Alberto Marino

Alberto Marino is a health economist specialising in international health system comparisons, financing and policy.

With a decade of experience in health policy analysis, Alberto has worked for several international organisations, including the World Bank, the OECD, and the European Observatory for Health Systems and Policies.

His doctoral research builds on his experience working with experts and policymakers on making health systems financing more sustainable, and it aims to formalise theories and methods used across international frameworks to forecast health expenditure, as well as address key common gaps within these models. His work aims to bridge academic research and practical policy solutions for more efficient and resilient health systems.

Alberto holds an MSc in Health Economics from the University of York and a BSc in Political Economy from King’s College London.

Dissertation title:

International health spending growth frameworks: advancing theory, methods, and implementation for policy

Dissertation supervisor(s):

Dr Irene Papanicolas, Professor Alistair McGuire, Professor Andrew Street

Publications:

• Kumar, A., Gabani, J., Marino, A., Mieses Ramirez. J.C., and Hoang-Vu Eozenou, P., (2025). At a Crossroads: Prospects for Government Health Financing Amidst Declining Aid. Government Resources and Projections for Health (GRPH) Series. Washington, DC: World Bank.
• Marino, A. and Papanicolas, I., (2024). International comparisons:the bestin the world. Research Handbook on Health Care Policy, Chapter 16. Elgar Handbooks in Social Policy and Welfare. Edward Elgar Publishing.
• Lorenzoni L., Marino A., Or Z., Blankart C.R., Shatrov K., Wodchis W., Janlov N., Figueroa J.F., Bowden N., Bernal-Delgado E., Papanicolas I., (2022). Why the US spends more treating high-need high-cost patients: a comparative study of pricing and utilization of care in six high-income countries. Health Policy, Dec 22. 0168-8510.
• Figueroa J.F., Horneffer K.E., Riley K., Abiona O., Arvin M., Atsma F., Bernal-Delgado E., Blankart C.R., Bowden N., Deeny S., EstupiñánRomero F., Gauld R., Hansen T.M., Haywood P., Janlov N., Knight H., Lorenzoni L., Marino A., Or Z., ... Papanicolas I., (2021) A methodology for identifying highneed, highcost patient personas for international comparisons. Health Services Research. 10.1111/1475-6773.13890, 56, S3, (1302-1316).
• Papanicolas I., Figueroa J.F., Schoenfeld A.J., Riley K., Abiona O., Arvin M., Atsma F., Bernal-Delgado E., Blankart C.R., Bowden N., Deeny S., EstupiñánRomero F., Gauld R., Haywood P., Janlov N., Knight H., Lorenzoni L., Marino A., Or Z., . . . Jha, A.K., (2021). Differences in health care spending and utilization among older frail adults in highincome countries: ICCONIC hip fracture persona. Health Serv Res.2021;56(Suppl. 3):1335–1346.
• Papanicolas I., Figueroa J.F., Schoenfeld A.J., Riley K., Abiona O., Arvin M., Atsma F., Bernal-Delgado E., Blankart C.R., Bowden N., Deeny S., EstupiñánRomero F., Gauld R., Haywood P., Janlov N., Knight H., Lorenzoni L., Marino A., Or Z., . . . Jha, A.K., (2021). International comparison of health spending and utilization among people with complex multimorbidity. Health Serv Res.2021;56(Suppl. 3):1317–1334.
• Or Z., Shatrov K., Penneau A., Wodchis W., Abiona O., Bernal-Delgado E., Blankart C.R., Bowden N., Gauld R., Knight H., Lorenzoni L., Marino A., Papanicolas I., Riley K., Pellet L., EstupiñánRomero F., van Gool K., Figueroa J.F., (2021). Within and across country variations in treatment of patients with heartfailure and diabetes. Pages Health Serv Res.2021;56(Suppl. 3):1358-1369.
• Papanicolas I., Riley K., Abiona O., Arvin M., Atsma F., Bernal-Delgado E., Blankart C.R., Bowden N., Deeny S., EstupiñánRomero F., Gauld R., Haywood P., Janlov N., Knight H., Lorenzoni L., Marino A., Or Z., . . . Figueroa J.F., (2021). Differences in health outcomes for highneed highcost patients across highincome countries. Health Serv Res.2021;56(Suppl. 3): 1347-1357.
• Dougherty S., Lorenzoni L., Marino A., Murtin F., (2021). The impact of decentralisation on the performance of health care systems: A non-linear relationship. European Journal of Health Economics. 2021 Oct 17;1-11. doi: 10.1007/s10198-021-01390-1.
• Papanicolas I., Marino A., Lorenzoni L., Jha A., (2020). Comparison of Health Care Spending by Age in 8 High-Income Countries. JAMA Netw Open. 2020;3(8)e:2014688.
• Marino A. and Lorenzoni L., (2019). The impact oftechnological advancements on health spending – a literature review. Health Working Papers, No. 113. OECD Publishing, Paris.
• Nowak S. and Marino A., (2019). Price Setting and Price Regulation in Health Care: England case study. OECD Publishing, Paris/WHO, Geneva.
• Lorenzoni L., Marino A., Morgan D., James, C., (2019). Health spending projections to 2030 – New results based on a revised OECD methodology. Health Working Papers, No. 110. OECD Publishing, Paris.
• OECD/WHO, (2018). Health at a Glance: Asia/Pacific 2018: Measuring Progre towards Universal Health Coverage. Chapters 1-2. OECD Publishing, Paris.
• OECD/European Observatory on Health Systems and Policies, (2017). Italy: Country Health Profile 2017, State of Health in the EU. OECD Publishin Paris/European Observatory on Health Systems and Policies, Brussels.
• Marino A., Morgan D., Lorenzoni L., James C., (2017). Future trends in health care expenditure: A modelling framework for cross-country forecasts. Health Working Papers, No. 95. OECD Publishing, Paris.
• Lorenzoni L. and Marino A., (2017). Understanding variations in hospital length of stay and cost. Health Working Papers, No. 94. OECD Publishing, Paris