Abstract：
:Has the nature of hospital competition changed from a medical arms race in which hospitals compete for patients by offering their doctors high quality services to a price war for the patients of payors? This paper uses time-series cross-sectional methods on California hospital discharge data from 1986-1994 to show the association of hospital prices with measures of market concentration changed steadily over this period, with prices now higher in less competitive areas, even for non-profit hospitals. Regression results are used to simulate the price impact of hypothetical hospital mergers.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Keeler EB,Melnick G,Zwanziger Jdoi
10.1016/s0167-6296(98)00036-8subject
Has Abstractpub_date
1999-01-01 00:00:00pages
69-86issue
1eissn
0167-6296issn
1879-1646pii
S0167-6296(98)00036-8journal_volume
18pub_type
杂志文章abstract：:We exploit lottery-determined admission to dental school to estimate the payoffs to the study of dentistry in the Netherlands. Using data from up to 22 years after the lottery, we find that in most years after graduation dentists earn around 50,000 Euros more than they would earn in their next-best profession. The pay...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2018.11.001
更新日期：2019-01-01 00:00:00
abstract：:This study used 1982-1986 data on 262 private community hospitals to evaluate the effects of selective contracting for inpatient services by California's Medicaid program. Selective contracting by Medicaid significantly reduced the rate of inflation in average costs per admission and per patient day, while slightly in...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(90)90025-x
更新日期：1989-01-01 00:00:00
abstract：:This paper introduces the discrete choice model-paradigm of Random Regret Minimisation (RRM) to the field of health economics. The RRM is a regret-based model that explores a driver of choice different from the traditional utility-based Random Utility Maximisation (RUM). The RRM approach is based on the idea that, whe...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2012.10.007
更新日期：2013-01-01 00:00:00
abstract：:The concept of health human capital guides the statistical study of (1) health production functions, (2) derived demands for medical and behavioral health inputs, and (3) determinants of health and productivity outcomes. Health inputs are generally endogenous to health outcomes, and prices of health inputs are the mos...
journal_title：Journal of health economics
pub_type： 评论,杂志文章
doi：10.1016/j.jhealeco.2004.04.002
更新日期：2004-07-01 00:00:00
abstract：:While social networks have been examined in the context of many economic choices and outcomes, this study is the first to investigate the effects of social networks on health service utilization decisions. Networks can affect utilization decisions in many ways. They can provide information on institutional details of ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2005.03.008
更新日期：2005-11-01 00:00:00
abstract：:Estimates of the surplus loss due to physician practice variation measure the area under the 'shifted' demand curve. This method is valid only if the unshifted demand curve is derived form the distribution of true(ex post) values of care. If the unshifted demand curve does not reflect the true value of care, then the ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(95)00005-3
更新日期：1995-06-01 00:00:00
abstract：:Youth smoking is an important target for public policy. The implicit assumption behind targeting youth is that policies that reduce youth smoking initiation will reduce lifetime smoking propensities. This assumption has never been tested empirically. I use data from the National Longitudinal Survey of Youth (NLSY) to ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(01)00118-7
更新日期：2002-01-01 00:00:00
abstract：:This article analyses the redistributive effect caused by health financing and the distribution of healthcare utilization in Argentina before and during the severe 2001/2002 economic crisis. Both dramatically changed during this period: the redistributive effect became much more positive and utilization shifted from p...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2010.03.008
更新日期：2010-07-01 00:00:00
abstract：:Increasing the adoption of generic drugs has the potential to improve static efficiency in a health system without harming pharmaceutical innovation. However, very little is known about the timing of generic adoption and diffusion. No prior study has empirically examined the differential launch times of generics acros...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2014.04.004
更新日期：2014-12-01 00:00:00
abstract：:This study uses data on 8561 elderly respondents from the 1991 Medicare Current Beneficiary Survey to examine adverse selection in the supplemental private insurance market. Logit models of supplemental insurance choices provided modest but mixed evidence of self-selection on the basis of observable health status. Wea...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(97)00011-8
更新日期：1997-10-01 00:00:00
abstract：:This paper studies the health effects of one of the world's largest demand-side financial incentive programmes--India's Janani Suraksha Yojana. Our difference-in-difference estimates exploit heterogeneity in the implementation of the financial incentive programme across districts. We find that cash incentives to women...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2015.07.001
更新日期：2015-09-01 00:00:00
abstract：:Who pays the healthcare costs associated with obesity? Among workers, this is largely a question of the incidence of the costs of employer-sponsored coverage. Using data from the National Longitudinal Survey of Youth and the Medical Expenditure Panel Survey, we find that the incremental healthcare costs associated wit...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2009.02.009
更新日期：2009-05-01 00:00:00
abstract：:Investigates production and cost effects of teaching in radiology departments. If students are substitutes for physicians, production costs may be less in teaching than in non-teaching hospitals for a given level of output. Empirical results for Veterans Administration hospitals suggest that teaching reduces costs for...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(83)90010-3
更新日期：1983-03-01 00:00:00
abstract：:The last time that federal excise taxes on alcoholic beverages were increased was 1991. The changes were larger than the typical state-level changes that have been used to study price effects, but the consequences have not been assessed due to the lack of a control group. Here we develop and implement a novel method f...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2012.11.003
更新日期：2013-01-01 00:00:00
abstract：:The price effects of the Swedish pharmaceutical substitution reform are analyzed using data for a panel of all pharmaceutical product sold in Sweden in 1997-2007. The price reduction due to the reform was estimated to average 10% and was found to be significantly larger for brand-name pharmaceuticals than for generics...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2010.08.003
更新日期：2010-12-01 00:00:00
abstract：:Recently, much research has been devoted to the question of how the conventional net national product measure should be augmented so as to cover changes in the stocks of natural resources. This paper investigates the treatment of health (capital) and the risk of 'doomsday' caused by pollution in such welfare measures....
