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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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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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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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Sinking, Swimming, or Learning to Swim in Medicare Part D
Ketcham, Jonathan D.; Lucarelli, Claudio; Miravete, … - C.E.P.R. Discussion Papers - 2011
Under Medicare Part D, senior citizens choose prescription drug insurance offred by numerous private insurers. We examine non-poor enrollees' actions in 2006 and 2007 using panel data. Our sample reduced overspending by $298 on average, with gains by 81% of them. The greatest improvements were...
Persistent link: https://www.econbiz.de/10009322981
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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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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
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Distance to cannabis-shops and age of onset of cannabis use
Palali, Ali; Ours, Jan C van - C.E.P.R. Discussion Papers - 2013
In the Netherlands cannabis use is quasi-legalized. Small quantities of cannabis can be bought in cannabis-shops. We investigate how the distance to the nearest cannabis-shop affects the age of onset of cannabis use. We use a Mixed Proportional Hazard rate framework to take account of observable...
Persistent link: https://www.econbiz.de/10011084093
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Cannabis use and suicidal ideation
Fergusson, David; Horwood, John; Ours, Jan C van; … - C.E.P.R. Discussion Papers - 2012
Globally, suicide has emerged as the second leading cause of death among youth aged 10-24 years old. In order to better understand the causes of this phenomenon, we investigate the relationship between suicidal ideation and cannabis use. Our empirical analysis is based on a 30 year longitudinal...
Persistent link: https://www.econbiz.de/10011084327
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Why do some people want to legalize cannabis use?
Grossman, Michael; Ours, Jan C van; Williams, Jenny - C.E.P.R. Discussion Papers - 2011
Preferences and attitudes to illicit drug policy held by individuals are likely to be an important influence in the development of illicit drug policy. Amongst the key factors impacting on an individual’s preferences over substance use policy are their beliefs about the costs and benefits of...
Persistent link: https://www.econbiz.de/10008854536