Anarchy and Neutrino Physics

The neutrino sector of a seesaw-extended Standard Model is investigated under the anarchy hypothesis. The previously derived probability density functions for neutrino masses and mixings, which characterize the type I-III seesaw ensemble of $N\times N$ complex random matrices, are used to extract information on the relevant physical parameters. For $N=2$ and $N=3$, the distributions of the light neutrino masses, as well as the mixing angles and phases, are obtained using numerical integration methods. A systematic comparison with the much simpler type II seesaw ensemble is also performed to point out the fundamental differences between the two ensembles. It is found that the type I-III seesaw ensemble is better suited to accommodate experimental data. Moreover, the results indicate a strong preference for the mass splitting associated to normal hierarchy. However, since all permutations of the singular values are found to be equally probable for a particular mass splitting, predictions regarding the hierarchy of the mass spectrum remains out of reach in the framework of anarchy.Comment: 1+22 pages, 8 figures, typos fixed, added referenc

Policy Analysis in the health-services market: accounting for quality and quantity

We provide a theoretical and empirical framework for evaluating the eects of policy reforms on physician labor supply. We argue that any policy evaluation must account for both the quality and the quantity of services provided. The introduction of quality into the analysis has implications for both the theoretical and empirical analysis of labor supply, and consequently policy evaluation. In particular, endogenous quality choices introduce non- linearities into the budget constraint since the marginal return to an hour of work depends on the quality of services provided. We illustrate by considering a particular example: the recent reform in compensation contracts for specialist physicians in the province of Quebec (Canada). Prior to 1999, most Quebec specialist physicians were paid fee-for-service con- tracts; they received a piece rate for each clinical service provided. In 1999, the government introduced a mixed remuneration system, under which physicians received a base (half-daily or daily) wage, independent of services provided, and a reduced fee-for-service. Moreover, the government allowed physicians to choose their contract. We derive theoretical results for the eect of the reform on the quantity and quality of services supplied by analyzing "local" prices and virtual income. We propose discretizing the choice set as an empirical approach to policy evaluation in the presence of non-linear budget constraints.Health production, Quality of health services, Discretized models

Policy Analysis in the Health-Services Market: Accounting for Quality and Quantity

We provide a theoretical and empirical framework for evaluating the effects of policy reforms on physician labor supply. We argue that any policy evaluation must account for both the quality and the quantity of services provided. The introduction of quality into the analysis has implications for both the theoretical and empirical analysis of labor supply, and consequently policy evaluation. In particular, endogenous quality choices introduce non-linearities into the budget constraint since the marginal return to an hour of work depends on the quality of services provided. We illustrate by considering a particular example: the recent reform in compensation contracts for specialist physicians in the province of Quebec (Canada). Prior to 1999, most Quebec specialist physicians were paid fee-for-service contracts; they received a piece rate for each clinical service provided. In 1999, the government introduced a mixed remuneration system, under which physicians received a base (half-daily or daily) wage, independent of services provided, and a reduced fee-for-service. Moreover, the government allowed physicians to choose their contract. We derive theoretical results for the effect of the reform on the quantity and quality of services supplied by analyzing "local" prices and virtual income. We propose discretizing the choice set as an empirical approach to policy evaluation in the presence of non-linear budget constraints.Health production, Quality of health services, Discretized models

Labour Supply, Work Effort and Contract Choice: Theory and Evidence on Physicians

