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Program
 

 

The Draft Congress Program is now Available!

 

Printable Program Overview

 

Plenary sessions 

For more information, please see:

Complete Curriculum Vitae

MacArthur Foundation video summarizing Professor Chetty’s research

   

Raj Chetty

Opening Plenary

“Economic Opportunity and Health Inequality: New Insights from Big Data”

Raj Chetty is the inaugural William A. Ackman Professor of Economics at Harvard University. Chetty's research combines empirical evidence and economic theory to help design more effective government policies. His work on tax policy, unemployment insurance, and education has been widely cited in media outlets and Congressional testimony. His current research focuses on equality of opportunity: how can we give children from disadvantaged backgrounds better chances of succeeding?

Chetty is a recipient of a MacArthur "Genius" Fellowship and the John Bates Clark medal, given by the American Economic Association to the best American economist under age 40. He received his Ph.D. from Harvard University in 2003 at the age of 23 and was a professor at UC-Berkeley until 2009, when he returned to Harvard as one of the youngest tenured professors in Harvard's history. Chetty moved to the Department of Economics at Stanford in 2015 and returned to Harvard in 2018.

 

 

For more information, please see:

Complete Curriculum Vitae


   

Janet Currie

Mid-Congress Plenary

“Child Health and Human Capital”

Janet Currie is the Henry Putnam Professor of Economics and Public Affairs at Princeton University and the Director of Princeton's Center for Health and Wellbeing. She is a member of the National Academy of Medicine and of the American Academy of Art and Sciences, and a fellow of the American Academy of Political and Social Science and of the Econometric Society. Dr. Currie pioneered the economic analysis of child development in the early 1990s and established the central role of childhood health for human capital and inequality. Her current research focuses on socioeconomic differences in health and access to health care, environmental threats to health, and the important role of mental health.

 

Lise Rochaix and Joseph Kutzin

Closing Plenary

“Making Health Economics Matter – Stories from the Frontlines”

Throughout the world, decision-makers face difficult and un-illuminated choices every day.  Health economists labor tirelessly to produce data and evidence that can help.  Yet, too often decisions get made without the benefit of the best evidence. How can we do better?  This session will explore how to address the implementation gap of health economics scholarship, drawing on the experience of Lise Rochaix in working at various governmental levels in France and in Europe and Joseph Kutzin from his work in health financing policy in a wide range of countries and at the international level.

 


Lise Rochaix, Ph.D.is full professor in the economics department of the University of Paris 1 Panthéon-Sorbonne since September 2014 and holds the Paris School of Economics chair in health economics, Hospinnomics endowed by the Hospitals of Paris (AP-HP). She holds a Masters and a PhD in Economics from the Department of Economics and Related Studies, at York university (UK). She started her career as a researcher in the French National Institute for Scientific Research (CNRS) and subsequently became lecturer in economics at Dauphine university. She became full professor through the French national competition in 1994 and was first appointed at the University of Western Brittany and then at Aix-Marseille University. She has taken part in various governmental reports and was seconded to the forecasting division of the French Treasury (90-93). In 2006, she was appointed by the President of the Senate to join the French National Health Board (Haute Autorité de Santé –HAS) where she set up HAS’s economics remit and a new dedicated committee: the economics and public health evaluation committee (CEESP – Commission d’Evaluation Economique et de Santé Publique), in charge of the evaluation of health care strategies and new technologies, which she chaired until the end of her mandate in January 2014. In October 2015, she was appointed chair of the board of directors of the technical agency in charge of hospital information ATIH (Agence Technique d’Information Hospitalière). Her research interests focus on the evaluation of public policies, from an international comparative perspective. She has published widely on topics related to regulatory issues in the healthcare sector, with both equity and efficiency considerations. She was appointed President of the European Health Economics Association (EuHEA) in July 2018 for a two-year mandate.

