Anup Malani
Lee and Brena Freeman Professor | University of Chicago Law School
Professor | University of Chicago Pritzker School of Medicine (secondary)
Research Associate | National Bureau of Economic Research
I am an economist and a law professor. I conduct research in health economics, law and economics, and economic development. My work in health economics focuses on infectious diseases, medical innovation, and health insurance. My recent research in law and economics analyzes judicial decision-making and the legal aspects of blockchain. My projects in development economics focus on slums (informal settlements) and evaluating interventions using randomized controlled trials (RCT).
During the COVID-19 pandemic, I shifted my research to focus on tackling the disease in India. My work has four strands: community testing for COVID, estimating mortality rates, modeling COVID to account for local dynamics and economic goals, and policy reforms to address the economic consequences of the pandemic. My research is motivated by work with different governments in India and Indonesia and the immediate problems they face, as well as my work with the COVID Crisis Group in the US. My colleagues and I have been fortunate to be acknowledged for our work twice via the Emergent Ventures Prize.
I believe that research is a means to an end, not an end in and of itself. Therefore, I have spent the last decade building an organization called the International Innovation Corps (IIC). The IIC helps governments and NGOs, initially in India and now in the US, implement development and data science projects. We provide project management and data analysis and help build organizational capacity.
You can download my most recent CV here.
Research
The Indian Health Insurance Experiment (IHIE)
The IHIE is large-scale RCT that examines the impact of India's national health insurance program, Ratriya Swasthya Bima Yojana. With over 150 million enrollees, it is one of the largest health insurance programs in the world. The study examines not only the health and financial outcomes associated with RSBY, but also spillover effects from the insured to the non-insured. Co-investigators on this project are Cynthia Kinnan, Alessandra Voena, Gabriella Conti and Kosuke Imai.
Demand for wage insurance
One finding of the Indian Health Insurance experiment is that insurance utilization is low. One possible explanation is that, because rural Indians are day laborers, they lose wages when they visit the hospital. In this project we estimate demand for a wage insurance product that covers this loss. We are running an experiment in which we randomize villages to different prices for wage insurance. This project has two methodological innovations. First, we estimate bounds on demand using the methods of Tebaldi, Torgovitsky & Yang. Second, we choose price conditions to minimize these bounds. This project is joint with Aprajit Mahajan, Grant Miller, Pietro Tebaldi and Alex Torgovitsky.
Testing for COVID in the community in India
I have assisted with several surveys of COVID prevalence in the community. The first estimated prevalence among a random sample of migrants from 20 states to Bihar in May 2020. Because migrants came from all over India, The study suggested that official state surveillance may not be representative of the population. The second estimated that seroprevalence in slums (57%) were 3.5 times higher than in non-slums (15%) of Mumbai in July 2020. The results were published in Lancet Global Health. The third found that 46% of the state of Karnataka had antibodies and urban areas have 10 pp higher prevalence than rural areas. The study sample is from a representative longitudinal study and can be used to test for selection into voluntary testing and correlates of positivity. The results were published in JAMA. The fourth is a large (N = ~26,000) seroprevalence survey across Tamil Nadu conducted 3 times, in November 2020, April 2021, and July 2021. This survey shows how to correct estimates of confirmed cases to measure seroprevalence even without seroprevalence surveys. The fifth study estimates both seroprevalence and cellular immunity in the slums and non-slums of Bangalore in January 2021. It will help us determine how much seroprevalence surveys underestimate natural immunity because antibody concentrations decline after an infection is cleared. This body of work has been recognized with an Emergent Ventures Prize. Several of these projects were with Manoj Mohanan.
COVID-19 and mortality in developing countries
In a series of projects, I examine the COVID-19 mortality rate and infection fatality rate in India and other developing countries by age, gender, and location. In our IFR work, we mainly use data from official death counts and from population-level surveys of infections. My first paper, with Paul Novosad and Sam Asher, had two notable findings. First, while some places in India have lower IFR than high-income countries, there are subpopulations (e.g., migrants) that have higher IFR than international averages. Second, India's main advantage comes not from lower IFR at younger ages, but from much lower IFR at older ages. The paper can be found here. My second paper, with Andrew Levin, Gideon Meyerowitz-Katz, and Bailey Fosdick conducts a meta-analysis of IFR-by-age across developing countries. Its main findings are that developing countries, on the whole, do not have lower IFR than developed countries and that IFR is log-linear in age. My third paper, with Sabareesh Ramachandran, examines excess mortality during COVID in India using the household rosters from a large, representative panel data set. We find roughly 5 million excess deaths during the pandemic, roughly 13 times the number of officially-reported COVID deaths. My fourth project, with Prabhat Jha, conducts roughly verbal autopsies on 30,000 persons who have died in India since 2018 to determine what fraction died from COVID. This project builds on excess death estimates by breaking those deaths down by cause. Our hope is this project will bridge the gap between official COVID statistics, which undercount COVID deaths, and excess death estimates, which may overcount them.
