Competition And Quality Outcomes In The Health Care Market A Bilateral Analysis

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COMPETITION AND QUALITY OUTCOMES IN THE HEALTH CARE MARKET: A BILATERAL ANALYSIS

Author : Tingting Li
Publisher :
ISBN 13 :
Total Pages : 100 pages
Book Rating : 4.:/5 (863 download)

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Book Synopsis COMPETITION AND QUALITY OUTCOMES IN THE HEALTH CARE MARKET: A BILATERAL ANALYSIS by : Tingting Li

Download or read book COMPETITION AND QUALITY OUTCOMES IN THE HEALTH CARE MARKET: A BILATERAL ANALYSIS written by Tingting Li and published by . This book was released on 2013 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: Micro-economic theory suggests both insurance market concentration and hospital market concentration may affect outcomes such as insurance premium and quality of care. Moreover, as concentration in the insurance market and hospital market may interact, it is impossible for economic theory to sign the impact. Using Healthcare Cost and Utilization Project (HCUP) 2007 data this paper addresses the question empirically. Insurance and hospital market concentrations are measured by Herfindahl-Hirschman Index (HHI) and quality of care is measured by length of inpatient stay in days and probability of dying during hospitalization. To address the potential endogeneity problem, lagged values of both markets' HHIs are used as instrumental variables. The results of regressions on length of stay show that, generally, increases of both insurance and hospital market concentration erode the quality of care, while the exact impact of the structure of one market depends on the structure of the other. Study finds a positive correlation between monopoly-monopsony confrontation and quality of care in extreme cases but outcomes experienced by patients in such market are worse than outcomes experienced by patients in competitive markets. Results about inpatient mobility are mixed. These findings suggest that, anti-competition trends in health care market should be closely monitored and regulated.

Competition and Quality in Health Care Markets

Author : Martin Gaynor
Publisher : Now Publishers Inc
ISBN 13 : 1601980078
Total Pages : 83 pages
Book Rating : 4.6/5 (19 download)

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Book Synopsis Competition and Quality in Health Care Markets by : Martin Gaynor

Download or read book Competition and Quality in Health Care Markets written by Martin Gaynor and published by Now Publishers Inc. This book was released on 2006 with total page 83 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides an economic assessment of the impact of competition on quality in health care markets. This book offers performance standards for competition; findings from economic theory; and, empirical evidence on health care competition and quality.

What Do We Know about Competition and Quality in Health Care Markets?

Author : Martin Gaynor
Publisher :
ISBN 13 :
Total Pages : 60 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis What Do We Know about Competition and Quality in Health Care Markets? by : Martin Gaynor

Download or read book What Do We Know about Competition and Quality in Health Care Markets? written by Martin Gaynor and published by . This book was released on 2006 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The goal of this paper is to identify key issues concerning the nature of competition in health care markets and its impacts on quality and social welfare and to identify pertinent findings from the theoretical and empirical literature on this topic. The theoretical literature in economics on competition and quality, the theoretical literature in health economics on this topic, and the empirical findings on competition and quality in health care markets are surveyed and their findings assessed.Theory is clear that competition increases quality and improves consumer welfare when prices are regulated (for prices above marginal cost), although the impacts on social welfare are ambiguous. When firms set both price and quality, both the positive and normative impacts of competition are ambiguous. The body of empirical work in this area is growing rapidly. At present it consists entirely of work on hospital markets. The bulk of the empirical evidence for Medicare patients shows that quality is higher in more competitive markets. The empirical results for privately insured patients are mixed across studies"--National Bureau of Economic Research web site.

Competition in the Health Care Sector

Author : Warren Greenberg
Publisher : Beard Books
ISBN 13 : 9781587981302
Total Pages : 428 pages
Book Rating : 4.9/5 (813 download)

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Book Synopsis Competition in the Health Care Sector by : Warren Greenberg

Download or read book Competition in the Health Care Sector written by Warren Greenberg and published by Beard Books. This book was released on 2002 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: Source of the debate on how much competition and regulation are necessary in the health care industry. This is a reprint of proceedings from a 1977 conference.