       
    Joe Kutzin is Coordinator for Health Financing at the World Health Organization in Geneva. He is a health economist with over 30 years’ experience in health financing policy and health system reform, working in Africa, Asia, the Caribbean, Europe, and the United States. He began his career with the Project HOPE Center for Health Affairs and moved to the World Bank in 1989. He joined WHO in 1994 and has worked in headquarters, in Kyrgyzstan as policy advisor to the Ministry of Health, and in Copenhagen and Barcelona as the European Region’s lead advisor on health financing. He has published numerous book chapters and articles on health financing, health systems and universal coverage, with a focus on bringing greater conceptual clarity to key issues, such as with his 2001 Health Policy publication of the “collection-pooling-purchasing” framework that remains widely cited and used. He was lead editor of the book Implementing Health Financing Reform: Lessons from Countries in Transition and was a contributor to the World Health Report 2010 on Health Systems Financing: The Path to Universal Coverage. He was also the lead author of a chapter on health financing for universal coverage in the Handbook of Global Health Economics and Public Policy, published in 2016. He works closely with WHO’s global health financing team in Geneva and the six Regional Offices, addressing a diverse set of critical topics including fiscal sustainability, public financial management, strategic purchasing, financing of public goods, and expenditure tracking. He holds a Master’s Degree in Development Economics from Boston University, and in 2012 was awarded an Honorary Doctorate from Semmelweis University in Budapest, Hungary.


Special Organized Sessions

An innovation at the 2017 iHEA Congress in Boston was the introduction of ‘Special Organized Sessions’, in which prominent speakers in emerging and innovative areas of health economics research address ‘hot topics’.  For the 2019 Congress, there will be three Special Organized Sessions, one to be held on each day in the 10:30-12:00 timeslot.

 

Monday July 15th

Pay for Performance: Drawing Lessons From Across High, Low and Middle Income Settings

Speakers:    Fatimah A. Mustapha, World Bank

                     Meredith B. Rosenthal, Harvard University

Discussant: Peter C. Smith, Imperial College

Organizer & Chair: Søren Rud Kristensen, Imperial College (PEMBA: Performance-based financing mechanisms for health system strengthening in Africa)

Pay for performance aims to improve the quality of health care by creating financial incentives for health care providers to improve measured performance. Over the last two decades, research on P4P has grown into a substantial research field. However, the field has largely separated into two groups. Researchers working on P4P in high income countries and another group of researchers working on P4P in low and middle income countries (LMICs). Few researchers work across the two settings, there is little dialogue between the two, and findings from one context is rarely cited in another. Although differences in context can limit generalisability of some findings, researchers in both camps ultimately aim to understand the effectiveness, cost-effectiveness and mechanisms by which P4P may affect the quality of care. The lack of dialogue between the two settings therefore seems to be a missed opportunity for learning.

This session will seek to facilitate the conversation between researchers working on P4P in high, low and middle-income countries and explore the possibilities of drawing lessons from across settings. Presentations by Health Specialist Fatimah Mustapha (World Bank) and Professor of Health Economics and Policy Meredith Rosenthal (Harvard T.H. Chan School of Public Health), will set the scene for an audience discussion. Professor of Global Health Economics Peter C. Smith (University of York and Imperial College Business School) will lead this discussion of the scope for, facilitators of, and barriers to learning from across income settings in research on P4P.

 

Speaker and discussant biographies

Fatimah A. Mustapha, MSc is a Health Specialist with the Health, Nutrition and Population Global Practice at the World Bank Group based in Nigeria. Fatimah received her MSc. In Health Policy, planning and Financing from LSE in 2010. Fatimah is currently is the co-task team leader for the Nigeria state health Investment Project, a novel Performance-Based Financing program in Nigeria and the co-Task team leader for the South Sudan Provision of Essential Health Services Project. Fatimah is a seasoned health specialist with extensive experience in Performance-Based Financing and also healthcare in Fragile and conflict affected context.