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(94)00037-5
更新日期：1995-05-01 00:00:00
abstract：:Policymakers in countries around the world are faced with rising health care costs and are debating ways to reform health care to reduce expenditures. Estimates of price elasticity of expenditure are a key component for predicting expenditures under alternative policies. Using unique individual-level data compiled fro...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2012.07.002
更新日期：2012-12-01 00:00:00
abstract：:Swedish cross-sectional survey data on young individuals aged 12-18-year-old was used to analyse school-class based peer effects in binge drinking, smoking and illicit-drug use. Significant and positive peer effects were found for all three activities. By introducing school/grade fixed effects, the estimated peer effe...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2005.02.001
更新日期：2006-03-01 00:00:00
abstract：:Partial expected value of perfect information (EVPI) quantifies the value of removing uncertainty about unknown parameters in a decision model. EVPIs can be computed via Monte Carlo methods. An outer loop samples values of the parameters of interest, and an inner loop samples the remaining parameters from their condit...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2010.03.006
更新日期：2010-05-01 00:00:00
abstract：:This article introduces a model in which individuals incur adjustment costs associated with adaptations made following changes in their health. With adjustment costs, patients' preferences for health states depend on their initial health in such a way that improvements have lower values than corresponding deterioratio...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2003.12.004
更新日期：2004-03-01 00:00:00
abstract：:Using a discrete choice experiment, this paper estimates the willingness to pay for biofortified orange maize in rural Zambia. The study design has five treatment arms, which enable an analysis of the impact of nutrition information, comparing the use of simulated radio versus community leaders in transmitting the nut...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2012.01.002
更新日期：2012-01-01 00:00:00
abstract：:Using administrative data from Norway, we examine the extent to which family doctors influence their clients' propensity to claim sick-pay. The analysis exploits exogenous switches of family doctors occurring when physicians quit, retire, or for other reasons sell their patient lists. We find that family doctors have ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2013.10.005
更新日期：2013-12-01 00:00:00
abstract：:Most government employees have access to retiree health coverage, which provides them with group health coverage even if they retire before Medicare eligibility. We study the impact of retiree health coverage on the labor supply of public sector workers between the ages of 55 and 64. We find that retiree health covera...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2014.03.013
更新日期：2014-12-01 00:00:00
abstract：:We quantify the lasting effects of childhood health and economic circumstances on adult health, employment and socioeconomic status, using data from a birth cohort that has been followed from birth into middle age. Controlling for parental income, education and social class, children who experience poor health have si...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2004.09.008
更新日期：2005-03-01 00:00:00
abstract：:EQ-5D is used in cost-effectiveness studies underlying many important health policy decisions. It comprises a survey instrument describing health states across five domains, and a system of utility values for each state. The original 3-level version of EQ-5D is being replaced with a more sensitive 5-level version but ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2017.06.013
更新日期：2017-09-01 00:00:00
abstract：:Reform proposals of health care systems in several countries have advocated variations of a risk adjustment/capitation system. These proposals face a serious objection: incentives to risk selection are prevalent in the system. By now, considerable literature has been devoted to finding ways of mitigating, if not elimi...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/S0167-6296(02)00119-4
更新日期：2003-05-01 00:00:00
abstract：:This paper presents the first attempt to use a discrete choice experiment to derive distributional weights for quality adjusted life years (QALYs), based on characteristics (age and severity) of the beneficiaries. A novel approach using the Hicksian compensating variation is applied. Advantages include derivation of w...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2011.01.003
更新日期：2011-03-01 00:00:00
abstract：:Approximately 10% of people have O-negative blood. Because it can be transfused into almost anyone, hospitals particularly value such blood. We use this fact, together with the assumption that blood types are exogenously assigned by nature, to design an empirical inquiry into altruism. We also investigate the timing o...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2008.11.005
更新日期：2009-03-01 00:00:00
abstract：:Using the theory of multiproduct cost functions, a treatment cost function is derived for diseases which progress through a number of stages. The output classes are conceived as the stages at detection of the disease, with the unit of output within each class being the treated case. The derivation clarifies the assump...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(95)00007-5
更新日期：1995-08-01 00:00:00
abstract：:By comparing aggregated physician utilization data in Michigan with a disaggregated measure of the intensity with which physicians treat their patients, the article shows that the availability effect found in many studies of the physician services markets is due to the larger number of providers seen by patients in ph...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(85)90029-3
更新日期：1985-09-01 00:00:00