Competition in the Health Care Sector, Past, Present, and Future

Author : United States. Federal Trade Commission. Bureau of Economics
Publisher :
ISBN 13 :
Total Pages : 488 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis Competition in the Health Care Sector, Past, Present, and Future by : United States. Federal Trade Commission. Bureau of Economics

Download or read book Competition in the Health Care Sector, Past, Present, and Future written by United States. Federal Trade Commission. Bureau of Economics and published by . This book was released on 1978 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Competition, Regulation, and Rationing in Health Care

Author : Warren Greenberg
Publisher : Beard Books
ISBN 13 : 1587981416
Total Pages : 190 pages
Book Rating : 4.5/5 (879 download)

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Book Synopsis Competition, Regulation, and Rationing in Health Care by : Warren Greenberg

Download or read book Competition, Regulation, and Rationing in Health Care written by Warren Greenberg and published by Beard Books. This book was released on 2002 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a reprint. The attributes and conduct of the physician, hospital, insurance, and long-term care industries are examined.

Competing on Quality of Care

Author : Peter J. Hammer
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Competing on Quality of Care by : Peter J. Hammer

Download or read book Competing on Quality of Care written by Peter J. Hammer and published by . This book was released on 2000 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: As American health care moves from a professionally dominated to a market-dominated model, concerns have been voiced that competition, once unleashed, will focus on price to the detriment of quality. Although quality has been extensively analyzed in health services research, the role of quality in competition policy has not been elucidated. While economists may theorize about non-price competition, courts in antitrust cases often follow simpler models of competition based on price and output, either ignoring quality as a competitive dimension or assuming that it will occur in tandem with price competition. This unsystematic approach is inadequate for the formulation of policy in the health care industry, where quality is a central concern of both consumers and society. Instead, courts need a framework with which to analyze the implications for quality of various market structures and to understand the welfare implications of proposed market changes. A competition policy would seek to evaluate the potential for private markets to protect and improve quality in the health care system. This Article describes the present role of antitrust law in medical markets, explores the issues that would be confronted in developing a competition policy and outlines a research agenda that would begin to accomplish that task.

Essays on Competition in Health Care Markets

Author : Xing Wu
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (11 download)

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Book Synopsis Essays on Competition in Health Care Markets by : Xing Wu

Download or read book Essays on Competition in Health Care Markets written by Xing Wu and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the last decades, health economics has turned into one of the most active research fields within economics. The structure of health care markets varies enormously across countries, largely influenced by competition among suppliers, the regulation of markets and patient preferences. This dissertation presents an analysis of health care markets especially focusing on price competition and quality competition. Under price competition, a pair of asymmetric pure strategy price equilibria exists in a model with income constraints for the specific case that two physicians locate at the maximum distance from each other and patients pay the same marginal transportation cost. Under quality competition, I investigate the interplay of market transparency and semi-altruism - a specific and interesting aspect unique to markets for health care. Market transparency and semi-altruism show ambiguous effects on welfare. The more altruistic physicians provides weakly higher quality than the less altruistic one. Moreover, I explore individual and social incentives for hospital mergers and their interaction with transparency and find that higher transparency does not always lead to higher quality and higher social welfare. The results indicate that quality is lower after merger. A hospital merger leads to a higher social welfare if the efficiency gains from the merger are sufficiently large. ; eng

Handbook of Health Economics

Author : Mark V. Pauly
Publisher : Elsevier
ISBN 13 : 0444535926
Total Pages : 1149 pages
Book Rating : 4.4/5 (445 download)

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Book Synopsis Handbook of Health Economics by : Mark V. Pauly

Download or read book Handbook of Health Economics written by Mark V. Pauly and published by Elsevier. This book was released on 2012-01-05 with total page 1149 pages. Available in PDF, EPUB and Kindle. Book excerpt: "As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics." {source : site de l'éditeur].