Meredith B. Rosenthal, Ph.D. is the C. Boyden Gray Professor of Health Economics and Policy at the Harvard TH Chan School of Public Health and the Faculty Chair of Harvard’s Advanced Leadership Initiative. Dr. Rosenthal received her Ph.D. in health policy at Harvard University in 1998.  Her research examines the design and impact of market-oriented health policy mechanisms, with a particular focus on the use of financial incentives to alter consumer and provider behavior. Dr. Rosenthal is a member of the Massachusetts Center for Health Information and Analysis oversight commission and a board member for Massachusetts Health Quality Partners. Dr. Rosenthal was elected to the Institute of Medicine (now the National Academy of Medicine) in 2014.

Peter C. Smith is Emeritus Professor of Health Policy at Imperial College and Professor of Global Health Economics at the University of York. His main research interests are in the finance and efficiency of health systems, with a special emphasis on the link between research evidence and policy. Current interests include: health system modelling; measuring and improving health system productivity; and universal health coverage. With colleagues he has published widely on these and related topics, including over 150 refereed papers and 14 books as author or editor. Smith has acted in numerous UK governmental advisory capacities, and has also advised many overseas governments and international agencies, including the World Health Organization, the International Monetary Fund, the World Bank, the Inter-American Development Bank, the Global Fund, the European Commission and the Organization for Economic Cooperation and Development

 

Tuesday July 16th

Long-Term Care Financing and Markets

Speakers:    Adelina Comas-Herrera, London School of Economics

                     Naoki Ikegami, St Luke's International University

                     Marcello Morciano, University of Manchester

Chair:           Sally Stearns, University of North Carolina

Organizer:   Tracey Sach, University of East Anglia

As the 21st Century progresses, it is clear that the ageing of the population is a global phenomenon which affects not only high-income countries. It is also becoming clearer that the profile of the population who will be needing care and support through health and long-term care systems is changing rapidly, as the population living with multiple chronic conditions (including dementia) and dependency increases. These developments pose a challenge to the separation between health and social care systems found in most developed countries, in particular with regards to financing, entitlements to care and mechanisms to reimburse providers.

Adelina Comas-Herrera will start the session providing an overview of the latest evidence on the changing epidemiology of older people and discussing what that means for health and long-term care systems in high-income countries that were developed to meet very different health challenges, but also for countries, particularly middle-income, that are experiencing rapid ageing before having fully developed health and care systems. She will then outline the main different approaches to financing, providing and regulating long-term care found internationally and will consider the potential for fully integrated health and long-term care financing.

Naoki Ikegami will describe the impact of Japan's Long-term Care Insurance (LTCI) that was implemented in 2000. The decision to switch from a tax-based financing to a social-insurance-based financing for social services was made for the following reasons: inequities arising from the wide variations in the budget allocated by local governments for LTC services, complaints about the bureaucratic way of delivering services, the fact that people were more willing to pay LTCI premiums compared with increases in VAT, bringing the financing of LTC in line with social-insurance-financed health care. The LTCI led to services becoming an individual entitlement based on functional status, as assessed and grouped into 7 levels by a computer algorithm. Those eligible are essentially given vouchers, worth US$500~3500 per month to purchase LTCI services from licensed providers. This has created a huge market which has been filled by new providers, including for-profit companies. Expenditures for LTCI have more than doubled at a pace 50% higher than health expenditures. How to contain public expenditures as society continues to age will be a major challenge.

In many countries there has been an increased reliance on market mechanisms in the governance of LTC. Marcello Morciano will discuss the impact of conditions favouring high market concentration on supply, price and quality in the residential and nursing home markets. Focusing on the English case, he will discuss the role of large for-profit corporate providers in determining the underlying competitive environment in which operate multiple buyers - the public local commissioners (that negotiate contracts with providers on behalf of residents whom they fund following a means test of their income and wealth), and (a large number of) self-funded individuals who have been excluded by the means test. Results enable us to extract relevant policy messages on factors that may promote or inhibit an adequate supply of care home places at affordable costs and sufficient quality.

