scholar of comparative politics with a focus on democratization, corruption and clientelism, political parties and institutions, and political reform. She is the author of The Great Retreat: How Political Parties Should Behave and Why They Don’t (Oxford University Press) and Clientelism, Capitalism, and Democracy: the rise of programmatic politics in the United States and Britain (Cambridge University Press, 2018).

She has been at Stanford since 2013 as the manager of the Program on American Democracy in Comparative Perspective and is co-director of the Fisher Family Honors Program at CDDRL. She was an Eric and Wendy Schmidt Fellow at New America and is a non-resident fellow with the Carnegie Endowment for International Peace. She received a PhD in political science from Harvard University, an MSc in Economic and Social History from Oxford University, where she studied as a Marshall Scholar, and a BA from Emory University.

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Stanford Summer Juku on Japanese Political Economy (SSJ-JPE)

August 10-13, 2015

Oksenberg Conference Room

Stanford Japan Program at Shorenstein Asia-Pacific Research Center

The Japan Program at the Walter H. Shorenstein Asia-Pacific Research Center (S-APARC) at Stanford University started Stanford Summer Juku (SSJ) in 2013.  In SSJ, researchers on Japanese politics and Japanese economy get together and discuss their research in a relaxed setting. The third annual meeting is held at Stanford on August 10-13, 2015.  The first two days again focus on research in political science/political economy and international relations, and the latter two days focus on research in economics and business.

Takeo Hoshi, Kenji E. Kushida, Phillip Lipscy

 

Report - Stanford Summer Juku 2015

 

Program

8/10/2015

8:30-9:00    Breakfast

9:00-10:15  Session I:

"Positioning Under Alternative Electoral Systems: Evidence from 7,497 Japanese Candidate Election Manifestos", Amy Catalinac (Harvard University)

Discussants:
Gary Cox (Stanford University)
Harukata Takenaka (National Graduate Institute for Policy Studies)
 

10:15-10:45  Break

10:45-12:00  Session II:

"Identifying Multidimensional Policy Preferences of Voters in Representative Democracies: A Cojoint Field Experiment in Japan", Yusaku Horiuchi (Dartmouth College), Daniel Smith (Harvard University), and Teppei Yamamoto (Massachusetts Institute of Technology)

Discussants:
Kay Shimizu (Columbia University)
Karen Jusko (Stanford University)
 

12:00-1:00  Lunch

1:00-2:15    Session III:

"Changes in Power of Japanese Prime Minister: Still Away from a Westminster Model", Harukata Takenaka (National Graduate Institute for Policy Studies)

Discussants:
Tsuneo Akaha (Middlebury Institute of International Studies at Monterery)
Kenji Kushida (Stanford University)
 

2:15- 3:30   Session IV:

"Territorial Issues and Support for the Prime Minister: A Survey Experiment on Rally-‘Round-the Flag Effect in Japan", Tetsuro Kobayashi (National Institute of Informatics, Japan), Azusa Katagiri (Stanford University)

Discussants:
Tsuneo Akaha (Middlebury Institute of International Studies at Monterery)
Daniel Smith (Harvard University)

 

8/11/2015

8:30-9:00   Breakfast

9:00-10:15 Session I:

"Institutions and central bank norm diffusion: The Bank of Japan's delayed break with the monetary orthodoxy", Gene Park (Loyola Marymount University), Saori Katada (University of Southern California), Giacomo Chiozza (Vanderbilt University)

Discussants:
Azusa Katagiri (Stanford University)
Ayako Saiki (De Netherlandsche Bank)
 

10:15-10:45  Break

10:45-12:00  Session II:

"The Political Economy of the Trans-Pacific Parternship: Implications beyond Economics", Hiroki Takeuchi (Southern Methodist University)

Discussants:
Kay Shimizu (Columbia University)
Gene Park (Loyola Marymount University)
 

12:00-1:00  Lunch

1:00-2:15    Session III:

"Lead Markets, Vertical Specialization, and Standards Competition in Electric Vehicles", Llewelyn Hughes (George Washington University)

Discussants:
Kenji Kushida (Stanford University)
Phillip Lipscy (Stanford University)
 

2:15-3:30    Session IV:

"Renegotiating the World Order: Institutional Change in International Relations (select chapters from book manuscript)", Phillip Lipscy (Stanford University)

Discussants:
Amy Catalinac (Harvard University)
Llewelyn Hughes (George Washington University)
 

