How hidden information shapes match quality in medical education
By Martin B. Hackmann

Martin B. Hackmann
Choosing a school, accepting a job, or even starting a relationship all involve the same challenge: finding the right fit. Yet in many important markets, people make these decisions with incomplete information—and, crucially, the gaps run in both directions.
In new research with Benjamin Friedrich (Northwestern University), Adam Kapor and Sofia Moroni (Princeton University), and Anne Brink Nandrup (VIVE), UCLA Professor Hackmann studies how this two-sided information problem shapes match quality in one of society’s most important labor pipelines: medical education. Schools rarely know how applicants rank them, or what competing schools have learned about the same applicant. Applicants, in turn, do not know how schools view them relative to others. Standard models of matching markets assume these frictions away; this paper takes them seriously, in a setting where match quality is unusually consequential. More than 15 percent of admitted students in Denmark’s medical school programs drop out before graduating—a rate high in international comparisons, and a costly outcome in a country already facing shortages of doctors.
The study finds that the information schools collect plays a central role in determining student success. Applicants who voluntarily complete supplemental essays, interviews, or knowledge tests drop out at significantly lower rates than otherwise comparable applicants admitted on grades alone—the act of submitting itself reveals commitment that grades cannot. Schools’ own rankings of applicants through these channels are similarly predictive of who graduates: when programs can observe more than grades, they identify likely persisters with markedly greater accuracy.
A natural experiment at the University of Southern Denmark (Odense), which in 2002 introduced a knowledge test and a personal interview to better screen applicants, reinforces the point: dropout rates fell sharply at Odense, but rose at its closest rival, Aarhus, which absorbed a fair share of the applicants Odense had screened out. Matching markets are deeply interconnected, and changes at one institution reshape outcomes across the system.
To explore broader reforms, the researchers build and estimate a structural model of the Danish admissions market. In simulations with full information on both sides, dropout rates fall sharply—there is real room for improvement. Yet intuitive interventions fall flat. Revealing each applicant’s first-choice school to programs, for example, produces almost no benefit, because applicants begin to misreport their top choice strategically, turning a would-be signal into noise.
The findings offer a broader lesson for policymakers and market designers. Whether in education, labor markets, or healthcare, improving outcomes often requires more than simply increasing transparency. Because participants adapt strategically, successful policy design must account not only for what information is revealed, but for how individuals and institutions respond once it is.
The paper, “Interdependent Values in Matching Markets: Evidence from Medical Programs in Denmark” is available here.
What Schools and Students Don’t Know About Each Other
/in Research Spotlight /by Diego GarciaBy Martin B. Hackmann
Martin B. Hackmann
Choosing a school, accepting a job, or even starting a relationship all involve the same challenge: finding the right fit. Yet in many important markets, people make these decisions with incomplete information—and, crucially, the gaps run in both directions.
In new research with Benjamin Friedrich (Northwestern University), Adam Kapor and Sofia Moroni (Princeton University), and Anne Brink Nandrup (VIVE), UCLA Professor Hackmann studies how this two-sided information problem shapes match quality in one of society’s most important labor pipelines: medical education. Schools rarely know how applicants rank them, or what competing schools have learned about the same applicant. Applicants, in turn, do not know how schools view them relative to others. Standard models of matching markets assume these frictions away; this paper takes them seriously, in a setting where match quality is unusually consequential. More than 15 percent of admitted students in Denmark’s medical school programs drop out before graduating—a rate high in international comparisons, and a costly outcome in a country already facing shortages of doctors.
The study finds that the information schools collect plays a central role in determining student success. Applicants who voluntarily complete supplemental essays, interviews, or knowledge tests drop out at significantly lower rates than otherwise comparable applicants admitted on grades alone—the act of submitting itself reveals commitment that grades cannot. Schools’ own rankings of applicants through these channels are similarly predictive of who graduates: when programs can observe more than grades, they identify likely persisters with markedly greater accuracy.
A natural experiment at the University of Southern Denmark (Odense), which in 2002 introduced a knowledge test and a personal interview to better screen applicants, reinforces the point: dropout rates fell sharply at Odense, but rose at its closest rival, Aarhus, which absorbed a fair share of the applicants Odense had screened out. Matching markets are deeply interconnected, and changes at one institution reshape outcomes across the system.
