This paper presents the findings from an exploratory in-depth case study with regard to eReverse Auctions (eRAs) in the UK public sector. These findings highlight that eRAs can improve procurement processes, realise cost savings and reduce delivery times. The research also notes that eRAs can produce dis-benefits, including poor buyer and supplier relationships and social implications. The pape...

Disease management (DM) promises to achieve cost savings by improving the quality of care for chronic diseases. During the past decade the Permanente Medical Group in Northern California has implemented extensive DM programs. Examining quality indicators, utilization, and costs for 1996-2002 for adults with four conditions, we find evidence of substantial quality improvement but not cost saving...

Free Software has been widely discussed by Brazilian private organizations as well as Federal Government. Brazilian politicians and economists are interested in the use of Free Software platforms for social services provisioning. Not only because this kind of product can lead to important cost savings, but also because it can become a key point to the nation interests, in terms of internal deve...

Adults with autism face high rates of unemployment. Supported employment enables individuals with autism to secure and maintain a paid job in a regular work environment. The objective of this study was to assess the cost-effectiveness of supported employment compared with standard care (day services) for adults with autism in the United Kingdom. Thus, a decision-analytic economic model was deve...

The public and private sectors are showing tremendous interest in a new financial mechanism called pay for success, or PFS. At the heart of all PFS projects is testing whether a social program can improve outcomes for a specific group of people. If the program works—as measured by a rigorous evaluation—the project is a success. Investors get their money back (with a potential positive return), ...

One important motive for deregulating social health insurance is to encourage product innovation. For the first time, the cost savings achieved by non-US managed care plans that are attributable to product innovation are estimated, using a novel approach. Panel data from a major Swiss health insurer permits to infer health status, which can be used to predict health care expenditure. The econom...

In this paper we study the role of habit formation in shaping the wealth distribution in an otherwise standard heterogeneous agents model economy with idiosyncratic uncertainty. We compare the inplications for precautionary savings and for wealth concentration between economies that only differ in the role played by habit formation. Once preferences are properly adjusted so that the Intertempor...

BACKGROUND Data are lacking to support the cost-effectiveness of enhanced recovery pathways (ERP) for oesophagectomy. The aim of this study was to investigate the impact of an ERP on medical costs for oesophagectomy. METHODS This study investigated all patients undergoing elective oesophagectomy between June 2009 and December 2011 at a single high-volume university hospital. From June 2010, a...

The relationship between income inequality and national savings is theoretically ambiguous, and past empirical studies have delivered mixed results. We revisit the question using a newly available source of data on inequality: the income share of the richest 10 percent and the richest 1 percent. Combining this with historical data on national savings rates, we are able to investigate the relati...

BACKGROUND Postvention services aim to ameliorate distress and reduce future incidences of suicide. The StandBy Response Service is one such service operating in Australia for those bereaved through suicide. Few previous studies have reported estimates or evaluations of the economic impact and outcomes associated with the implementation of bereavement/grief interventions. AIMS To estimate the...