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Health service gatekeepers
Malcomson, James - 2003
Incentive contracts for gatekeepers who control patient access to specialist medical services provide too weak incentives to investigate cost further when expected cost of treatment is greater than benefit. Making gatekeepers residual claimants with a fixed fee from which treat-ment costs must...
Persistent link: https://www.econbiz.de/10011511048
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A simple model of health insurance competition
Kemnitz, Alexander - 2010
This paper investigates competition between health insurance companies under different financing regulations. We consider two alternatives advanced in recent German health care reform discussions: competition by contribution rates (health contributions) and by fees (health premia). We find that...
Persistent link: https://www.econbiz.de/10008698408
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Coinsurance vs. copayments : reimbursement rules for a monopolistic medical product with competitive health Iinsurers
Cremer, Helmuth; Lozachmeur, Jean-Marie - 2021
This paper studies a market for a medical product in which there is perfect competition among health insurers, while the good is sold by a monopolist. Individuals differ in their severity of illness and there is ex post moral hazard. We consider two regimes: one in which insurers use coinsurance...
Persistent link: https://www.econbiz.de/10012581345
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Genetic testing and repulsion from chance
Hoel, Michael; Iversen, Tor; Nilssen, Tore; Vislie, Jon - 2004
A central theme in the international debate on genetic testing concerns the extent to which insurance companies should be allowed to use genetic information in their design of insurance contracts. We analyze this issue within a model with the following important feature: A person s well-being...
Persistent link: https://www.econbiz.de/10011402443
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Competition and physician behaviour : does the competitive environment affect the propensity to issue sickness certificates?
Brekke, Kurt R.; Holmås, Tor Helge; Monstad, Karin; … - 2017
Competition among physicians is widespread, but compelling empirical evidence on the impact on service provision is …
Persistent link: https://www.econbiz.de/10011734380
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A probability approach to pharmaceutical demand and price setting : does the identity of the third-party payer matters for prescribing doctors?
Dalen, Dag Morten; Locatelli Biey, Marilena; Sorisio, Enrico - 2011
TNF-alpha inhibitors represent one of the most important areas of biopharmaceuticals by sales, with three blockbusters accounting for 8 per cent of total pharmaceutical sale in Norway. Novelty of the paper is to examine, with the use of a unique natural policy experiment in Norway, to what...
Persistent link: https://www.econbiz.de/10009377790
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Strategic interaction in the market for physician services : the treadmill effect in a fixed budget system
Benstetter, Franz; Wambach, Achim - 2001
We examine the strategic interaction in the market for physician services when the total budget for reimbursement is fixed. We show that this prospective payment system involves { compared to a fee-for-service remuneration system { a severe coordination problem, which potentially leads to the...
Persistent link: https://www.econbiz.de/10011398025
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Prescription behavior of physicians in the public and private sector
Jussila, Elina; Kotakorpi, Kaisa; Verho, Jouko - 2022
We analyze prescription behavior of physicians in the public and private sector. We study two major diseases for which … private sector physicians are more likely to prescribe the expensive medication. The result holds after controlling for … our cases, we further find that the same physicians prescribe different medication when working in different sectors …
Persistent link: https://www.econbiz.de/10013482204
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Supplementary private health insurance in selected countries : lessons for EU governments?
Gechert, Sebastian - 2009
A famous idea to maintain affordable health expenditures is to cut back statutory health insurance (SHI) to a basic insurance and to introduce supplementary private health insurance (PHI), permitted to cover the remaining benefits and to apply managed care mechanisms. The measure is supposed to...
Persistent link: https://www.econbiz.de/10003872288
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Patient vs. provider incentives in long-term care
Hackmann, Martin B.; Pohl, R. Vincent - 2018
How do patient and provider incentives affect mode and cost of long-term care? Our analysis of 1 million nursing home stays yields three main insights. First, Medicaid-covered residents prolong their stays instead of transitioning to community-based care due to limited cost-sharing. Second,...
Persistent link: https://www.econbiz.de/10011936271