William Hsiao
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William C. Hsiao (; born January 17, 1936) is an American economist who is the K.T. Li Research Professor of Economics at the
Harvard T.H. Chan School of Public Health The Harvard T.H. Chan School of Public Health is the public health school at Harvard University, located in the Longwood Medical Area of Boston, Massachusetts. It was named after Hong Kong entrepreneur Chan Tseng-hsi in 2014 following a US$350 ...
in
Boston Boston is the capital and most populous city in the Commonwealth (U.S. state), Commonwealth of Massachusetts in the United States. The city serves as the cultural and Financial centre, financial center of New England, a region of the Northeas ...
, Massachusetts. He is internationally recognized for his work on health care financing and
social insurance Social insurance is a form of Social protection, social welfare that provides insurance against economic risks. The insurance may be provided publicly or through the subsidizing of private insurance. In contrast to other forms of Welfare spend ...
. Hsiao is a graduate of
Ohio Wesleyan University Ohio Wesleyan University (abbrevriated OWU) is a private university, private Liberal arts colleges in the United States, liberal arts college in Delaware, Ohio, United States. It was founded in 1842 by Methodist leaders and Ohio Valley, Centra ...
and received his PhD in economics from
Harvard University Harvard University is a Private university, private Ivy League research university in Cambridge, Massachusetts, United States. Founded in 1636 and named for its first benefactor, the History of the Puritans in North America, Puritan clergyma ...
. He is a member of the
National Academy of Medicine The National Academy of Medicine (NAM), known as the Institute of Medicine (IoM) until 2015, is an American nonprofit, non-governmental organization. The National Academy of Medicine is a part of the National Academies of Sciences, Engineerin ...
, the
Society of Actuaries The Society of Actuaries (SOA) is a global professional organization for actuaries. It was founded in 1949 as the merger of two major actuarial organizations in the United States: the Actuarial Society of America and the American Institute of A ...
, and the National Academy of Social Insurance. He has received teaching awards from Harvard graduate students on several occasions. He resides in
Cambridge, Massachusetts Cambridge ( ) is a city in Middlesex County, Massachusetts, United States. It is a suburb in the Greater Boston metropolitan area, located directly across the Charles River from Boston. The city's population as of the 2020 United States census, ...
, with his wife, Ruth, a former lecturer at
Tufts University Tufts University is a private research university in Medford and Somerville, Massachusetts, United States, with additional facilities in Boston and Grafton, as well as Talloires, France. Tufts also has several Doctor of Physical Therapy p ...
. He has two sons and four grandchildren.


Biography

Hsiao was born in Beijing, China, and as a teenager immigrated to the United States, where his father was an economic advisor for the
Kuomintang The Kuomintang (KMT) is a major political party in the Republic of China (Taiwan). It was the one party state, sole ruling party of the country Republic of China (1912-1949), during its rule from 1927 to 1949 in Mainland China until Retreat ...
delegation to the United Nations. He grew up in
Forest Hills, Queens Forest Hills is a neighborhood in the central portion of the borough of Queens in New York City. It is adjacent to Corona to the north, Rego Park and Glendale to the west, Forest Park to the south, Kew Gardens to the southeast and Flushing ...
, and attended New York public schools. After graduating from college, Hsiao began his career as an
actuary An actuary is a professional with advanced mathematical skills who deals with the measurement and management of risk and uncertainty. These risks can affect both sides of the balance sheet and require investment management, asset management, ...
for Connecticut General Life Insurance Company, which was a predecessor to
Cigna The Cigna Group is an American multinational for-profit managed healthcare and insurance company based in Bloomfield, Connecticut. Its insurance subsidiaries are major providers of medical, dental, disability, life and accident insurance and r ...
. Following this corporate stint, Hsiao moved to Washington, D.C., and was employed as an actuary to the
Social Security Administration The United States Social Security Administration (SSA) is an Independent agencies of the United States government, independent agency of the Federal government of the United States, U.S. federal government that administers Social Security (United ...
(SSA) in 1968. When the Chief Actuary of the SSA resigned, Hsiao was appointed the acting Chief Actuary in 1970. During this time, the Social Security Administration was roiled by efforts by the
United States Congress The United States Congress is the legislature, legislative branch of the federal government of the United States. It is a Bicameralism, bicameral legislature, including a Lower house, lower body, the United States House of Representatives, ...
to reform the social security system and maintain its solvency. Hsiao headed up two blue-ribbon panels and testified several times before Congress regarding the actuarial viability of the system under the funding mechanisms in place. Eventually, in 1977, the Congress passed and President
Jimmy Carter James Earl Carter Jr. (October 1, 1924December 29, 2024) was an American politician and humanitarian who served as the 39th president of the United States from 1977 to 1981. A member of the Democratic Party (United States), Democratic Party ...
signed into law one of the most comprehensive legislative efforts to bolster the
social security system Welfare spending is a type of government support intended to ensure that members of a society can meet basic human needs such as food and shelter. Social security may either be synonymous with welfare, or refer specifically to social insurance pr ...
. Following this government service, Hsiao commenced studies at the Harvard University Institute of Government, which later became the
John F. Kennedy School of Government The John F. Kennedy School of Government, commonly referred to as Harvard Kennedy School (HKS), is the school of public policy of Harvard University, a private university in Cambridge, Massachusetts. Harvard Kennedy School offers master's de ...
. He then entered the Ph.D program in the Department of Economics at Harvard University. His doctoral thesis was advised by
Martin Feldstein Martin Stuart Feldstein ( ; November 25, 1939 – June 11, 2019) was an American economist. He was the George F. Baker Professor of Economics at Harvard University and the president emeritus of the National Bureau of Economic Research. He s ...
, who later was chair of the
Council of Economic Advisors The Council of Economic Advisers (CEA) is a United States agency within the Executive Office of the President established in 1946, which advises the president of the United States on economic policy. The CEA provides much of the empirical resea ...
under President
Ronald Reagan Ronald Wilson Reagan (February 6, 1911 – June 5, 2004) was an American politician and actor who served as the 40th president of the United States from 1981 to 1989. He was a member of the Republican Party (United States), Republican Party a ...
. Hsiao was appointed to the faculty of the Harvard School of Public Health as an assistant professor in 1979. He became a full professor in 1986. He was appointed to the K.T. Li chaired professorship in 1992, named for the Taiwanese policy-maker
Kwoh-Ting Li Li Kwoh-ting ( zh, t=李國鼎, s=李国鼎, p=Lǐ Guódǐng, first=t; 28 January 1910 – 31 May 2001) was a Chinese economist and politician best known as the "Father of Taiwan's Economic Miracle" and referred to by the ''New York Times'' a ...
.


