• The Economic Case for a Pandemic Fund

      Berry, Kevin (Springer, 5/21/2018)
      The rapid urban spread of Ebola virus in West Africa in 2014 and consequent breakdown of control measures led to a significant economic impact as well as the burden on public health and wellbeing. The US government appropriated $5.4 Billion for FY2015 and WHO proposed a $100 Million emergency fund largely to curtail the threat of future outbreaks. Using epidemiological analyses and economic modeling, we propose that the best use of these and similar funds would be to serve as global insurance against the continued threat of emerging infectious diseases. An effective strategy would involve the initial investment in strengthening mobile and adaptable capacity to deal with the threat and reality of disease emergence, coupled with repeated investment to maintain what is effectively a �national guard� for pandemic prevention and response. This investment would create a capital stock that could also provide access to safe treatment during and between crises in developing countries, lowering risk to developed countries.
    • How Has the 80th Percentile Rule Affected Alaska's Health-Care Expenditures?

      Guettabi, Mouhcine (Institute of Social and Economic Research, University of Alaska Anchorage, 5/16/2018)
      We use the Health Expenditures by State of Residence data (1991-2014) compiled by Centers for Medicare & Medicaid Services to examine the causal effect of the 80th percentile rule on Alaska's health care expenditures. We find evidence that Alaska's expenditures would have been lower in the absence of rule. The share of the overall increase in expenditures that we attribute to the 80th percentile rule is between 8.61% and 24.65%. It is important to note that using expenditures as a proxy for costs has limitations as it is the product of both quantity of services used and prices.