Findings suggest that many hospitals' negotiating leverage significantly increased after years of decline. Today, many … hospitals are viewed as having the greatest leverage in local markets. Changes in three areas—the policy and purchasing … context, managed care plan market, and hospital market—appear to explain why hospitals' leverage increased, particularly …

We estimate a bargaining model of competition between hospitals and managed care organizations (MCOs) and use the … hospitals. We show that increasing patient coinsurance tenfold would reduce prices by 16%. We find that a proposed hospital …

are age and number of diagnoses. Under the current NHS fixed price payment system, there are incentives for hospitals to …

first three years of Tennessee's Medicaid managed care program, TennCare. Using claims data containing fee …

for women not enrolled in TennCare. Variation in outcomes across managed care organizations is probably due to risk …