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The Welfare Impact of Reducing Choice in Medicare Part D: A Comparison of Two Regulation Strategies
Simon, Kosali Ilayperuma; Lucarelli, Claudio; Prince, … - National Bureau of Economic Research (NBER) - 2008
Motivated by widely publicized concerns that there are "too many" plans, we structurally estimate (and validate) an equilibrium model of the Medicare Part D market to study the welfare impacts of two feasible, similar-sized approaches for reducing choice. One reduces the maximum number of firm...
Persistent link: https://www.econbiz.de/10005575108
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The impact of Medicare Part D on Medicare-Medicaid Dual-eligible Beneficiaries' Prescription Utilization and Expenditures
Basu, Anirban; Yin, Wesley; Alexander, G. Caleb - National Bureau of Economic Research (NBER) - 2008
Features of Part D gave rise to broad concern that the drug benefit would negatively impact prescription utilization among the six million dual eligible beneficiaries, either during the transition from state Medicaid to Part D coverage, or in the long-run. At the same time, Part D contained...
Persistent link: https://www.econbiz.de/10005829559
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Medicare Part D's Effects on Elderly Drug Costs and Utilization
Simon, Kosali Ilayperuma; Ketcham, Jonathan D. - National Bureau of Economic Research (NBER) - 2008
We analyze Medicare Part D's net effect on elderly out-of-pocket (OOP) costs and use of prescription drugs using a dataset containing 1.4 billion prescription records from Wolters Kluwer Health (WKH). These data span the period December 2004-December 2007 and include pharmacy customers whose age...
Persistent link: https://www.econbiz.de/10005829889
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The Effect of Prospective Payment on Admission and Treatment Policy: Evidence from Inpatient Rehabilitation Facilities
Sood, Neeraj; Huckfeldt, Peter J.; Grabowski, David C.; … - National Bureau of Economic Research (NBER) - 2011
We examine provider responses to the Medicare inpatient rehabilitation facility (IRF) prospective payment system (PPS), which simultaneously reduced marginal reimbursement and increased average reimbursement. IRFs could respond to the PPS by changing the total number of patients admitted,...
Persistent link: https://www.econbiz.de/10009151264
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Competition in Health Care Markets
Gaynor, Martin; Town, Robert J. - National Bureau of Economic Research (NBER) - 2011
consumers based, in part, on the quality and breadth of their provider network. We then review the large empirical literature on … the strategic determination of hospital prices through the lens of this model. Variation in the quality of health care … of market structure on quality of health care. The paper then moves on to consider competition in health insurance …
Persistent link: https://www.econbiz.de/10009223314
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Can Governments Do It Better? Merger Mania and Hospital Outcomes in the English NHS
Gaynor, Martin; Propper, Carol; Laudicella, Mauro - National Bureau of Economic Research (NBER) - 2011
clinical quality and find little evidence that mergers achieved gains other than a reduction in activity. In addition, mergers …
Persistent link: https://www.econbiz.de/10009368126
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Mergers When Prices are Negotiated: Evidence from the Hospital Industry
Nevo, Aviv; Gowrisankaran, Gautam; Town, Robert - National Bureau of Economic Research (NBER) - 2013
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...
Persistent link: https://www.econbiz.de/10010796731
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Free to Choose? Reform and Demand Response in the English National Health Service
Gaynor, Martin; Propper, Carol; Seiler, Stephan - National Bureau of Economic Research (NBER) - 2012
choice increased demand elasticity faced by hospitals with regard to clinical quality and waiting time for an important … quality. Sicker patients and better informed patients were more affected. We leverage our model to calculate potential … improve their quality of care and find suggestive evidence that hospitals responded strongly to the enhanced incentives due to …
Persistent link: https://www.econbiz.de/10010796738
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Death by Market Power: Reform, Competition and Patient Outcomes in the National Health Service
Gaynor, Martin; Propper, Carol; Moreno-Serra, Rodrigo - National Bureau of Economic Research (NBER) - 2010
The effect of competition on the quality of health care remains a contested issue. Most empirical estimates rely on … between hospitals. Patients were given choice of location for hospital care and provided information on the quality and …
Persistent link: https://www.econbiz.de/10008622315
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The Effect of Medicaid Payment Rates on Access to Dental Care Among Children
Buchmueller, Thomas; Shore-Sheppard, Lara; Orzol, Sean - National Bureau of Economic Research (NBER) - 2013
Historically, low Medicaid reimbursement rates have limited the willingness of health care providers to accept Medicaid patients, leading to access problems in many communities. This problem has been especially acute in the case of dental care. We combine data from several sources to examine the...
Persistent link: https://www.econbiz.de/10010950684