The economic lives of slums
Jointly with Adam Chilton, this project examines the lives of residents in Mumbai's slums from an economics perspective. We examine how they obtain public and merit goods, how they make and enforce contracts, their residential choices, and their migration decisions. Because most slum residents are migrants from rural villages, we also examine whether and why there is a persistent urban wage premium, i.e., why more people do not migrate from rural areas into urban slums.
Son preference and female migration in India
Female migration for marriage swamps male migration for labor in India. This project examines where women migrate. The main theory is that women migrate to generate implicit contracts between families to insure against agricultural shocks. This project adds a different theory, which is that women migrate to where there are more males. This, in turn, tends to equalize sex ratios (the ratio of males to females) at older ages across India.
Adaptive control of COVID
In this paper, we construct and simulate an SIR model to provide short term projections and policy recommendations at the district or ward level in India. The SIR model is probabilistic, has separate compartments for different locales, and accounts for movement across locales. We use Bayesian methods to update parameters daily and make short term (1 - 2 week projections of reproductive rate and infections). Projections can be found at www.adaptivecontrol.org. We simulate various policy rules, including one called adaptive control. Adaptive control has 3 components: (1) setting a target such as Rt < 1, (2) gradually modifying social distancing policy in response to the target, and (3) setting policy differently in different locales. We demonstrate that adaptive control does better than alternative strategies. We are presently working on incorporating economic objectives into the policy rule. This model has been used to provide recommendations to multiple states in India and provinces in Indonesia. This is a collaboration with Luis Bettencourt, Satej Soman, Sam Asher, Paul Novosad, Clement Imbert, Jon Gruber and others. This project won the Emergent Ventures Prize.
Optimal allocation of COVID vaccine
This project examines the optimal allocation of vaccines, with a focus on India and Indonesia. It arises out of work with both sets of governments on surveillance and vaccination strategy. We estimate the willingness to pay for vaccination based on population estimates of infection risk and fatality rate and on local estimates of the value of a statistical life and life-year. In addition, we estimate externalities from infection using estimates of the reproductive rate from a compartmental model and recent case data. Our approach considers the role that existing natural immunity and likely impact of vaccination on economic activity on vaccine allocations. This work is conducted with Darius Lakdawalla, Alice Chen, Satej Soman and Sabareesh Ramachandran.
Evolution of
seasonal influenza
Jointly with Sarah Cobey and Frank Wen, this paper uses computer simulations to study the impact of flu vaccination on the evolutionary dynamics and incidence of seasonal influenza (H3N2).
Experimental evaluation of rainfall capture for irrigation
This is an RCT that evaluates Mission Kakathiya, which is a large-scale infrastructure project in Telangana State, India. The project's goal is to rehabilitate water tanks, to encourage more sustainable gravity-based irrigation rather than electricity-powered bore well irrigation. Along with Aprajit Mahajan and Xavier Gine, I study the impact of Mission Kakathiya on agricultural output, farmer livelihoods, and aquifer levels.
The velocity problem in Initial Coin Offerings (ICOs)
ICOs that issue utility tokens to raise capital face the velocity problem. When tokens are intended as a medium of exchange, the Fischer equation implies that token price falls in token velocity, the time it takes to complete a transaction. This creates a conundrum: efforts to improve the blockchain by speeding transactions may reduce the value of a token. This paper explores how this problem affects the choice between simple markups and issuance of utility tokens to generate revenue. We also compare different technological solutions to control the velocity problem. This work is joint with Richard Holden.
Fieldsites
Mumbai Slums
Mandala
We conduct our fieldwork with the help of the NGO PUKAR and their 'barefoot researchers', surveyors who are also residents of the slum. We work in both government-recognized (notified) and unrecognized (non-notified) sections of the slum.
Central and South India
Gulbarga and Mysore Districts, Karnataka State
With the help of IFMR and Nielsen, our Indian Health Insurance Experiment research team works predominantly in rural and peri-urban areas -- a total of 200 villages -- in these two districts.
Rural Telangana State
Various districts
With the help of surveyors from J-PAL South Asia, we work with farmers living around water tanks that have been or will be rehabilitated under Mission Kakathiya.
