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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
this, the UK government has pursued an active policy of hospital merger. These mergers are initiated by a regulator, acting …
Persistent link: https://www.econbiz.de/10009368126
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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 impact of competition on hospital outcomes. The English government introduced a policy in 2006 to promote competition … 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 162 hospitals. We find that the effect of competition is to save lives …
Persistent link: https://www.econbiz.de/10008622315
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The Effect of Patient Cost Sharing on Utilization, Health, and Risk Protection
Shigeoka, Hitoshi - National Bureau of Economic Research (NBER) - 2013
This paper exploits a sharp reduction in patient cost sharing at age 70 in Japan, using a regression discontinuity design to examine its effect on utilization, health, and financial risk arising from out-of-pocket expenditures. Due to the national policy, cost sharing is 60-80 percent lower at...
Persistent link: https://www.econbiz.de/10010969410
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Efficiency versus Equity in the Allocation of Medical Specialty Training Positions in Spain: A Health Policy Simulation Based on a Discrete Choice Model
Harris, Jeffrey E.; López-Valcárcel, Beatriz G.; … - National Bureau of Economic Research (NBER) - 2014
Background. In Spain's "MIR" system of allocating residency training positions, medical school graduates are ranked according to their performance on a national exam and then sequentially choose from the remaining available training slots. We studied how changes in the MIR system might address...
Persistent link: https://www.econbiz.de/10010969452
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To Charge or Not to Charge: Evidence from a Health Products Experiment in Uganda
Karlan, Dean; Fischer, Greg; McConnell, Margaret; … - National Bureau of Economic Research (NBER) - 2014
In a field experiment in Uganda, we find that demand after a free distribution of three health products is lower than after a sale distribution. This contrasts with work on insecticide-treated bed nets, highlighting the importance of product characteristics in determining pricing policy. We put...
Persistent link: https://www.econbiz.de/10010950656
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Effects of Pharmaceutical Promotion: A Review and Assessment
Dave, Dhaval M. - National Bureau of Economic Research (NBER) - 2013
This review discusses the role of consumer-directed and physician-directed promotion in the pharmaceutical market, based on the classic conceptual framework of whether such promotion is "persuasive" and/or "informative". Implications for public health and welfare partly depend on whether, and to...
Persistent link: https://www.econbiz.de/10010950788
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Specialty drug prices and utilization after loss of U.S. patent exclusivity, 2001-2007
Conti, Rena M.; Berndt, Ernst R. - National Bureau of Economic Research (NBER) - 2014
We examine the impact of loss of U.S. patent exclusivity (LOE) on the prices and utilization of specialty drugs between 2001 and 2007. We limit our empirical cohort to drugs commonly used to treat cancer and base our analyses on nationally representative data from IMS Health. We begin by...
Persistent link: https://www.econbiz.de/10010950850
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International Health Economics
Philipson, Tomas; Egan, Mark - National Bureau of Economic Research (NBER) - 2013
Perhaps because health care is a local service sector, health economists have paid little attention to international linkages between domestic health care economies. However, the growth in domestic health care sectors is often attributed to medical innovations whose returns are earned worldwide....
Persistent link: https://www.econbiz.de/10010950973
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Public Health Insurance Expansions and Hospital Technology Adoption
Simon, Kosali Ilayperuma; Freedman, Seth; Lin, Haizhen - National Bureau of Economic Research (NBER) - 2014
Medicaid expansion on a hospital's incentive to invest in technology. Using American Hospital Association data, we find that on …
Persistent link: https://www.econbiz.de/10010951087
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Evolving Choice Inconsistencies in Choice of Prescription Drug Insurance
Gruber, Jonathan; Abaluck, Jason - National Bureau of Economic Research (NBER) - 2013
We explore choice inconsistency over time within the Medicare Part D Prescription Drug Program. Using the full universe of Part D claims data, we revisit our earlier work on partial data to replicate our results showing large "foregone savings" among Part D enrollees. We also document that this...
Persistent link: https://www.econbiz.de/10010951145