Work

Among his many contributions to the fields of health care economics, policy, and social insurance was a landmark study called the Resource-Based Relative Value Study or RBRVS which examined the United States system of reimbursing physicians for medical services. RBRVS led to a series of articles published in the
New England Journal of Medicine ''The New England Journal of Medicine'' (''NEJM'') is a weekly medical journal published by the Massachusetts Medical Society. Founded in 1812, the journal is among the most prestigious peer-reviewed medical journals. Its 2023 impact factor was ...
, one of the first times the prestigious journal had devoted an entire issue to articles on one subject. RBRVS led to a revolutionary reordering of physician reimbursement payments under Medicare Part B which was passed by Congress and signed into law in 1989. However, RBRVS was never fully implemented, partially due to the
American Medical Association The American Medical Association (AMA) is an American professional association and lobbying group of physicians and medical students. This medical association was founded in 1847 and is headquartered in Chicago, Illinois. Membership was 271,660 ...
-sponsored
Specialty Society Relative Value Scale Update Committee The Specialty Society Relative Value Scale Update Committee or Relative Value Update Committee (RUC, pronounced "ruck") is a volunteer group of 31 physicians who have made highly influential recommendations on how to value a physician's work when ...
. Later, Hsiao conducted studies of the social insurance and
medical payment Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom the ...
systems of a vast array of foreign countries and regions, including Singapore, Cyprus, Taiwan, Canada, South Africa, the People's Republic of China, and Hong Kong ( SAR of People's Republic of China). He is considered one of the world's foremost experts on health care economics and financing and regularly advises U.S. government agencies, foreign governments and non-governmental organizations such as the
World Bank The World Bank is an international financial institution that provides loans and Grant (money), grants to the governments of Least developed countries, low- and Developing country, middle-income countries for the purposes of economic development ...
,
UNICEF UNICEF ( ), originally the United Nations International Children's Emergency Fund, officially United Nations Children's Fund since 1953, is an agency of the United Nations responsible for providing Humanitarianism, humanitarian and Development a ...
, and the
World Health Organization The World Health Organization (WHO) is a list of specialized agencies of the United Nations, specialized agency of the United Nations which coordinates responses to international public health issues and emergencies. It is headquartered in Gen ...
. Hsiao's recent studies include a demonstration project of a micro-health insurance plan in rural
provinces in China Provinces ( zh, c=省, p=Shěng) are the most numerous type of province-level divisions in the People's Republic of China (PRC). There are currently 22 provinces administered by the PRC and one province that is claimed, but not administere ...
. The program was highlighted in ''
The Wall Street Journal ''The Wall Street Journal'' (''WSJ''), also referred to simply as the ''Journal,'' is an American newspaper based in New York City. The newspaper provides extensive coverage of news, especially business and finance. It operates on a subscriptio ...
''. Hsiao was also brought on by the legislature of
Vermont Vermont () is a U.S. state, state in the New England region of the Northeastern United States. It borders Massachusetts to the south, New Hampshire to the east, New York (state), New York to the west, and the Provinces and territories of Ca ...
to outline three reforms for health care in the state, presenting a plan that eventually became the Green Mountain Care program in June 2010.The Vermont Option: Achieving Affordable Universal Health Care


References


External links


Program in Health Care Financing Website

William Hsiao Harvard Website

Wall Street Journal Article featuring rural health project
{{DEFAULTSORT:Hsiao, William 1936 births Living people Social scientists from New York City Chinese emigrants to the United States Harvard T.H. Chan School of Public Health faculty American health economists Harvard University alumni Ohio Wesleyan University alumni People from Queens, New York Educators from Beijing Members of the National Academy of Medicine American academics of Chinese descent