Private Equity in the Hospital Industry
Janet Gao, Yongseok Kim, Merih Sevilir
Journal of Financial Economics,
September
2025
Abstract
We examine employment and patient outcomes at hospitals acquired by private equity (PE) firms and PE-backed hospitals. While employment declines at PE-acquired hospitals, core medical workers (physicians, nurses, and pharmacists) increase significantly. The proportion of wages paid to core workers increases at PE-acquired hospitals whereas the proportion paid to administrative employees declines. These results are most pronounced for deals where the acquirers are publicly traded PE-backed hospitals. Non-PE-backed acquirers also cut employment but do not increase core workers or reduce administrative expenditures. Finally, PE-backed acquirers are not associated with worse patient satisfaction or mortality rates compared to their non-PE-backed counterparts.
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12.06.2025 • 19/2025
Economic recovery in Germany – but structural problems and US trade policy weigh on the economy
The German economy has picked up somewhat in the first half of 2025. This was helped by the temporary increase in demand from the US in anticipation of higher tariffs. If the US does not escalate its trade conflicts further, production in Germany according to the summer forecast of the Halle Institute for Economic Research (IWH) is likely to increase a bit (by 0.4%) in 2025, after two years of decline. In March, the IWH economists were forecasting growth of 0.1% for the current year. Growth of 1.1% is forecast for the year 2026. Similar expansion rates are to be expected for East Germany.
Oliver Holtemöller
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Assumption Errors and Forecast Accuracy: A Partial Linear Instrumental Variable and Double Machine Learning Approach
Katja Heinisch, Fabio Scaramella, Christoph Schult
IWH Discussion Papers,
No. 6,
2025
Abstract
Accurate macroeconomic forecasts are essential for effective policy decisions, yet their precision depends on the accuracy of the underlying assumptions. This paper examines the extent to which assumption errors affect forecast accuracy, introducing the average squared assumption error (ASAE) as a valid instrument to address endogeneity. Using double/debiased machine learning (DML) techniques and partial linear instrumental variable (PLIV) models, we analyze GDP growth forecasts for Germany, conditioning on key exogenous variables such as oil price, exchange rate, and world trade. We find that traditional ordinary least squares (OLS) techniques systematically underestimate the influence of assumption errors, particularly with respect to world trade, while DML effectively mitigates endogeneity, reduces multicollinearity, and captures nonlinearities in the data. However, the effect of oil price assumption errors on GDP forecast errors remains ambiguous. These results underscore the importance of advanced econometric tools to improve the evaluation of macroeconomic forecasts.
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10.04.2025 • 13/2025
Joint Economic Forecast 1/2025: Geopolitical turn intensifies crisis – structural reforms even more urgent
The German economy will continue to tread water in 2025. In their spring report, the leading economic research institutes forecast an increase in gross domestic product of just 0.1% for the current year. For 2026, the institutes expect gross domestic product to increase by 1.3%. In the short term, the new US trade policy and economic policy uncertainty are weighing on the German economy. The additional scope for public debt should gradually have an expansionary effect, but threatens to crowd out private consumption and private investment.
Oliver Holtemöller
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13.03.2025 • 10/2025
A turning point for the German economy?
The international political environment has fundamentally changed with looming trade wars and a deteriorating security situation in Europe. The leading parties in Germany are setting the stage for debt-financed additional defence tasks with far-reaching changes to the debt brake. This entails major risks for the German economy, but also opportunities. Meanwhile, the economy continues to be in a downturn. According to the spring forecast of the Halle Institute for Economic Research (IWH), gross domestic product (GDP) in 2025 is likely to be roughly the same as in the previous year, and it will not increase significantly until 2026, partly because uncertainty about German economic policy is likely to decrease after the new government is established, meaning that the savings rate of private households will fall again somewhat and the debt-financed additional government spending will gradually have an impact on demand. The IWH economists are forecasting an increase in GDP of 0.1% for 2025. In December, they were still forecasting growth of 0.4% for 2025. The outlook is similar for East Germany, where production is likely to have increased slightly in 2024, unlike in Germany as a whole.
Oliver Holtemöller
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Reassessing EU Comparative Advantage: The Role of Technology
Filippo di Mauro, Marco Matani, Gianmarco Ottaviano
IWH-CompNet Discussion Papers,
No. 2,
2024
Abstract
Based on the sufficient statistics approach developed by Huang and Ottaviano (2024), we show how the state of technology of European industries relative to the rest of the world can be empirically assessed in a way that is simple in terms of computation, parsimonious in terms of data requirements, but still comprehensive in terms of information. The lack of systematic cross-industry correlation between export specialization and technological advantage suggests that standard measures of revealed comparative advantage only imperfectly capture a country’s technological prowess due to the concurrent influences of factor prices, market size, markups, firm selection and market share reallocation.
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Reassessing EU Comparative Advantage: The Role of Technology
Filippo di Mauro, Marco Matani, Gianmarco Ottaviano
IWH Discussion Papers,
No. 26,
2024
Abstract
Based on the sufficient statistics approach developed by Huang and Ottaviano (2024), we show how the state of technology of European industries relative to the rest of the world can be empirically assessed in a way that is simple in terms of computation, parsimonious in terms of data requirements, but still comprehensive in terms of information. The lack of systematic cross-industry correlation between export specialization and technological advantage suggests that standard measures of revealed comparative advantage only imperfectly capture a country’s technological prowess due to the concurrent influences of factor prices, market size, markups, firm selection and market share reallocation.
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Gemeinschaftsdiagnose Herbst 2024: Deutsche Wirtschaft im Umbruch
Geraldine Dany-Knedlik, Oliver Holtemöller, Stefan Kooths, Torsten Schmidt, Timo Wollmershäuser
Wirtschaftsdienst,
No. 10,
2024
Abstract
The German economy has stagnated for over two years, with a slow recovery anticipated in the coming quarters. However, growth is unlikely to reach pre-COVID-19 levels anytime soon. Decarbonisation, digitisation, demographic changes, and heightened competition from China are dampening growth prospects. GDP is projected to decline by 0.1 % in 2024, with increases of 0.8 % and 1.3 % in the subsequent years. Rising private consumption and improving foreign trade are expected to contribute positively to the economic upturn in Germany. Economic policy should prioritise reducing productivity barriers, facilitating structural changes, and lowering political uncertainty to support recovery.
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Media Response
Media Response July 2025 Oliver Holtemöller: Milliardeneinbruch bei VW & Co. - jetzt rebellieren die Autobauer gegen das Verbrenner-Aus in: Berliner Zeitung, 31.07.2025 IWH:…
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IWH at 2020 ASSA Annual Meeting in San Diego
IWH at 2020 ASSA Annual Meeting in San Diego Next year’s 2020 ASSA Annual Meeting , organised by the American Economic Association (AEA) on an annual basis, is going to take place…
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