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Competing hospitals may not only use quality of service to attract patients but also their specialization profile. Applying a Hotelling-duopoly and interpreting respectively quality and specialization as vertical and horizontal differentiation, we analyze the optimal allocation in both...
Persistent link: https://www.econbiz.de/10011506836
the impact of competition on hospital outcomes. The English government introduced a policy in 2006 to promote competition …
Persistent link: https://www.econbiz.de/10013067714
Hospital administrators have expressed concern that ambulatory surgical centers (ASCs) lower the profitability of … paper estimates the effects of ASC prevalence on hospital surgical volume and profit margins using hospital and year fixed … effects models with a variety of robustness checks. We show that ASC entry only appears to influence a hospital’s outpatient …
Persistent link: https://www.econbiz.de/10014212624
negotiated prices paid to hospitals by two major HMOs. We find that a hospital?s bargaining power, and hence its price, decreases … in the ability of the HMO to construct alternative networks that exclude the hospital. Our findings also indicate that … hospitals should not be given free reign to merge as some hospital mergers, even in urban areas, can lead to anti …
Persistent link: https://www.econbiz.de/10014183135
We develop a dynamic model of hospital competition where (i) waiting times increase if demand exceeds supply; (ii …) patients choose a hospital based in part on waiting times; and (iii) hospitals incur waiting time penalties. We show that … to higher waiting times. These results are robust to different game-theoretic solution concepts, designs of the hospital …
Persistent link: https://www.econbiz.de/10012024415
This paper examines the impacts of private hospital entry on publicly funded elective care in England. From 2006 … differentially exposed to private hospital entry, instrumenting hospital entry with the location of private hospitals in the pre …-reform period. We find private hospital entry led to a 12% increase in the overall number of annual publicly funded admissions, and …
Persistent link: https://www.econbiz.de/10012149593
recognise the roles of the various players (patient, surgeon and hospital procurement department) when purchases are made from a … framework explaining prosthesis choice, considering the roles and preferences of the patient, surgeon, hospital and supplier … hospital level is explained by a vector of patient and hospital characteristics. This reveals little evidence that patient …
Persistent link: https://www.econbiz.de/10010221884
We evaluate the effect of a pro-competition reform gradually introduced in France over the 2004-2008 period on hospital … are all under a DRG-based payment system after the reform. For each hospital status, we assess the benefits of local … hospital level to take into account hospital unobserved heterogeneity and censorship in the duration of stays in a flexible way …
Persistent link: https://www.econbiz.de/10012965016
We evaluate the effect of a pro-competition reform gradually introduced in France over the 2004-2008 period on hospital … are all under a DRG-based payment system after the reform. For each hospital status, we assess the benefits of local … hospital level to take into account hospital unobserved heterogeneity and censorship in the duration of stays in a flexible way …
Persistent link: https://www.econbiz.de/10011596162
variation in the scope for competition. Using rich administrative data covering the universe of NHS hospital admissions from … outcomes and hospital cost efficiency, even in the Norwegian NHS with large distances, low fixed treatment prices, and mainly …
Persistent link: https://www.econbiz.de/10012906335