Publications
Most recent publications
Anup Malani, Jayashree Aiyar, Andrea Sant, Neha Kamran, Manoj Mohanan, Saloni Taneja, Bartek Woda, Wanran Zhao, and Anup Acharya, Comparing population-level humoral and cellular immunity to SARS-Cov-2 in Bangalore, India, Nature Scientific Reports 14: 5758 (2024). https://doi.org/10.1038/s41598-024-54922-z.
T.S. Selvavinayagam, Anup Malani et al. Contribution of infection and vaccination to population-level seroprevalence through two COVID waves in Tamil Nadu, India. Nature Scientific Reports 14(1): 2091 (2024). https://doi.org/10.1038/s41598-023-50338-3.
Jason Shafrin, Darius N. Lakdawalla, Jalpa A. Doshi,Louis P. Garrison, Jr. Anup Malani, Peter J. NeumannCharles E. Phelps, Adrian Towse, Richard J. Willke, A Strategy For Value-Based Drug Pricing Under The Inflation Reduction Act, Health Affairs (May 4,2023), DOI: 10.1377/forefront.20230503.153705.
The COVID Crisis Group, Lessons from the COVID War: An Investigative Report (Public Affairs: New York, 2023).
AnupMalani, Elizabeth A. Archie, Stacy Rosenbaum. Conceptual and analytical approaches for
modelling the developmental origins of inequality. PhilosophicalTransactions of the Royal Society B, 378: 20220306 (2023), https://doi.org/10.1098/rstb.2022.0306.Anup Malani. Lessons from Diseaseand Economic Surveillance During COVID-19. India Policy Forum 2022 (2023).
Manoj Mohanan, Anup Malani, Anu Acharya. The Role of Seroprevalence in Evidence forPolicy-making During COVID-19. InChirantan Chatterjee, Anindya Chakrabarti, and Anil Deolalikar, ed., Flatteningthe Curve: Covid-19 & Grand Challenges for Global Health, Innovation, and Economy (2023).
Zhanwei Du, Lin Wang, Elaine Feng, SabareeshRamachandran, Wey Wen, Eric Lau, Anup Malani, Ben Cowling. Cost-effectiveness offractional doses of COVID-19 vaccine boosters in India. Med 4, 182-190 (2023), DOI: https://doi.org/10.1016/j.medj.2023.02.001.
Anup Malani and Sabareesh Ramachandran. Using household rosters from survey data to estimate all-cause excess death rates during the COVID pandemic in India, Journal ofDevelopment Economics (2022). https://doi.org/10.1016/j.jdeveco.2022.102988.
Zhanwei Du, Lin Wang, Abhishek Pandey, Wey Wen Lim, Matteo Chinazzi, Ana Pastore y Piontti, Eric H. Y. Lau, Peng Wu, Anup Malani, Sarah Cobey, Benjamin J. Cowling. Modeling comparative cost-effectiveness of SARS-CoV-2 vaccine dose fractionation in India. Nature Medicine (2022). https://www.nature.com/articles/s41591-022-01736-z.
Representative publications
Anup Malani, Jayashree Aiyar, Andrea Sant, Neha Kamran, Manoj Mohanan, Saloni Taneja, Bartek Woda, Wanran Zhao, and Anup Acharya, Comparing population-level humoral and cellular immunity to SARS-Cov-2 in Bangalore, India, Nature Scientific Reports 14: 5758 (2024). https://doi.org/10.1038/s41598-024-54922-z.
Frank Wen, Anup Malani and Sarah Cobey. The potential beneficial effects of vaccination on antigenically evolving pathogens. American Naturalist 199:2 (2022), DOI: https://doi.org/10.1086/717410..
M. Mohanan, A. Malani, K. Krishnan, & A. Acharya. Prevalence of SARS-CoV-2 in Karnataka, India. JAMA, 325(10), 1001-1003 (2021). doi:10.1001/jama.2021.0332.
A. Malani, D. Shah, G. Kang, G. N. Lobo, J. Shastri, M. Mohanan, R. Jain, S. Agrawal, S. Juneja, S. Imad and U. Kolthur-Seetharam. Seroprevalence of SARS-CoV-2 in slums versus non-slums in Mumbai, India. The Lancet Global Health (2020), DOI: 10.1016/S2214-109X(20)30467-8.
KosukeImai, Zhichao Jiang, AnupMalani,Causal Inference with Interference and Noncompliance in Two-Stage Randomized Experiments. Journal of the AmericanStatistical Association: 1-13 (2020), https://doi.org/10.1080/01621459.2020.1775612.
Eric Helland, Darius Lakdawalla, Anup Malani, and Seth Seabury. Unintended consequences of products liability: evidence from the pharmaceutical market. Journal of Law, Economics and Organization (2020), DOI: https://doi.org/10.1093/jleo/ewaa017.
