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Essays On Health Care Markets

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Essays On The Economics Of Health Care Markets

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Author : Andrew Olenski
language : en
Publisher:
Release Date : 2023

Essays On The Economics Of Health Care Markets written by Andrew Olenski and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023 with categories.

Our findings establish that insurers can affect health care well outside their direct purview, raising the question of how to match their private objectives with their scope of influence.

Five Essays On Competition And Regulation In Health Care Markets

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Author : Kurt Richard Brekke
language : en
Publisher:
Release Date : 2003

Five Essays On Competition And Regulation In Health Care Markets written by Kurt Richard Brekke and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003 with categories.

Three Essays On Market Structure Competition Prices Health Spending And Quality In The Us Healthcare System

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Author : James R Godwin
language : en
Publisher:
Release Date : 2022

Three Essays On Market Structure Competition Prices Health Spending And Quality In The Us Healthcare System written by James R Godwin and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022 with categories.

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

Three Essays On Healthcare Markets And Political Economy

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Author : Jason Alan Snyder
language : en
Publisher:
Release Date : 2006

Three Essays On Healthcare Markets And Political Economy written by Jason Alan Snyder and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with categories.

This dissertation examines three important topics in healthcare and political economy. The unifying theme behind this dissertation is to examine the process of getting a job and keeping a job in health and political labor markets.

Essays On Competition In Health Care Markets

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Author : Xing Wu
language : en
Publisher:
Release Date : 2018

Essays On Competition In Health Care Markets written by Xing Wu and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with categories.

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

Essays On Health Care Markets

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Author : Ami Ko
language : en
Publisher:
Release Date : 2017

Essays On Health Care Markets written by Ami Ko and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.

The two chapters of my dissertation develop and estimate economic models to analyze the demand for and the provision of health care services. Specifically, I analyze the optimal design of health care markets to promote higher quality and lower cost, which can have profound implications for the well-being of people. The first chapter, "An Equilibrium Analysis of the Long-Term Care Insurance Market," uses a model of family interactions to explain why the long-term care insurance market has not been growing. By developing and estimating a structural model of family interactions, I study how family care affects the workings of the long-term care insurance market. I argue that private information about the availability of family care induces adverse selection where individuals with limited access to family care heavily select into insurance coverage. I demonstrate that pricing on family demographics substantially mitigates adverse selection by reducing the amounts of private information. I propose child demographic-based pricing as an alternative risk adjustment that could decrease the average premium, invigorate the market, and generate welfare gains. The second chapter, "Partial Rating Area Offering in the ACA Marketplaces," joint with Hanming Fang, studies insurance companies' plan offering decisions in the marketplaces established by the Patient Protection and Affordable Care Act of 2010 (ACA). Under the ACA, insurance companies can vary premiums by "rating areas" which usually consist of multiple counties. In a given rating area, the ACA mandates uniform pricing for all counties, but, it does not mandate universal offering. We first demonstrate that it is not uncommon to observe insurance companies selling plans to only a subset of counties within a rating area. Using both theoretical and empirical approaches, we find evidence that partial rating area coverage is explained by insurers' incentive to risk screen consumers. While the ACA allows price discrimination based on rating areas and not on counties, we argue that insurers are effectively price discriminating consumers based on counties by endogenously determining their service area within a rating area.