 

Speaker biographies

Adelina Comas-Herrera is Assistant Professorial Research Fellow at the Personal Social Services Research Unit at the London School of Economics and Political Science. She researches economic and policy aspects of the care, treatment and support of people with dementia, and long-term care financing. Co-lead of the Strengthening Responses to Dementia in Developing Countries (STRiDE) project, a multi-national research project funded by the UK’s Global Challenges Research Fund involving Brazil, India, Indonesia, Jamaica, Kenya, Mexico, and South Africa. Was co-author of the World Alzheimer Report 2016, which considered how to improve health care coverage for people living with dementia. Member of the World Health Organisation (WHO) Guideline Development Group for Risk reduction guidelines for cognitive decline and dementia and consultant for the Inter-American Development Bank on long-term care.

Professor Naoki Ikegami is Professor at the School of Public Health, St Luke’s International University, and Professor Emeritus at Keio University, Tokyo. He was Chair of the Department of Health Policy and Management at the Keio School of Medicine, from which he received his MD and PhD. He also received a Master of Arts degree in health services studies with Distinction from Leeds University (United Kingdom). During 1990-1991, he was a visiting professor at the University of Pennsylvania’s Wharton School and Medical School. He is a founding member of interRAI (a non-profit international consortium of researchers and clinicians focused on care planning instruments), and served as a consultant to the WHO and the World Bank. He has been President of the Japan Society of Healthcare Administration and of the Japan Health Economics Association. He has sat on various national and state government committees, including the Chair of the Investigative Specialist Sub-committee on Case-mix Based Reimbursement for Chronic Inpatient Care and member of the Reforming Elder Healthcare Council and of the End-of-Life Health Care Council. His research areas are health policy, long-term care and pharmacoeconomics. His publications include “The Art of Balance in Health Policy - Maintaining Japan’s Low-Cost Egalitarian System” (Cambridge University Press, 1998) with John C. Campbell, “Japanese universal health coverage: evolution, achievement, and challenges” (lead author) (Lancet, 2011), “Universal Coverage for Inclusive and Sustainable Development: Lessons from Japan” (editor) (World Bank, 2014). He has contributed a chapter in “Regulating Long-Term Care Quality” (edited by Vince Mor et al, Cambridge University Press, 2014) and in “Long-term care reforms in OECD Countries (edited by Chistiano Gori et al, Policy Press, 2016).

Dr Marcello Morciano MSc, PhD is a Senior Research Fellow in the economics of health and social care at the University of Manchester.  His research fields are the health and public economics of ageing, applied micro-econometrics, inequality in health (care) and social care utilization, the economics of disability, and (static, dynamic and spatial) micro-simulation.  His work is highly policy relevant and has been used in several impact and engagement activities. Recent impact activities include invited talks at national level (Departments of Health, and for Work and Pensions, the House of Lords and charitable foundations) and international (Chinese Ministry of Finance, the European Commission, and the Italian Social Security Institute, the Ministry of Social Security and the Parliamentary Budget Office) levels.  He obtained an MSc in Applied Economics and Data Analysis and a PhD from the department of Economics at the University of Essex (UK) and the Institute for Social and Economic Research (ISER). He also obtained a PhD in Economics at U. of Bologna, developing a population-based dynamic micro-simulation model for the analysis of the Italian social security system currently used for official analysis.  His work has been published in prestigious peer-reviewed journals including the Journal of Royal Statistical Society: Series A (Statistics in Society), Review of Income and Wealth, Journal of Pension Economics and Finance, Journal of Poverty and Social Justice, Fiscal Studies.  He is involved as co-investigator in research projects funded, among other, by Economic and Social Research Council, National Institute for Health Research, European Commission, Nuffield Foundation, UK Department of Health.