We develop and estimate a generalized labour supply model that incorporates work effort into the standard consumption-leisure trade-off. We allow workers a choice between two contracts: a piece rate contract, wherein he is paid per unit of service provided, and a mixed contract, wherein he receives an hourly wage and a reduced piece rate. This setting gives rise to a nonconvex budget set and an efficient budget constraint (the upper envelope of contract-specific budget sets). We apply our model to data collected on specialist physicians working in the Province of Quebec (Canada). Our data set contains information on each physician’s labour supply and their work effort (clinical services provided per hour worked). It also covers a period of policy reform under which physicians could choose between two compensation systems: the traditional fee-for-service, under which physicians receive a fee for each service provided, and mixed remuneration, under which physicians receive a per diem as well as a reduced fee-for-service. We estimate the model using a discrete choice approach. We use our estimates to simulate elasticities and the effects of ex ante reforms on physician contracts. Our results show that physician services and effort are much more sensitive to contractual changes than is their time spent at work. Our results also suggest that a mandatory reform, forcing all physicians to adopt the mixed remuneration system, would have had substantially larger effects on physician behaviour than those observed under the voluntary reform.labour supply, effort, contracts, practice patterns of physicians, discrete choice econometric models, mixed logit

Labour Supply, Work Effort and Contract Choice: Theory and Evidence on Physicians

We develop and estimate a generalized labour supply model that incorporates work effort into the standard consumption-leisure trade-off. We allow workers a choice between two contracts: a piece rate contract, wherein he is paid per unit of service provided, and a mixed contract, wherein he receives an hourly wage and a reduced piece rate. This setting gives rise to a non-convex budget set and an efficient budget constraint (the upper envelope of contract-specific budget sets). We apply our model to data collected on specialist physicians working in the Province of Quebec (Canada). Our data set contains information on each physician's labour supply and their work effort (clinical services provided per hour worked). It also covers a period of policy reform under which physicians could choose between two compensation systems: the traditional fee-for-service, under which physicians receive a fee for each service provided, and mixed remuneration, under which physicians receive a per diem as well as a reduced fee-for-service. We estimate the model using a discrete choice approach. We use our estimates to simulate elasticities and the effects of ex ante reforms on physician contracts. Our results show that physician services and effort are much more sensitive to contractual changes than is their time spent at work. Our results also suggest that a mandatory reform, forcing all physicians to adopt the mixed remuneration system, would have had substantially larger effects on physician behaviour than those observed under the voluntary reform.labour supply, effort, contracts, practice patterns of physicians, discrete choice econometric models, mixed logit

Physicians' Multitasking and Incentives: Empirical Evidence from a Natural Experiment

We analyse how physicians respond to contractual changes and incentives within a multitasking environment. In 1999 the Quebec government (Canada) introduced an optional mixed compensation system, combining a fixed per diem with a discounted (relative to the traditional fee-for-service system) fee for services provided. We combine panel survey and administrative data on Quebec physicians to evaluate the impact of this change in incentives on their practice choices. We highlight the differentiated impact of incentives on various dimensions of physician behaviour by considering a wide range of labour supply variables: time spent on seeing patients, time devoted to teaching, administrative tasks or research, as well as the volume of clinical services and average time per clinical service. Our results show that, on average, the reform induced physicians who changed from FFS to MC to reduce their volume of (billable) services by 6.15% and to reduce their hours of work spent on seeing patients by 2.57%. Their average time spent per service increased by 3.58%, suggesting a potential quality-quantity substitution. Also the reform induced these physicians to increase their time spent on teaching and administrative duties (tasks not remunerated under the fee-for-service system) by 7.9%.Physician payment mechanisms, multitasking, mixed-payment systems, incentive contracts, labour supply, self-selection, panel estimation

An Econometric Analysis of Intergenerational Reliance on Social Assistance

This paper examines the intergenerational transmission of participation in Québec's social assistance program. The analysis takes into account two sources of intergenerational transmission: one that is due to a causal link between parents' and children's participation and one that is due to a correlation between individual or environment-specific characteristics across generations. Our data come from the records of Québec's Ministère de la Solidarité Sociale and cover 17,203 young people who were 18 years old in 1990 and whose parents were recipients of social assistance during at least one month between 1979 and 1990. Our results reveal that, on average, a one-month increase in the parental participation during the youth's pre-adult years (age 7-17) raises the youth's participation by about 0.15 month during early adulthood (age 18-21). Moreover, this impact is stronger during the early stages of childhood (age 7-9) and late adolescence (age 16-17).Dynamics of social assistance participation, Intergenerational correlation, Canadian welfare programmes