Emmanuel Peterle

Money Talks - Paying Physicians for Performance

Pay-for-performance attempts to tie physician payment to quality of care. In a controlled laboratory experiment, we investigate the effect of pay-for-performance on physician provision behavior and patient benefit. For that purpose, we compare a traditional fee-for-service payment system to a hybrid system that blends fee-for-service and pay-for-performance incentives. Physicians are found to respond to pay-for-performance incentives. Approximately 89 percent of the participants qualify for a pay-for-performance bonus payment in the experiment. It follows that a patient treated under the hybrid payment system is significantly more likely to receive optimal treatment than a similar fee-for-service patient. Pay-for-performance generally tends to alleviate over- and under-provision of medical treatment relative to fee-for-service. Irrespective of the payment system, we observe unethical treatment behavior, i.e., the provision of medical services with zero benefit to the patient.

Educational Attainment, Wages and Employment of Second-Generation Immigrants in France

We use data from the Trajectoires et Origines survey to analyze the labor-market outcomes of both second-generation immigrants and their French native counterparts. Second-generation immigrants have on average a lower probability of employment and lower wages than French natives. We find however considerable differences between second-generation immigrants depending on their origin: while those originating from Northern Africa, Sub-Saharan Africa and Turkey are less likely to be employed and receive lower wages than French natives, second-generation immigrants with Asian or Southern- and Eastern-European origins do not differ significantly from their French native counterparts. The employment gap between French natives and second generation immigrants is mainly explained by differences in their education; education is also an important determinant of the ethnic wage gap. Finally we show that these differences in educational attainment are mainly explained by family background. Although the role of discrimination cannot be denied, our findings do point out the importance of family background in explaining lifelong ethnic inequalities.

Gender Differences in Competitive Positions: Experimental Evidence on Job Promotion

This paper analyzes gender differences in access to competitive positions. We implement an experiment where workers can apply for a job promotion by sending a signal to their employer. We control for gender differences in anticipation of discrimination in a treatment where a computer randomly recruits. Discriminatory behavior by the employer is isolated in a treatment where workers cannot send signals. We find that gender disparity among promoted workers is highest when workers can apply for promotion and employers recruit. Strikingly, the gender composition in competitive position is balanced in the absence of a signaling institution. When signaling is possible, we observe that female workers who do not request a promotion are discriminated against.

Ethnic gaps in educational attainment and labor-market outcomes: evidence from France

ABSTRACT We use data from the Trajectoires et Origines survey to analyze ethnic gaps in education and labor-market outcomes between second-generation immigrants and their French-native counterparts. Our three main findings underscore the importance of family background in explaining lifelong ethnic inequalities. First, second-generation immigrants are on average less likely to experience education success than their native counterparts, with the education gap mainly being rooted in ethnic differences in family backgrounds. Second, while second-generation immigrants have on average a lower probability of employment and lower wages than natives, both gaps are mainly explained by the differences in education. Third, we find considerable heterogeneity across ethnic groups.