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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
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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
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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
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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
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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
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Public and Private Provision of Health Care
Barros, Pedro Luis Pita; Martinez-Giralt, Xavier - C.E.P.R. Discussion Papers - 2000
One of the mechanisms that is implemented in the cost containment wave in the health-care sectors in western countries is the definition, by the third-party payer, of a set of preferred providers. The insured patients have different access rules to such providers when ill. The rules specify the...
Persistent link: https://www.econbiz.de/10005123706
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Extending Choice In English Health Care: The implications of the economic evidence
Burgess, Simon; Propper, Carol; Wilson, Deborah - C.E.P.R. Discussion Papers - 2005
hospitals, the responsiveness of patients to greater choice, the provision of information and the use of fixed prices. The paper …
Persistent link: https://www.econbiz.de/10005067537
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Provider competition and over-utilization in health care
Boone, Jan; Douven, Rudy - C.E.P.R. Discussion Papers - 2014
This paper compares the welfare effects of three ways in which health care can be organized: no competition (NC), competition for the market (CfM) and competition on the market (CoM) where the payer offers the optimal contract to providers in each case. We argue that each of these can be optimal...
Persistent link: https://www.econbiz.de/10011083835
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Technological adoption in health care
Barros, Pedro Luis Pita; Martinez-Giralt, Xavier - C.E.P.R. Discussion Papers - 2009
This paper addresses the impact of payment systems on the rate of technology adoption. We present a model where technological shift is driven by demand uncertainty, increased patients' benefit, financial variables, and the reimbursement system to providers. Two payment systems are studied: cost...
Persistent link: https://www.econbiz.de/10008558590
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Economic Incentives and Hospitalization in Germany
Million, Andreas; Rotte, Ralph; Zimmermann, Klaus F - C.E.P.R. Discussion Papers - 1996
The determinants of the dramatically rising expenditures on health care in general, and on hospital care in particular, have been of prior concern to policy and to research. Using a rich panel data set this paper contributes to this literature by investigating factors determining the demand for...
Persistent link: https://www.econbiz.de/10005791813