We estimate a bargaining model of competition between hospitals and managed care organizations (MCOs) and use the estimates to evaluate the effects of hospital mergers. We find that MCO bargaining restrains hospital prices significantly. The model demonstrates the potential impact of coinsurance...

In this paper, we explore the effects of primary care physician (PCP) practice competition on five distinct quality metrics directly tied to screening, follow-up care, and prescribing behavior under Medicare Part B. Controlling for physician, practice, and area characteristics as well as zip...

Classical analysis of health insurance markets often focuses on adverse selection, which creates a direct externality between the enrollees of the same health plan: under an imperfect risk adjustment, the higher the risks of my co-enrollees, the higher my cost of insurance. This has lead to the...

In the late 1980s, the Prospective Payment System and the expansion of managed care plans forced hospitals to be cost efficient. The increased number of hospital mergers suggests that merging is a way to become more efficient to ensure long-run survival. This study presents an economic framework...

In the last decades, many European hospital markets witnessed a wave of mergers leading to increased levels of market concentration. The effects of hospital mergers and the effectiveness of competition enforcement have been discussed by politicians but understudied by academics. This report...

In den letzten Jahrzehnten kam es auf vielen europäischen Krankenhausmärkten zu einer Fusionswelle, die zu einer zunehmenden Marktkonzentration geführt hat. Die Auswirkungen von Krankenhausfusionen und die wirksame Durchsetzung von Wettbewerbsrecht wurden von der Politik diskutiert, aber...

In the last decades, many European hospital markets witnessed a wave of mergers leading to increased levels of market concentration. The effects of hospital mergers and the effectiveness of competition enforcement have been discussed by politicians but understudied by academics. This report...

In den letzten Jahrzehnten kam es auf vielen europäischen Krankenhausmärkten zu einer Fusionswelle, die zu einer zunehmenden Marktkonzentration geführt hat. Die Auswirkungen von Krankenhausfusionen und die wirksame Durchsetzung von Wettbewerbsrecht wurden von der Politik diskutiert, aber...

Procurement within the NHS is attracting increasing research and policy interest. However, most of the emphasis has been on the buyer (the NHS), with less attention paid to the behaviour of suppliers (often pharmaceutical companies). For medical devices very little is publicly documented about...

Objectives: This study investigates the relationship between prices and quality of 7,400 German nursing homes controlling for income, nursing home density, demographics, labour market characteristics, and infrastructure at the regional level. Method: We use a cross section of public quality...