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Patient Mobility, Health Care Quality and Welfare

Brekke, Kurt Richard - 2011

Patient mobility is a key issue in the EU who recently passed a new law on patients' right to EU-wide provider choice. In this paper we use a Hotelling model with two regions that differ in technology to study the impact of patient mobility on health care quality, health care financing and...

Persistent link: https://www.econbiz.de/10013120229

Hospital Competition with Soft Budgets

Brekke, Kurt Richard - 2012

We study the incentives for hospitals to provide quality and expend cost-reducing effort when their budgets are soft, i.e., the payer may cover deficits or confiscate surpluses. The basic set up is a Hotelling model with two hospitals that differ in location and face demand uncertainty, where...

Persistent link: https://www.econbiz.de/10013108158

Hospital Mergers : A Spatial Competition Approach

Brekke, Kurt Richard - 2013

Using a spatial competition framework with three ex ante identical hospitals, we study the effects of a hospital merger on quality, price and welfare. The merging hospitals always reduce quality, but the non-merging hospital responds by reducing quality if prices are fixed and increasing quality...

Persistent link: https://www.econbiz.de/10013083187

Hospital Competition with Soft Budgets

Brekke, Kurt Richard - 2013

Persistent link: https://www.econbiz.de/10013087727

Hospital Competition and Quality with Regulated Prices

Brekke, Kurt Richard - 2010

We analyse the effect of competition on quality in hospital markets with regulated prices, considering both the effect of (i) introducing competition (monopoly versus competition) and (ii) increasing competition through lower transportation costs (increased substitutability) or a higher number...

Persistent link: https://www.econbiz.de/10013152862

Hospital Competition in the National Health Service : Evidence from a Patient Choice Reform

Brekke, Kurt Richard - 2018

We study the impact of exposing hospitals in a National Health Service (NHS) to non-price competition by exploiting a patient choice reform in Norway in 2001. The reform facilitates a difference-in-difference research design due to geographical variation in the scope for competition. Using rich...

Persistent link: https://www.econbiz.de/10012906335

Competition and Physician Behaviour : Does the Competitive Environment Affect the Propensity to Issue Sickness Certificates?

Brekke, Kurt Richard - 2017

Competition among physicians is widespread, but compelling empirical evidence on the impact on service provision is limited, mainly due to lack of exogenous variation in the degree of competition. In this paper we exploit that many GPs, in addition to own practice, work in local emergency...

Persistent link: https://www.econbiz.de/10012944981

Reference Pricing with Endogenous Generic Entry

Brekke, Kurt Richard - 2015

In this paper we study the effect of reference pricing on pharmaceutical prices and expenditures when generic entry is … reimbursement scheme based on simple coinsurance. Thus, in a free entry equilibrium, the number of generics is lower under reference …. Allowing for price cap regulation, we show that the negative effect on generic entry can be reversed, and that reference …

Persistent link: https://www.econbiz.de/10013024341

Competition and Quality in Regulated Markets with Sluggish Demand

Brekke, Kurt Richard - 2010

We investigate the effect of competition on quality in regulated markets (e.g., health care, higher education, public utilities), using a Hotelling framework, in the presence of sluggish demand. We take a differential-game approach, and derive the open-loop solution (providers choose the optimal...

Persistent link: https://www.econbiz.de/10013148292

Patient Mobility, Health Care Quality and Welfare

Brekke, Kurt Richard; Levaggi, Rosella; Siciliani, Luigi; … - 2021

Patient mobility is a key issue in the EU who recently passed a new law on patients’ right to EU-wide provider choice. In this paper we use a Hotelling model with two regions that differ in technology to study the impact of patient mobility on health care quality, health care financing and...

Persistent link: https://www.econbiz.de/10013315635