Anup Malani and Tomas Philipson. Labor Markets in Statistics: The Subject Supply Effect in Medical R&D. Journal of Human Capital (Summer 2019).
William Baude, Adam Chilton and Anup Malani, Making Doctrinal Work More Rigorous: Lessons from Systematic Reviews. University of Chicago Law Review (2017).
Darius Lakdawalla, Anup Malani and Julian Reif. The Insurance Value of Medical Innovation. Journal of Public Economics 145 (2017) 94–102. https://doi.org/10.1016/j.jpubeco.2016.11.012.
Anup Malani and Julian Reif. Interpreting Pre-trends as Anticipation: Impact on Estimated Treatment Effects from Tort Reform, Journal of Public Economics, 124: 1-17 (2015) (lead article).
Daniel Bennett, Chun-fang Chiang, Anup Malani. Learning During a Crisis: the SARS Epidemic in Taiwan, Journal of Development Economics, 112:1-18 (2015).
Ramanan Laxminarayan, Julian Reif, and Anup Malani. Incentives for Reporting Disease Outbreaks. PLoS ONE 9(3) (2014).
Maciej Boni, Allison Galvani, Abraham Wickelgren, and Anup Malani. Economic Epidemiology of Avian Influenza on Smallholder Poultry Farms, Theoretical Population Biology, 90:135-44 (2013),
Emir Kamenica, Robert Naclerio, and Anup Malani. Do advertisements affect the physiological efficacy of branded drugs? Proceedings of the National Academy of Sciences (2013).
Michael Eber, Ramanan Laxminarayan, Eli N. Perencevich and Anup Malani. Clinical and Economic Outcomes Attributable to Healthcare-Associated Sepsis and Pneumonia, Archives of Internal Medicine (Feb. 22, 2010).
Ward Farnsworth, David Guzior, and Anup Malani. Ambiguity about ambiguity: An empirical inquiry into legal interpretation. Journal of Legal Analysis, 2(1) (2010).
Anup Malani and Tomas Philipson. The Welfare Effects of FDA Regulation ofDrugs. In Patricia Danzon and SeanNicholson, eds., The Handbook ofPharmaceutical Economics (2011).
RamananLaxminarayan and Anup Malani. Economics of InfectiousDiseases. In Sherry Glied and PeterC. Smith, eds., The Oxford Handbook ofHealth Economics (2011).
Anup Malani. Patient enrollment in medical trials: Selection bias in a randomized experiment. Journal of Econometrics, 144(2): 341-351 (2008).
Anup Malani. Valuing Laws as Local Amenities. Harvard Law Review, 121(5): 1273-1331 (2008).
Todd Henderson and Anup Malani. Corporate Philanthropy and the Market for Altruism. Columbia Law Review, 109(5): 571-627 (2009).
Anup Malani and Eric Posner. For-Profit Charities. Virginia Law Review, 93(8): 2017-2067 (2007).
Anup Malani. Identifying Placebo Effects with Data from Clinical Trials. Journal of Political Economy, 114(2): 236-256 (2006).
Anup Malani. Habeas Settlements. Virginia Law Review, 92(1): 1-68 (2006).
Richard Hynes, Anup Malani, and Eric Posner. The Political Economy of State Property Exemption Laws. Journal of Law and Economics, 47: 19-44 (2004).
Tomas Philipson and Anup Malani. Measurement Errors: A Principal Investigator-Agent Approach. Journal of Econometrics, 91:273 (1999).
Working and submitted papers
Sonia Jaffe, Anup Malani, and Julian Reif, Access to Credit Reduces the Valueof Insurance (July 2023), under review at Journal of Public Economics.
Dorian Abbot and Anup Malani. Revisiting the PhysicalLimits to Economic Growth (2024), under review at PLOS One.
Richard Holden, Anup Malani and Chris Teh. AllocatingScarce Information (August 2023), under review at Theoretical Economics.
Malani,Anup, and Wanran Zhao. 2024. The Mortality Burdenfrom COVID in Low-Income Settings: Evidence from Verbal Autopsies in India. medRxiv: 2024.01.02.24300728 (2024).
Anup Malani and Daniel Hemel. Coase in the City (December 2021).
Arpit Gupta, Anup Malani, & Bartosz Woda. Inequality in India declined during COVID (December 2021).
Anup Malani, Gabriella Conti, Kosuke Imai, Cynthia Kinnan, Morgen Miller, Shailendar Swaminathan, and Alessandra Voena. The Indian Health Insurance Experiment: A Randomized Controlled Trial of the Effect of Hospital Insurance on Health (Feb 2020), under review.