Death by market power : reform, competition and patient outcomes in the national health service

Author : Martin Gaynor
Publisher :
ISBN 13 :
Total Pages : 56 pages
Book Rating : 4.:/5 (665 download)

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Book Synopsis Death by market power : reform, competition and patient outcomes in the national health service by : Martin Gaynor

Download or read book Death by market power : reform, competition and patient outcomes in the national health service written by Martin Gaynor and published by . This book was released on 2010 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: The effect of competition on the quality of health care remains a contested issue. Most empirical estimates rely on inference from non experimental data. In contrast, this paper exploits a pro-competitive policy reform to provide estimates of the impact of competition on hospital outcomes. The English government introduced a policy in 2006 to promote competition between hospitals. Patients were given choice of location for hospital care and provided information on the quality and timeliness of care. Prices, previously negotiated between buyer and seller, were set centrally under a DRG type system. Using this policy to implement a difference-in-differences research design we estimate the impact of the introduction of competition on not only clinical outcomes but also productivity and expenditure. Our data set is large, containing information on approximately 68,000 discharges per year per hospital from 162 hospitals. We find that the effect of competition is to save lives without raising costs. Patients discharged from hospitals located in markets where competition was more feasible were less likely to die, had shorter length of stay and were treated at the same cost.

Competition, Equity and Quality in HealthCare

Author : Maija Halonen-Akatwijuka
Publisher :
ISBN 13 :
Total Pages : 25 pages
Book Rating : 4.:/5 (821 download)

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Book Synopsis Competition, Equity and Quality in HealthCare by : Maija Halonen-Akatwijuka

Download or read book Competition, Equity and Quality in HealthCare written by Maija Halonen-Akatwijuka and published by . This book was released on 2012 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Three Essays on Market Structure, Competition, Prices, Health Spending, and Quality in the US Healthcare System

Author : James R Godwin
Publisher :
ISBN 13 :
Total Pages : 192 pages
Book Rating : 4.:/5 (133 download)

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Book Synopsis Three Essays on Market Structure, Competition, Prices, Health Spending, and Quality in the US Healthcare System by : James R Godwin

Download or read book Three Essays on Market Structure, Competition, Prices, Health Spending, and Quality in the US Healthcare System written by James R Godwin and published by . This book was released on 2022 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States spends a larger percentage of GDP on healthcare than any other OECD nation, and yet it performs poorly on measures of access, process quality and outcomes relative to other wealthy nations. One hypothesis that may explain the relatively poor performance of the United States' healthcare system per dollar spent is that markets for hospitals, physician services, and insurance are highly consolidated and lack competition. This dissertation contributes to the body of literature seeking to measure healthcare market structure and assess the relationship between this market structure and unit prices, overall spending, and healthcare quality. The first paper in this dissertation, "The Association between Hospital-Physician Vertical Integration and Outpatient Physician Prices Paid by Commercial Insurers: New Evidence," demonstrates market-level associations between vertical integration among hospitals and physicians and higher prices for outpatient care. The second essay, "How Hospital-Owned Physician Organizations are Associated with Healthcare Prices, Expenditures, and Quality," analyzes vertical integration and prices, quality, and total patient spending, building on the findings of the first essay using physician and hospital level claims data. This study finds that vertical integration is associated with higher levels of annual spending for patients attributed to vertically integrated providers, but interpretation of association between vertical integration and outpatient prices is confounded by pre-intervention trends. Analysis of CMS hospital outcome measures does not show associations between vertical integration at a hospital level and quality. Finally, the third essay, "Automated Delineation of Hospital Market Boundaries in California," explores geographic market definition in healthcare, an important topic in research and antitrust action, while assessing the application of community detection methods in this field. This study finds that community detection methods group hospitals with higher accuracy than other geographic markets as measured by patient flows and may offer promise for merger screening, research on market concentration, and research on geographic variation in healthcare. The final chapter reviews overarching limitations of the dissertation, outlines directions for future research, and comments on potential policy approaches to promote competition and address the symptoms that may result from highly consolidated healthcare markets

