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Hospital Competition and Quality with Regulated Prices

Brekke, Kurt Richard - 2010

We analyse the effect of competition on quality in hospital markets with regulated prices, considering both the effect of (i) introducing competition (monopoly versus competition) and (ii) increasing competition through lower transportation costs (increased substitutability) or a higher number...

Persistent link: https://www.econbiz.de/10013152862

Price Regulation and Parallel Imports of Pharmaceuticals

Brekke, Kurt Richard - 2015

This paper studies the effects of price regulation and parallel imports in the on-patent pharmaceutical market. In a … that the effects of stricter price regulation crucially depend on whether the producer faces competition from parallel … imports. While parallel imports improve the bargaining position of the distributor, price regulation counteracts this effect …

Persistent link: https://www.econbiz.de/10013017702

Competition and Quality in Regulated Markets with Sluggish Demand

Brekke, Kurt Richard - 2010

We investigate the effect of competition on quality in regulated markets (e.g., health care, higher education, public utilities), using a Hotelling framework, in the presence of sluggish demand. We take a differential-game approach, and derive the open-loop solution (providers choose the optimal...

Persistent link: https://www.econbiz.de/10013148292

Reference Pricing of Pharmaceuticals

Brekke, Kurt Richard; Königbauer, Ingrid; Straume, Odd Rune - 2021

We consider a therapeutic market with potentially three pharmaceutical firms. Two of the firms offer horizontally differentiated brand-name drugs. One of the brand-name drugs is a new treatment under patent protection that will be introduced if the profits are sufficient to cover the entry...

Persistent link: https://www.econbiz.de/10013317373

Hospital Competition with Soft Budgets

Brekke, Kurt Richard - 2013

We study the incentives for hospitals to provide quality and expend cost-reducing effort when their budgets are soft, i.e., the payer may cover deficits or confiscate surpluses. The basic set up is a Hotelling model with two hospitals that differ in location and face demand uncertainty, where...

Persistent link: https://www.econbiz.de/10013087727

Margins and Market Shares : Pharmacy Incentives for Generic Substitution

Brekke, Kurt Richard - 2013

We study the impact of product margins on pharmacies' incentive to promote generics instead of brand-names. First, we construct a theoretical model where pharmacies can persuade patients with a brand-name prescription to purchase a generic version instead. We show that pharmacies' substitution...

Persistent link: https://www.econbiz.de/10013088216

Competition and Physician Behaviour : Does the Competitive Environment Affect the Propensity to Issue Sickness Certificates?

Brekke, Kurt Richard - 2017

Competition among physicians is widespread, but compelling empirical evidence on the impact on service provision is limited, mainly due to lack of exogenous variation in the degree of competition. In this paper we exploit that many GPs, in addition to own practice, work in local emergency...

Persistent link: https://www.econbiz.de/10012944981

Can Competition Reduce Quality?

Brekke, Kurt Richard - 2014

In a spatial competition setting there is usually a non-negative relationship between competition and quality. In this paper we offer a novel mechanism whereby competition leads to lower quality. This mechanism relies on two key assumptions, namely that the providers are motivated and...

Persistent link: https://www.econbiz.de/10013057658

Horizontal Mergers and Product Quality

Brekke, Kurt Richard - 2015

We study the effects of horizontal mergers when firms compete on quality and price. Two key factors are identified: (i) the magnitude of variable quality costs, and (ii) the relative magnitudes of cross-quality and cross-price effects on demand. The merging firms will increase (reduce) both...

Persistent link: https://www.econbiz.de/10013019860

Reference Pricing, Competition, and Pharmaceutical Expenditures : Theory and Evidence from a Natural Experiment

Brekke, Kurt Richard; Holmas, Tor Helge; Straume, Odd Rune - 2021

We study the impact of regulation on competition between brand-names and generics and pharmaceutical expenditures using … a unique policy experiment in Norway, where reference pricing (RP) replaced price cap regulation in 2003 for a sub …-sample of off-patent products. First, we construct a vertical differentiation model to analyze the impact of regulation on …

Persistent link: https://www.econbiz.de/10013316129