6:30        Group Dinner at Gravity Bistro and Wine Bar (544 Emerson St, Palo Alto, CA 94301)
 

 

8/12/2015

8:30-9:00    Breakfast

9:00-10:15  Session I:

"Medical spending and health care utilization in Japan, 2010-2040: Projections from a Future Elderly microsimulation", Hawre Jajal (Stanford University), Brian K. Chen (University of Southern California), Karen Eggleston (Stanford University), Hideki Hashimoto (University of Tokyo), Toshiaki Iizuka (University of Tokyo), Lena Shoemaker (Stanford University), and Jay Bhattacharya (Stanford University)

Discussants:
Yong Suk Lee (Stanford University)
TBD

10:15-10:45  Break

10:45-12:00  Session II:

"The adverse effects of value-based purchasing in health care: dynamics quantile regression with endogeneity", Galina Besstremyannaya (Visiting Scholar, Stanford University)

Discussants:
Jay Battacharya (Stanford University)
Takeo Hoshi (Stanford University)

12:00-1:00  Lunch

1:00-2:15    Session III:

How Do Agricultural Markets Respond to Radiation Risk? Evidence from the 2011 Disaster in Japan", Kayo Tajima (Rikkyo University), Masashi Yamamoto (University of Toyama), and Daisuke Ichinose (Rikkyo University)

Discussants:
Satoshi Koibuchi (Chuo University and Visiting Scholar, Stanford University)
Yong Suk Lee (Stanford University)

2:15-3:30    Session IV:

"Shocks and Shock Absorbers in Japanese Bonds and Banks During the Global Financial Crisis", Hyonok Kim (Tokyo Keizai University), Yukihiro Yasuda (Hitotsubashi University), and James A. Wilcox (University of California, Berkeley)

Discussants:
Sabrina Howell (New York University)
Suparna Chakraborty (University of San Francisco)

 

8/13/2015

8:30-9:00    Breakfast

9:00-10:15  Session I:

"Impact of Financial Intermediary's Information Production on Market Value of Firm: Case Studies on the DBJ's Liquidity Providing During the Financial Crisis and the Environmental Rating of Firm", Hiroaki Suzuoka (Development Bank of Japan), Atsushi Motohashi (Development Bank of Japan), Shinya Nakamura (Development Bank of Japan), Tomoya Maruoka (Development Bank of Japan), and Takamasa Uesugi (Development Bank of Japan)

Discussants:
Jess Diamond (Hitotsubashi University)
Masami Imai (Wesleyan University)

10:15-10:45  Break

10:45-12:00  Session II:

"Selective Disclosure: The Case of Nikkei Preview Articles", William N. Goetzmann (Yale School of Management), Yasushi Hamao (University of Southern California), and Hidenori Takahashi (Kobe University)

Discussants:
Eiichiro Kazumori (University of Buffalo)
TBD

12:00-1:00  Lunch

 

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"Private provision of social insurance: drug-specific price elasticities and pricing in Medicare Part D"

 

Please note: All research in progress seminars are off-the-record. Any information about methodology and/or results is embargoed until publication.

 

Abstract:

Although optimal social insurance theory suggests that consumer cost-sharing should increase in a drug's elasticity of demand, publicly provided drug coverage typically involves uniform cost-sharing across drugs. Does the private market behave differently? We examine this question in the context of Medicare Part D. To do so, we first exploit the famous donut hole – at which insurance becomes discontinuously generous at the margin – together with detailed claim-level data for about 2 million beneficiaries to estimate price elasticities of demand for almost 200 different common drugs and 80 different common therapeutic classes. We document substantial heterogeneity in the price elasticity of demand across drugs and diseases, with an average elasticity estimate across drugs of -0.22 and a standard deviation of 0.5. Drawing on additional detail on the contract design of hundreds of Medicare Part D private plans, we document - in contrast to pricing in public prescription drug plans - substantial heterogeneity in the cost-sharing rate private plans charge for different drugs. We find that private plans vary cost-sharing in the direction of the social optimum: charging higher consumer coinsurance for drugs and classes with more elastic demand. Results from a highly stylized model are consistent with the empirical findings: profit maximizing private firms have incentives to vary cost-sharing across drugs in the socially efficient direction. Our findings suggest that benefit design may be more efficient in privately rather than publicly provided insurance.