Scott Baker and Anup Malani. Judicial Learning and the Quality of Legal Rules (January 2015).
Laszlo Jakab, Christian Leuz, and Anup Malani, The Nature and Development of Commercial Conflicts of Interest Disclosed in Medical Journal Articles (June 2013).
Richard Holden and Anup Malani. Allocating Scarce Information (June 2013).
Anup Malani. Does the Felony-Murder Rule Deter Crime? Evidence from FBI Crime Data (Jan 2002).
Teaching
Law School
- Microeconomics
- Law and economics
- Law and development
- Blockchain (joint with Business School)
- Health care law and policy
- Big problems* (joint with Business School)
- Securities Law
- Bankruptcy
- Corporations
- Health law
- Food and Drug Law
- Federal Budget Process
- The Federal Reserve System
*This course helps students develop frameworks to tackle interdisciplinary public policy problems such as climate change, health care reform, and cybersecurity.
Economics Department
- Advanced law and economics (PhD)
Business School
- Blockchain
- Big problems* (joint with Law School)
Medical School
- Health economics*
- Placebo effects*
*Short courses for students in fellowship training
Int'l Innovation Corps
Our story
When I was beginning the Indian Health Insurance Experiment in 2013, a bureaucrat asked me why researchers like me were always coming to evaluate their projects rather than helping them do their projects better. What they wanted was not an academic grade, but assistance with improving their performance. Moreover, I realized that when research finds that a program has no impact, it is often difficult to asses whether it failed because the program was a bad idea, or because it was implemented poorly. Often it is the latter, in which case the right solution is not abandoning the policy but helping improve implementation.
Researchers don't have a lot of tools to help with that, so in 2013 I started the International Innovation Corps (www.iic.uchicago.edu). The IIC sends teams of people to help governments and NGOs implement development projects. We recruit people in the US and host countries who might otherwise go straight into the private sector, but who have talents that the civil sector needs. Our teams help with project management, analytics, and building organizational capacity. We primarily operate in India, but have done projects in Brazil and are exploring opportunities elsewhere in Latin America, as well as in Africa and Southeast Asia. In 2019 we started a data anlytics fellowship in the US to help local governments and non-profits find data science talent and help data scientists explore careers in the public and social sectors. The IIC currently has 45 associates in India working on more than eight different projects throughout India and 26 associates in the US. We are grateful for the support of our funders, which include or have included the Gates Foundation, the Michael and Susan Dell Foundation, the Rockefeller Foundation, the Tata Trusts, Edelweiss Foundation, Facebook, the WISH Foundation, and USAID.
Our projects
Here is a sample of the 22 projects we have undertaken or are presently undertaking.
Helped support the COVID War Room in the Ministry of Health (2020).
Helped the Delhi Mumbai Industrial Corridor Development Corporation develop a regulatory structure for 24 charter cities in northern India (2014).
Helped the National Skills Development Council develop and execute plans to finance job training for textile workers. The textile industry is a sector with a largely informal, 40 - 60 million person workforce and substantial employment churn (2014).
With the support of the Michael and Susan Dell Foundation, we helped the State of Haryana build a Management Information System (MIS) to operate its roughly 14,000 public schools. We used the MIS to reduce understaffing at schools from 40 to 20% (2015).
At the request of USAID, we helped the Federation of Indian Chambers of Commerce and Industry run a large social impact investment fund called Millennium Alliance (2015)
With the support of the Tata Trusts, we helped the State of Karnataka run three public insurance programs, including Rastriya Swasthya Bima Yojana, Arogayshree Vajpayee, and the Chief Minister's new traffic accident insurance program (2016)
With the support of the Gates Foundation we are helping the Administrative Staff College of India implement and evaluate interventions to reduce fecal contamination of Ghodavari river in Andra Pradesh (2016-2017)
With the support of the Tata Trusts, we are helping the Self Employed Women Association improve its processes for serving it 1.4 million members (2017)
Experience
University of Chicago Law School
June 2005 - present
Professor (until 2010)
Lee and Brena Freeman Professor (since 2011)
Harvard Law School
Sept. - Dec. 2008, Sept. 2008 - April 2009
Visiting Professor
Roscoe Pound Visiting Professor (2008-2009)
University of Virginia
June 2002 - May 2005
Associate Professor
U.S. Supreme Court
July 2001 - June 2002
Law clerk to Justice Sandra Day O'Connor
U.S. Court of Appeals for the D.C. Circuit
July 2000 - June 2001
Law clerk to Judge Stephen Williams
Contact me
1111 E. 60th Street
Chicago, IL 60637Personal
Anup Malani © 2020