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The goal of this paper is to identify key issues concerning the nature of competition in health care markets and its … topic. The theoretical literature in economics on competition and quality, the theoretical literature in health economics on … this topic, and the empirical findings on competition and quality in health care markets are surveyed and their findings …
Persistent link: https://www.econbiz.de/10012761331
One of the most important debates among health economists in rich nations is whether advances in biotechnology will spare their health care systems from a financial crisis. We must consider that prevalence rates of chronic diseases declined during the twentieth century and that this rate of...
Persistent link: https://www.econbiz.de/10012758331
General medical care in the United States has historically been provided by physicians who care for their patients in both ambulatory and hospital settings. Care is now increasingly divided between physicians specializing in hospital care (hospitalists) and ambulatory-based care primary care...
Persistent link: https://www.econbiz.de/10013142933
Theoretical models of competition with fixed prices suggest that hospitals should compete by increasing quality of care … for diseases with the greatest profitability and demand elasticity. Most empirical evidence regarding hospital competition … within hospitals across quality measures. And second, while we replicate the standard result that greater competition leads …
Persistent link: https://www.econbiz.de/10012979347
of the individual insurance market, the Marketplaces invoke many of the principles of regulated competition including … the tools of regulated competition. We then discuss ways in which the Marketplace model deviates from the more …
Persistent link: https://www.econbiz.de/10012955448
Many goods and services can be readily provided through a series of unconnected transactions, but in health care close coordination over time and within care episodes improves both health outcomes and efficiency. Close coordination is problematic in the US health care system because the...
Persistent link: https://www.econbiz.de/10012766288
This paper examines the trade-off between the length of treatment days and the units of service provided per day for elderly patients in the context of the initiative taken by the Ministry of Health and Welfare of Japan to discourage lengthy hospital treatment and/or stay by elderly patients. By...
Persistent link: https://www.econbiz.de/10013139839
From 1991 to 2003, the fraction of Medicaid recipients enrolled in HMOs and other forms of Medicaid managed care (MMC) increased from 11 percent to 58 percent. This increase was largely driven by state and local mandates that required most Medicaid recipients to enroll in an MMC plan....
Persistent link: https://www.econbiz.de/10013122220
Beginning in the mid-2000s, the incidence of drug shortages rose, especially for generic injectable drugs such as anesthetics and chemotherapy treatments. We examine whether reimbursement changes contributed to the shortages, focusing on a reduction in Medicare Part B reimbursement to providers...
Persistent link: https://www.econbiz.de/10013107766
The United States aspires to use information from comparative effectiveness research (CER) to reduce waste and contain costs without instituting a formal rationing mechanism or compromising patient or physician autonomy with regard to treatment choices. With such ambitious goals, traditional...
Persistent link: https://www.econbiz.de/10013068360