Physicians' financial incentives and treatment choices in heart attack management

Using a large set of private health insurance claims, we estimate how physicians' financial incentives affect their treatment choices in heart attack management. Different insurance plans pay physicians different amounts for the same services, generating the required variation in financial incentives. We begin by presenting evidence that, unconditionally, plans that pay physicians more for more invasive treatments are associated with a larger fraction of such treatments. To interpret this correlation as causal, we continue by showing that it survives conditioning on a rich set of diagnosis and provider-specific variables. We perform a host of additional checks to verify that differences in unobservable patient or provider characteristics across plans are unlikely to be driving our results. We find that physicians' treatment choices respond positively to the payments they receive, and that the response is quite large. If physicians received bundled payments instead of fee-for-service incentives, for example, heart attack management would become considerably more conservative. Our estimates imply that 20 percent of patients would receive different treatments, physician costs would decrease by 27 percent, and social welfare would increase

Passive elasto-magnetic suspensions: nonlinear models and experimental outcomes

The paper presents a passive elasto-magnetic suspension based on rare-earth permanent magnets: the dynamical system is described with theoretical and numerical nonlinear models, whose results are validated through experimental compar- ison. The goal is to minimize the dependence on mass of the natural frequency of a single degree of freedom system. For a system with variable mass, static configuration and dynamical behaviour are compared for classic linear elastic systems, for purely magnetic suspensions and for a combination of the two. In particular the dynamics of the magneto-mechanic inter- action is predicted by use of nonlinear and linearised models and experimentally observed through a suitable single degree of freedom test ri

Set-Asides and Subsidies in Auctions

Set-asides and subsidies are used extensively in government procurement and natural resource sales. We analyze these policies in an empirical model of U.S. Forest Service timber auctions. The model fits the data well both within the sample of unrestricted sales where we estimate the model, and when we predict (out of sample) bidder entry and prices for small business set-asides. Our estimates suggest that restricting entry to small businesses substantially reduces efficiency and revenue, although it does increase small business participation. An alternative policy of subsidizing small bidders would increase revenue and small bidder profit, while eliminating almost all of the efficiency loss of set-asides, and only slightly decreasing the profit of larger firms. We explain these findings by connecting to the theory of optimal auction design.set-asides, subsidies, natural resources, timber, auctions

Monte Carlo investigation of the magnetic anisotropy in Fe/Dy multilayers

By Monte Carlo simulations in the canonical ensemble, we have studied the magnetic anisotropy in Fe/Dy amorphous multilayers. This work has been motivated by experimental results which show a clear correlation between the magnetic perpendicular anisotropy and the substrate temperature during elaboration of the samples. Our aim is to relate macroscopic magnetic properties of the multilayers to their structure, more precisely their concentration profile. Our model is based on concentration dependent exchange interactions and spin values, on random magnetic anisotropy and on the existence of locally ordered clusters that leads to a perpendicular magnetisation. Our results evidence that a compensation point occurs in the case of an abrupt concentration profile. Moreover, an increase of the noncollinearity of the atomic moments has been evidenced when the Dy anisotropy constant value grows. We have also shown the existence of inhomogeneous magnetisation profiles along the samples which are related to the concentration profiles

Ferromagnetism in defect-ridden oxides and related materials

The existence of high-temperature ferromagnetism in thin films and nanoparticles of oxides containing small quantities of magnetic dopants remains controversial. Some regard these materials as dilute magnetic semiconductors, while others think they are ferromagnetic only because the magnetic dopants form secondary ferromagnetic impurity phases such as cobalt metal or magnetite. There are also reports in d0 systems and other defective oxides that contain no magnetic ions. Here, we investigate TiO2 (rutile) containing 1 - 5% of iron cations and find that the room-temperature ferromagnetism of films prepared by pulsed-laser deposition is not due to magnetic ordering of the iron. The films are neither dilute magnetic semiconductors nor hosts to an iron-based ferromagnetic impurity phase. A new model is developed for defect-related ferromagnetism which involves a spin-split defect band populated by charge transfer from a proximate charge reservoir in the present case a mixture Fe2+ and Fe3+ ions in the oxide lattice. The phase diagram for the model shows how inhomogeneous Stoner ferromagnetism depends on the total number of electrons Ntot, the Stoner exchange integral I and the defect bandwidth W; the band occupancy is governed by the d-d Coulomb interaction U. There are regions of ferromagnetic metal, half-metal and insulator as well as nonmagnetic metal and insulator. A characteristic feature of the high-temperature Stoner magnetism is an an anhysteretic magnetization curve which is practically temperature independent below room temperature. This is related to a wandering ferromagnetic axis which is determined by local dipole fields. The magnetization is limited by the defect concentration, not by the 3d doping. Only 1-2 % of the volume of the films is magnetically ordered.Comment: 22 pages, 6 figure

Charge dynamics in the half-metallic ferromagnet CrO\u3csub\u3e2\u3c/sub\u3e

Infrared spectroscopy is used to investigate the electronic structure and charge carrier relaxation in crystalline films of CrO2 which is the simplest of all half-metallic ferromagnets. Chromium dioxide is a bad metal at room temperature but it has a remarkably low residual resistivity (\u3c5 \u3eμΩ cm) despite the small spectral weight associated with free carrier absorption. The infrared measurements show that low residual resistivity is due to the collapse of the scattering rate at ω\u3c2000 \u3ecm-1. The blocking of the relaxation channels at low v and T can be attributed to the unique electronic structure of a half-metallic ferromagnet. In contrast to other ferromagnetic oxides, the intraband spectral weight is constant below the Curie temperature