 

Wednesday July 17th

Health Equity: Economic Evaluations Shouldn’t Just be About Efficiency

Speakers:       Richard Cookson, University of York

                        Susan Griffin, University of York

                        Ole Frithjof Norheim, University of Bergen

                        Ijeoma Edoka, PRICELESS

Organizer & Chair: Paula Lorgelly, Kings College London

Cost effectiveness analyses (CEAs) have predominantly focused on efficiency, but equitable distribution is also important for priority setting.  Health policy makers are not just concerned about maximising total population health; they are also concerned about reducing unfair inequalities in health, health care, and financial protection from the costs of health care.  This session will provide an overview of some practical tools for using CEA to address distributional concerns, including real examples from high- and middle-income countries. 

The simplest forms of “distributional” cost-effectiveness analysis (DCEA) restrict attention to equity in the distribution of consequences between recipients and non-recipients of a specific health technology, by exploring the implications of “equity weighting” benefits to recipients.  More complex forms of DCEA examine equity in the distribution of consequences within the general population by one or more underlying equity-relevant characteristics – such as socioeconomic status, geographical location, ethnicity, gender, disability, severity of illness, end-of-life, orphan drug status or others.  DCEA may also examine equity in the distribution of non-health benefits such as financial risk protection, as well as health benefits, in the context of “extended” CEA or “cost-consequence analysis”.

An overview of distributional CEA will be presented, focusing on key concepts and methods and showing how different components can be assembled in different ways for different purposes.  This will be followed by examples from England on aggregate distributional CEA (also known as “quick and dirty” DCEA), the use of severity weights in CEA in Norway, and a proposed application of “extended” CEA in South Africa to examine distributional impacts on financial risk protection as well as health.  The panel will then form to discuss issues around implementing distributional CEA in practice, including methodological challenges and data limitations as well as engaging with decision makers.  The chair will moderate the panel, fielding questions from the audience.

 

Speaker biographies

Richard Cookson is a professor at the Centre for Health Economics, University of York, and an honorary public health academic, Public Health England. He has helped to pioneer “equity-informative” methods of health policy analysis including methods of distributional cost-effectiveness analysis; methods of health equity monitoring for healthcare quality assurance; and methods for investigating public concern for reducing health inequality. Prof Cookson has co-chaired various international working groups on equity, and his UK public service includes working in the Prime Minister’s Delivery Unit and serving on NICE advisory committees and the NHS Advisory Committee for Resource Allocation.

Susan Griffin is a Senior Research Fellow at the Centre for Health Economics University of York.  In 2008 Susan became a Research Council UK Academic Fellow in Health Economics and Public Health.  Dr Griffin has contributed to numerous appraisals for NICE in her roles as a Committee member, a member of one of the independent academic groups contracted to conduct assessments and evidence reviews for NICE, and as part of the decision support and economic and methodological research units.  Her research interests include the use of decision-analytic models in cost-effectiveness analysis and the use of evidence synthesis techniques and value of information analysis.  Dr Griffin current research focuses on the application of methods for economic evaluation in the field of public health with an emphasis on health inequality. 

Ole Frithjof Norheim is a physician and professor of medical ethics, Department of Global Public Health and Primary Care, University of Bergen, and adjunct professor of global health at the Department of Global Health and Population, Harvard TH Chan School of Public Health. Prof Norheim’s wide-ranging research interests include theories of distributive justice, inequality in health, priority setting in health systems, and how to achieve Universal Health Coverage and the Sustainable Development Goal for health. He is currently leading, with Stéphane Verguet, the research project Disease Control Priorities – Ethiopia (2017-2020, funded by BMGF). Prof Norheim chaired the World Health Organization’s Consultative Group on Equity and Universal Health Coverage (2012-2014) and the third Norwegian National Committee on Priority Setting in Health Care (2013-2014).

Ijeoma Edoka is the Research Director at PRICELESS South Africa.  She is a health economist with several years’ experience in applied health econometric analyses and economic evaluation of health care programmes and interventions.  Her research focuses on health systems research in low- and middle-income countries and the application of economic tools in setting health priorities in low resource settings. Dr Edoka also leads a number of capacity building initiatives aimed at strengthening health economics capacity in sub-Saharan Africa.

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