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An analysis of the proposed Dutch yardstick mechanismBogetoft, Peter; Mikkers, Misja C.; Halbersma, Rein; Agrell, Per J. (København, 2007)[More information][Less information]
Abstract: Health care provision is undergoing major reforms in Europe as a reaction to rapidly increasing expenditure and lowered political acceptance to commit public finance to cover the deficits. The Dutch government will decide in 2007 if the current budget system will be replaced by a more competitive mechanism, based on the yardstick regulation principle by Shleifer (1985). One of the proposed systems for the reform can be compared to a revenue-cap implementation of a multi-product cost-yardstick mechanism. The redistribution of the sector’s relevant cost is made in proportion to the individual hospitals share of total weighted output. No regulation is made of the multi-lateral contractual relations between users, insurers and hospitals. The scaling weights are updated periodically for new services and as a function of observed excess demand (waiting lists). The mechanism is shown to provide cost-reducing (effort-inducing) incentives for profit-maximizing rational agents in a single-period bargaining game. The game also shows that the regulation acts as a countervailing power for the insurers to reinforce bargaining power. The local distortion of the output profile induced by the regulation is a function of demand elasticity and cost function convexity. In case the revenue target is not binding, no welfare loss is incurred. The regime also provides incentives for cost-reducing investments in the short and the long run. These incentives manifest themselves in local reallocations of output to more efficient producers. The analysis shows that care should be taken in the updating of the weights as to provide incentives for service innovation, as well as to guarantee convergence of the price system. Although this requires econometric analyses, the alternative with a cost-based yardstick is considered superior to a revenue-based ditto for this application. URI: http://hdl.handle.net/10398/7661 Files in this item: 1
wp1-2007-yardstick.pdf (1.159Mb) -
How The Changing Terms of Competition in Global Markets are Creating New Possibilities For Danish CompaniesBorrus, Michael; Zysman, John (Berkeley, 1997)[More information][Less information]
Abstract: Globalism has become an emblem for a whole series of dramatic changes in the international economy. The hyperbole in the media and popular novels that suggests a whirling era of giant companies, shifting money, and hapless governments, often hides the distinctive features of changing markets. This paper proposes that recent changes in the organization of production and product development are altering the terms of competition in many world markets and creating significant global opportunities for Danish firms. Those opportunities promise to enhance the development of Danish industry and employment. But there are risks. The new opportunities lie both in the new terms of competition that are observed in altered processes of product and component development and in the cross-national production networks that permit small companies to seize these opportunities. We label as “Wintelism” the new terms of competition and the new competitive strategies; we call the new organization of production Cross-national Production Networks (CNPNs). New risks lie in the accelerated pace of product and process development that make it harder and more essential to correctly judge technical developments, competitor strategies, and customer possibilities. The Danish policy question is whether the set of institutions and arrangements that constitute its industrial “market and policy logic”—or to use a different vocabulary, its National System of Innovation—is able to support the pursuit of the opportunities that “Wintelism” and Cross National Production Networks (CNPNs) create. URI: http://hdl.handle.net/10398/8114 Files in this item: 1
x644920091.pdf (188.1Kb) -
Om økonomi i Batailles generelle økonomiSørensen, Asger (København, 2005)[More information][Less information]
Abstract: Til belysning af Batailles såkaldte generelle økonomi redegøres for nogle grundlæggende præmisser for økonomi og for kritikken af dem. Det vises hvordan Bataille inddrager energiens kredsløb gennem univers, natur og samfund i økonomien, ligesom han fastholder det subjektive begær i den indre erfarings perspektiv. Der redegøres for Bataille genrelle økonomi som politisk økonomi, og den sammenlignes med post-moderne begrundelser for hhv. forbrugskapitalisme og begærs kommunisme. Det vises, at Bataille undslipper dem begge, men at den generelle økonomi som politisk økonomi er et modsigelsesfyldt og umuligt projekt. URI: http://hdl.handle.net/10398/6371 Files in this item: 1
wp9-2005.pdf (145.7Kb) -
Marker-Larsen, Svend (København, 2005)[More information][Less information]
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Now showing items 1869-1872 of 1872