Kopafbeelding publicaties CPB

Publications

The effect of reinsuring a deductible on pharmaceutical spending: A Dutch case study on low-income people

The basic health insurance in the Netherlands includes a mandatory deductible of currently 385 euros per adult per year. Several municipalities offer a group contract for low-income people in which the deductible is reinsured, meaning that out-of-pocket spending under the deductible is covered by supplementary insurance. This study examines to what extent such reinsurance leads to higher pharmaceutical spending.

CPB Discussion Paper 387 | 30 November 2018

28 pages | pdf document, 1.7 MB

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Estimating migration changes from the EU’s free movement of people principle

We estimate the impact of the free movement of people (FMP) principle on bilateral intra-EU migration stocks using a gravity model. Employing a combination of the World Bank and the UN’s global migration databases, with observations between 1960 and 2015, allows us to analyse the impact of the FMP for most EU member states.

CPB Discussion Paper 385 | 19 October 2018

42 pages | pdf document, 1.1 MB

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Causes of regional variation in Dutch healthcare expenditures: evidence from movers

We assess the relative importance of demand and supply factors as determinants of regional variation in healthcare expenditures in the Netherlands. Our empirical approach follows individuals who migrate between regions. We use individual data on annual healthcare expenditures for the entire Dutch population between the years 2006 and 2013.

CPB Discussion Paper 384 | 18 October 2018

40 pages | pdf document, 1.1 MB

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The scope of the external return to higher education

This article examines whether the productivity spillovers from a large share of highly educated workers occur within regions, sectors and/or firms. To distinguish between these possibilities, I follow a two-stage procedure to estimate a Mincerian wage equation using matched employer-employee panel data on individual earnings and educational attainment.

CPB Discussion Paper 381 | 3 September 2018

34 pages | pdf document, 1.1 MB

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Economic Decision Problems in Multi-Level Flood Prevention: a new graph-based approach used for real world applications

Flood prevention policy is of crucial importance to the Netherlands. We assess economical optimal flood prevention where multiple barrier dams and dikes protect the hinterland against sea level rise and peak river discharges. Current optimal flood prevention methods only consider dike rings with no dependencies between dikes. We propose a graph-based model for a cost-benefit analysis to determine optimal dike heights with multiple dependencies between dikes and barrier dams.

CPB Discussion Paper 380 | 7 May 2018

42 pages | pdf document, 2.1 MB

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Does managed competition constrain hospitals’ contract prices? Evidence from the Netherlands

In the Dutch health care system health insurers negotiate with hospitals about the pricing of hospital products in a managed competition framework. In this paper, we study these contract prices that became for the first time publicly available in 2016. The data show substantive price variation between hospitals for the same products, and within a hospital for the same product across insurers.

CPB Discussion Paper 378 | 29 March 2018

24 pages | pdf document, 2.9 MB

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Complexities in the spatial scope of agglomeration economies

This article argues that the spatial scope of agglomeration economies is much more complex than is often assumed in the agglomeration literature. We provide insight into this issue by analyzing panel data on individual wages with a high level of spatial detail.

CPB Discussion Paper 376 | 28 February 2018

36 pages | pdf document, 4.2 MB

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Optimal Taxation of Secondary Earners in the Netherlands: Has Equity Lost Ground?

The Netherlands witnessed major reforms in the taxation of (potential) secondary earners over the past decade. Using the inverse-optimal method of optimal taxation we recover the implicit social welfare weights of single- and dual-earner couples over time. The social welfare weights are grosso modo well-behaved before the reforms.

CPB Discussion Paper 375 | 15 February 2018

60 pages | pdf document, 3.6 MB

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Do paid teacher trainee programs lead to additional teachers in secondary education? A Regression Discontinuity Analysis

This paper evaluates the quantitative effects of two teacher traineeships that were implemented in the Netherlands to address shortages of fully qualified teachers in secondary education. Applying a fuzzy regression discontinuity design, we estimate the effects of being selected to participate in one of the traineeships. We find no significant local average treatment effects of being selected on the probabilities of enrolling into academic teacher training, obtaining a full teaching qualification, and on working in education, although the point estimates are positive for the first two outcome variables.

CPB Discussion Paper 374 | 14 February 2018

34 pages | pdf document, 1.6 MB

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Competition and pricing behavior in long term care markets: Evidence from the Market for Assistance in Daily Housekeeping Activities

Exploiting a rich data set on the Dutch market for assistance in daily housekeeping activities (ADHA), we find that larger providers obtain a higher price than do small providers. However, compared to other studies on market power in care markets this price difference is considered small to moderate.

CPB Discussion Paper 373 | 8 February 2018

24 pages | pdf document, 480.6 KB

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The effects of unconventional monetary policy in the euro area

How effective are unconventional monetary policies? Through which mechanisms do they work? This discussion paper contains a detailed presentation of the new scientific evidence we reported in the policy brief, and adds to the relatively scarce literature in this field.

CPB Discussion Paper 371 | 6 February 2018

36 pages | pdf document, 583 KB

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Effects of Unconventional Monetary Policy on European Corporate Credit

In this paper we investigate whether the targeted longer-term refinancing operations (TLTRO) and the asset purchase program (APP) led to lower interest rates on new corporate credit, and whether the signalling channel and the capital relief channel played any role in the transmission of these ECB policies.

CPB Discussion Paper 372 | 6 February 2018

22 pages | pdf document, 383.8 KB

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Cost-Sharing Design Matters: A Comparison of the Rebate and Deductible in Healthcare

Since 2006, the Dutch population has faced two different cost-sharing schemes in health insurance for curative care: a mandatory rebate of 255 euros in 2006 and 2007, and since 2008 a mandatory deductible. Using administrative data for the entire Dutch population, we compare the effect of both cost-sharing schemes on healthcare consumption between 2006 and 2013.

CPB Discussion Paper 367 | 7 December 2017

60 pages | pdf document, 1.5 MB

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Co-payments in long-term home care: do they affect the use of care?

We study the effect of a policy change in co-payments on the use of long-term home care in The Netherlands. The change increased co-payments for persons with considerable household financial assets. For identification we apply a difference-in-difference analysis with matched treatment and control groups.

CPB Discussion Paper 363 | 3 November 2017

44 pages | pdf document, 2.9 MB

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