To explore broader reforms, the researchers build and estimate a structural model of the Danish admissions market. In simulations with full information on both sides, dropout rates fall sharply—there is real room for improvement. Yet intuitive interventions fall flat. Revealing each applicant’s first-choice school to programs, for example, produces almost no benefit, because applicants begin to misreport their top choice strategically, turning a would-be signal into noise.
The findings offer a broader lesson for policymakers and market designers. Whether in education, labor markets, or healthcare, improving outcomes often requires more than simply increasing transparency. Because participants adapt strategically, successful policy design must account not only for what information is revealed, but for how individuals and institutions respond once it is.
The paper, “Interdependent Values in Matching Markets: Evidence from Medical Programs in Denmark” is available here.
Paper by UCLA Professor Joao Guerreiro Featured in the blog “Slow Boring”
/in News /by Diego GarciaThe paper “Why Do Workers Dislike Inflation? Wage Erosion and Conflict Costs,” by UCLA Professor Joao Guerreiro and coauthors Jonathon Hazell, Chen Lian, and Christina Patterson, was recently featured in Matthew Yglesias’s Slow Boring blog. The paper argues that standard measures understate the cost of inflation for workers because they often must take costly actions to keep their wages in line with rising prices, including bargaining with employers, seeking outside job offers, or engaging in other forms of workplace conflict. The authors document that these “conflict costs” are an important part of inflation’s burden on workers.
The Slow Boring post is available here and the paper is available here.
UCLA Professor Juliana Londoño-Vélez and Graduate Student Estefanía Saravia Receive the Arrow Award
/in News /by Jerry LiuUCLA Professor Juliana Londoño-Vélez and UCLA graduate student Estefanía Saravia have been awarded the Arrow Award for their article, “The Impact of Being Denied a Wanted Abortion on Women and Their Children,” published in The Quarterly Journal of Economics.
The Arrow Award celebrates excellence in health economics and is presented annually to the authors of the best health economics paper published in English during the award year. The award was established in honor of Kenneth Arrow and recognizes the profound influence of his landmark 1963 paper, “Uncertainty and the Welfare Economics of Medical Care.”
The article can be found here.
UCLA Professor Adriana Lleras-Muney Explores the Link Between Poverty and Health on the VoxDev Podcast
/in News /by Jerry LiuIn the VoxDev Development Economics podcast, UCLA Professor Adriana Lleras-Muney explores the complex relationship between poverty and health, the forces that shape it, and what policymakers can do to improve outcomes.
UCLA Professor Martha Bailey’s Paper on U.S. Fertility Featured in The New York Times
/in News /by Jerry LiuA paper by UCLA economist Martha Bailey, “The Economics of Childbearing: Trends, Progress, and Challenges,” is featured in a recent New York Times article on fertility trends in the United States. The article highlights Bailey’s analysis of recent declines in U.S. fertility, emphasizing that lower birth rates may reflect delayed childbearing rather than a permanent decision to forgo motherhood.
You can read the paper in the Annual Review of Economics here, and the New York Times coverage here.
Ryan Longmuir Receives UC President’s Pre-Professoriate Fellowship
/in News /by Jerry LiuRyan Longmuir, a graduate student in the Department of Economics, has been named one of three recipients of the UC President’s Pre-Professoriate Fellowship for 2026–2027. The fellowship supports graduate students who are interested in pursuing academic careers and helps prepare them for future roles in the professoriate.
More information about the fellowship is available here.
Economics Department Hosts Economics in Action Conference for Undergraduate Students
/in News /by Jerry LiuUCLA Professor Martha Bailey’s Research on U.S. Fertility Featured in The New York Times
/in News /by Jerry LiuJuliana Londoño Vélez awarded prestigious Sloan Research Fellowship
/in News /by Jerry LiuPeilin Rao, an undergraduate student in the Economics Department, was selected for UCLA’s 2026 URC-HASS Undergraduate Research Fellows Program
/in News /by Jerry Liu