Encina Commons,
615 Crothers Way Room 182,
Stanford, California 94305-6006

(650) 498-7528
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Associate Professor, Health Policy
MS in Health Policy Program Director
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Maria Polyakova, PhD, is Associate Professor of Health Policy at Stanford School of Medicine and Associate Professor (by courtesy) in the Department of Economics at Stanford University, where she is also a Senior Fellow at the Stanford Institute for Economic Policy Research (SIEPR). She is a Research Associate at the National Bureau of Economic Research (NBER) and serves as an Editor of the Journal of Health Economics. Her research spans many areas of health economics, including health insurance, healthcare labor markets, and individual decision-making in health and healthcare. A unifying thread is evaluating whether markets and government policy effectively serve individuals and families or introduce distortions. Her ongoing work focuses on how families navigate prolonged health shocks. Maria received her BA in Economics & Mathematics and German Studies (with a concentration in History) from Yale University in 2008 and her PhD in Economics from MIT in 2014.

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Beth Duff-Brown
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Most prescriptions for opioid painkillers are made by the broad swath of U.S. general practitioners, not by a limited group of specialists, according to a study by researchers at the Stanford University School of Medicine.

This finding contrasts with previous studies by others that indicated the U.S. opioid epidemic is stoked by a small population of prolific prescribers operating out of corrupt “pill mills.”

The study, which examined Medicare prescription drug claims data for 2013, appears in a research letter published today in JAMA Internal Medicine.

“The bulk of opioid prescriptions are distributed by the large population of general practitioners,” said lead author Jonathan Chen, a Stanford Health Policy VA Medical Informatics Fellow.

The researchers found that the top 10 percent of opioid prescribers account for 57 percent of opioid prescriptions. This prescribing pattern is comparable to that found in the Medicare data for prescribers of all drugs: The top 10 percent of all drug prescribers account for 63 percent of all drug prescriptions.

“These findings indicate law enforcement efforts to shut down pill-mill prescribers are insufficient to address the widespread overprescribing of opioids,” Chen said. “Efforts to curtail national opioid overprescribing must address a broad swath of prescribers to be effective.”

Read More at Stanford News Center

More coverage here:

STAT News Service

Kaiser Health News

 

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This 2016 newsletter from the Stanford Department of Medicine is neither a yearbook of our recent accomplishments nor an annual report replete with facts and figures. It’s most like an anthology, giving readers glimpses of some recent progress we’ve made as we addressed Stanford Medicine’s tripartite mission: to teach our students and trainees, to do research, and to care for our patients. As we move toward the future, it’s important to reflect on the past, which created the culture of the Stanford Department of Medicine. The report also features Stanford Health Policy's Marcella Alsan's work about the impact of the tsetse fly on African economies.

In this video, Robert Harrington, MD, chair of the Department of Medicine, gives an overview of the department's vision for the future, as well as highlighting the department's four strategic priorities.

 

 

See the multimedia report here.

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When Former New York City Mayor Michael Bloomberg took a stand on sugary drinks, banning large sizes to encourage moderation, his efforts were met with some applause—but also with jeers of derision, one New York Post headline dubbing him the “Soda Jerk.”

But with one third of the nation’s adult population considered obese, and alarming evidence about the health dangers and economic toll of obesity, research on ways to slim America’s collective waistband is sorely needed.  

Stepping back from the frenzy, faculty and students at Stanford Law School are digging into the issue to try to tease out the data and offer an unbiased empirical view. 

Last spring, Jordan Flanders, JD ’15, worked with Michelle Mello (BA ’93) and David Studdert, two members of Stanford Law’s health law faculty, on a research paper that analyzed legal, economic, and political issues raised by sugary drink laws in different countries, explaining five major categories of regulations (taxes, government procurement regulations, school-based regulations, advertising restrictions, and labeling rules) and parsing out the biggest challenges to implementing each. The result, “Searching for Public Health Law’s Sweet Spot: The Regulation of Sugar-Sweetened Beverages,” was published in July in PLoS Medicine, a highly regarded international medical journal, and went a long way to inform the debate. 

Stanford has taken the need for lawyers working in the critical area of health law seriously. Mello and Studdert, both professors of law with joint appointments with the medical school, were hired in the last two years. They joined Hank Greely, Deane F. and Kate Edelman Johnson Professor of Law, and Daniel Kessler, professor of law—increasing to four the number of faculty who are fully focused on health law. They are joined by half a dozen law faculty whose scholarship often touches on diverse subjects such as psychology, drug regulation, and environmental issues at this intersection of law.

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