Similar Search Results

Average-cost Pricing and Dynamic Selection Incentives in the Hospital Sector

Kifmann, Mathias; Siciliani, Luigi - C.E.P.R. Discussion Papers - 2014

This study investigates hospitals’ dynamic incentives to select patients when hospitals are remunerated according to a … spiral of prices is possible which induces hospitals to focus on low-severity cases. For high altruism, dynamic price …

Persistent link: https://www.econbiz.de/10011084199

Death by Market Power: Reform, Competition and Patient Outcomes in the National Health Service

Gaynor, Martin; Moreno-Serra, Rodrigo; Propper, Carol - C.E.P.R. Discussion Papers - 2011

between hospitals. Patients were given choice of location for hospital care and provided information on the quality and … approximately 68,000 discharges per year per hospital from 160 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 …

Persistent link: https://www.econbiz.de/10008854479

Competition, Equity and Quality in HealthCare

Halonen-Akatwijuka, Maija; Propper, Carol - C.E.P.R. Discussion Papers - 2013

In this paper we focus on the implications of consumer heterogeneity for whether competition will improve outcomes in health care markets. We show that competition generally favours the majority group as higher quality for the majority is an effective way to increase the quality signal and...

Persistent link: https://www.econbiz.de/10011083309

The Impact of Competition on Management Quality: Evidence from Public Hospitals

Bloom, Nicholas; Propper, Carol; Seiler, Stephan; Van … - C.E.P.R. Discussion Papers - 2010

geographic proximity is a key determinant of competition, and English public hospitals where political competition can be used to … construct instrumental variables for market structure. Since almost all major English hospitals are government run, closing … hospitals in areas where the governing party has a small majority is rare due to fear of electoral punishment. We find that …

Persistent link: https://www.econbiz.de/10008468548

Upcoding and Optimal Auditing in Health Care (or The economics of DRG creep)

Kuhn, Michael; Siciliani, Luigi - C.E.P.R. Discussion Papers - 2008

We present a model of optimal contracting between a purchaser and a provider of health services. We assume that providers can increase demand by increasing quality but can also inflate activity through a manipulative effort (upcoding or DRG creep). We derive and compare the optimal price and...

Persistent link: https://www.econbiz.de/10005661727

Competition and Waiting Times in Hospital Markets

Brekke, Kurt Richard; Siciliani, Luigi; Straume, Odd Rune - C.E.P.R. Discussion Papers - 2007

This paper studies the impact of hospital competition on waiting times. We use a Salop-type model, with hospitals that … between neighbouring hospitals (competitive segment), and low-benefit patients who decide whether or not to demand treatment …

Persistent link: https://www.econbiz.de/10005662044

Linear-Quadratic Approximation of Optimal Policy Problems

Benigno, Pierpaolo; Woodford, Michael - C.E.P.R. Discussion Papers - 2006

We consider a general class of nonlinear optimal policy problems involving forward-looking constraints (such as the Euler equations that are typically present as structural equations in DSGE models), and show that it is possible, under regularity conditions that are straightforward to check, to...

Persistent link: https://www.econbiz.de/10005791608

Does quality affect patients’ choice of doctor? Evidence from the UK

Gravelle, Hugh S; Propper, Carol; Santos, Rita - C.E.P.R. Discussion Papers - 2013

Provider competition is a currently popular healthcare reform model. A necessary condition for greater competition to …

Persistent link: https://www.econbiz.de/10011084725

Competition and Quality: Evidence from the NHS Internal Market 1991-9

Burgess, Simon; Gossage, Denise; Propper, Carol - C.E.P.R. Discussion Papers - 2003

Payer-driven competition has been widely advocated as a means of increasing efficiency in health care markets. The 1990s reforms to the UK health service followed this path. We examine whether competition led to better outcomes for patients, as measured by death rates after treatment following...

Persistent link: https://www.econbiz.de/10005504734