Competition in Health Care Markets

Author : Jan Boone
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (15 download)

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Book Synopsis Competition in Health Care Markets by : Jan Boone

Download or read book Competition in Health Care Markets written by Jan Boone and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Ensuring Quality to Gain Access to Global Markets

Author : Martin Kellermann
Publisher : World Bank Publications
ISBN 13 : 1464813728
Total Pages : 275 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Ensuring Quality to Gain Access to Global Markets by : Martin Kellermann

Download or read book Ensuring Quality to Gain Access to Global Markets written by Martin Kellermann and published by World Bank Publications. This book was released on 2019-04-09 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a modern world with rapidly growing international trade, countries compete less based on the availability of natural resources, geographical advantages, and lower labor costs and more on factors related to firms' ability to enter and compete in new markets. One such factor is the ability to demonstrate the quality and safety of goods and services expected by consumers and confirm compliance with international standards. To assure such compliance, a sound quality infrastructure (QI) ecosystem is essential. Jointly developed by the World Bank Group and the National Metrology Institute of Germany, this guide is designed to help development partners and governments analyze a country's quality infrastructure ecosystems and provide recommendations to design and implement reforms and enhance the capacity of their QI institutions.

Assuring the Quality of Health Care in the European Union

Author : Helena Legido-Quigley
Publisher : World Health Organization
ISBN 13 : 9289071931
Total Pages : 242 pages
Book Rating : 4.2/5 (89 download)

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Book Synopsis Assuring the Quality of Health Care in the European Union by : Helena Legido-Quigley

Download or read book Assuring the Quality of Health Care in the European Union written by Helena Legido-Quigley and published by World Health Organization. This book was released on 2008 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: People have always travelled within Europe for work and leisure, although never before with the current intensity. Now, however, they are travelling for many other reasons, including the quest for key services such as health care. Whatever the reason for travelling, one question they ask is "If I fall ill, will the health care I receive be of a high standard?" This book examines, for the first time, the systems that have been put in place in all of the European Union's 27 Member States. The picture it paints is mixed. Some have well developed systems, setting standards based on the best available evidence, monitoring the care provided, and taking action where it falls short. Others need to overcome significant obstacles.

Social Health Insurance for Developing Nations

Author : R. Paul Shaw
Publisher : World Bank Publications
ISBN 13 : 0821369504
Total Pages : 188 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Social Health Insurance for Developing Nations by : R. Paul Shaw

Download or read book Social Health Insurance for Developing Nations written by R. Paul Shaw and published by World Bank Publications. This book was released on 2007-01-01 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: Specialist groups have often advised health ministers and other decision makers in developing countries on the use of social health insurance (SHI) as a way of mobilizing revenue for health, reforming health sector performance, and providing universal coverage. This book reviews the specific design and implementation challenges facing SHI in low- and middle-income countries and presents case studies on Ghana, Kenya, Philippines, Colombia, and Thailand.

Handbook of Industrial Organization

Author : Kate Ho
Publisher : Elsevier
ISBN 13 : 0323988873
Total Pages : 782 pages
Book Rating : 4.3/5 (239 download)

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Book Synopsis Handbook of Industrial Organization by : Kate Ho

Download or read book Handbook of Industrial Organization written by Kate Ho and published by Elsevier. This book was released on 2021-12-09 with total page 782 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Industrial Organization Volume 4 highlights new advances in the field, with this new volume presenting interesting chapters. Each chapter is written by an international board of authors. Part of the renowned Handbooks in Economics series Chapters are contributed by some of the leading experts in their fields A source, reference and teaching supplement for industrial organizations or industrial economists