In the late 1980s, the Prospective Payment System and the expansion of managed care plans forced hospitals to be cost efficient. The increased number of hospital mergers suggests that merging is a way to become more efficient to ensure long-run survival. This study presents an economic framework...

We estimate a bargaining model of competition between hospitals and managed care organizations (MCOs) and use the estimates to evaluate the effects of hospital mergers. We find that MCO bargaining restrains hospital prices significantly. The model demonstrates the potential impact of coinsurance...

Classical analysis of health insurance markets often focuses on adverse selection, which creates a direct externality between the enrollees of the same health plan: under an imperfect risk adjustment, the higher the risks of my co-enrollees, the higher my cost of insurance. This has lead to the...

In this paper, we explore the effects of primary care physician (PCP) practice competition on five distinct quality metrics directly tied to screening, follow-up care, and prescribing behavior under Medicare Part B. Controlling for physician, practice, and area characteristics as well as zip...

In the last decades, many European hospital markets witnessed a wave of mergers leading to increased levels of market concentration. The effects of hospital mergers and the effectiveness of competition enforcement have been discussed by politicians but understudied by academics. This report...

In den letzten Jahrzehnten kam es auf vielen europäischen Krankenhausmärkten zu einer Fusionswelle, die zu einer zunehmenden Marktkonzentration geführt hat. Die Auswirkungen von Krankenhausfusionen und die wirksame Durchsetzung von Wettbewerbsrecht wurden von der Politik diskutiert, aber...

In the last decades, many European hospital markets witnessed a wave of mergers leading to increased levels of market concentration. The effects of hospital mergers and the effectiveness of competition enforcement have been discussed by politicians but understudied by academics. This report...

In den letzten Jahrzehnten kam es auf vielen europäischen Krankenhausmärkten zu einer Fusionswelle, die zu einer zunehmenden Marktkonzentration geführt hat. Die Auswirkungen von Krankenhausfusionen und die wirksame Durchsetzung von Wettbewerbsrecht wurden von der Politik diskutiert, aber...

Sweden deregulated the prices for dental services in 1999. Twenty-one Swedish county councils provide public dental services. They compete with 3000 small independent private firms. Public and private providers are subsidized by the government to an equal extent, but most of the costs are borne...

The aim of this paper is to analyze the impact of the deregulation of the Norwegian pharmaceuticals market in 2001 on costs and availability of pharmaceutical products. Data has been collected from the annual reports of a sample of Norwegian pharmacies before and after the deregulation of the...