Health insurance and imperfect competition in the health care market.

Abstract:

:We show that when health care providers have market power and engage in Cournot competition, a competitive upstream health insurance market results in over-insurance and over-priced health care. Even though consumers and firms anticipate the price interactions between these two markets - the price set in one market affects the demand expressed in the other - Pareto improvements are possible. The results suggest a beneficial role for Government intervention, either in the insurance or the health care market.

journal_name

J Health Econ

authors

Vaithianathan R

doi

10.1016/j.jhealeco.2006.03.003

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

1193-202

issue

6

eissn

0167-6296

issn

1879-1646

pii

S0167-6296(06)00030-0

journal_volume

25

pub_type

杂志文章
  • Excise tax avoidance: the case of state cigarette taxes.

    abstract::We conduct an applied welfare economics analysis of cigarette tax avoidance. We develop an extension of the standard formula for the optimal Pigouvian corrective tax to incorporate the possibility that consumers avoid the tax by making purchases in nearby lower tax jurisdictions. To provide a key parameter for our for...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2013.08.005

    authors: DeCicca P,Kenkel D,Liu F

    更新日期:2013-12-01 00:00:00

  • Long-term health effects on the next generation of Ramadan fasting during pregnancy.

    abstract::Each year, many pregnant Muslim women fast during Ramadan. Using Indonesian cross-sectional data and building upon work of Almond and Mazumder (2011), I show that people who were prenatally exposed to Ramadan fasting have a poorer general health than others. As predicted by medical theory, this effect is especially pr...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2011.07.014

    authors: van Ewijk R

    更新日期:2011-12-01 00:00:00

  • Changes in compulsory schooling and the causal effect of education on health: evidence from Germany.

    abstract::In this paper we investigate the causal effect of years of schooling on health and health-related behavior in West Germany. We apply an instrumental variables approach using as natural experiments several changes in compulsory schooling laws between 1949 and 1969. These law changes generate exogenous variation in year...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2011.01.004

    authors: Kemptner D,Jürges H,Reinhold S

    更新日期:2011-03-01 00:00:00

  • An economic evaluation of the war on cancer.

    abstract::For decades, the US public and private sectors have committed substantial resources towards cancer research, but the societal payoff has not been well-understood. We quantify the value of recent gains in cancer survival, and analyze the distribution of value among various stakeholders. Between 1988 and 2000, life expe...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2010.02.006

    authors: Lakdawalla DN,Sun EC,Jena AB,Reyes CM,Goldman DP,Philipson TJ

    更新日期:2010-05-01 00:00:00

  • Does staying in school (and not working) prevent teen smoking and drinking?

    abstract::Previous work suggests but cannot prove that education improves health behaviors. We exploit a randomized intervention that increased schooling (and reduced working) among male students in the Dominican Republic, by providing information on the returns to schooling. We find that treated youths were much less likely to...

    journal_title:Journal of health economics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jhealeco.2012.05.004

    authors: Jensen R,Lleras-Muney A

    更新日期:2012-07-01 00:00:00

  • A further analysis of the physician inducement controversy.

    abstract::This article extends several recent contributions that have compared the physician-induced demand hypothesis to the theory of a monopoly where advertising is included as a decision variable. By introducing a standard profit-maximizing model with inducement, it derives the conditions for the optimum level of inducement...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(87)90010-5

    authors: Stano M

    更新日期:1987-09-01 00:00:00

  • Does health plan generosity enhance hospital market power?

    abstract::We test whether the generosity of employer-sponsored health insurance facilitates the exercise of market power by hospitals. We construct indices of health plan generosity and the price and volume of hospital services using data from Truven MarketScan for 601 counties from 2001 to 2007. We use variation in the industr...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2015.08.007

    authors: Baker LC,Bundorf MK,Kessler DP

    更新日期:2015-12-01 00:00:00

  • Worker sorting, compensating differentials and health insurance: evidence from displaced workers.

    abstract::This article introduces an empirical strategy to the compensating differentials literature that (i) allows both individual observed and unobserved characteristics to be rewarded differently in firms based on health insurance provision, and (ii) selection to jobs that provide benefits to operate on both sides of the la...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2007.02.001

    authors: Lehrer SF,Pereira NS

    更新日期:2007-09-01 00:00:00

  • The welfare value of FDA's mercury-in-fish advisory: a dynamic reanalysis.

    abstract::Assessing the welfare impact of consumer health advisories is a thorny task. Recently, Shimshack and Ward (2010) studied how U.S. households responded to FDA's 2001 mercury-in-fish advisory. They found that the average at-risk household reduced fish consumption by 21%, resulting in a 17%-reduction in mercury exposure ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2014.06.005

    authors: Rheinberger CM,Hammitt JK

    更新日期:2014-09-01 00:00:00

  • Do maximum waiting times guarantees change clinical priorities for elective treatment? Evidence from Scotland.

    abstract::The level and distribution of patient waiting times for elective treatment are a major concern in publicly funded health care systems. Strict targets, which have specified maximum waiting times, have been introduced in the NHS over the last decade and have been criticised for distorting existing clinical priorities in...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2015.02.001

    authors: Nikolova S,Sinko A,Sutton M

    更新日期:2015-05-01 00:00:00

  • Economics, health and health economics: HYEs (healthy-years equivalent) versus QALYs (quality-adjusted live-year)

    abstract::This paper responds to Culyer and Wagstaff's (CW) and Buckingham's (B) arguments. We refute their claim about the equivalence of HYEs and QALYs; they fail to distinguish between choice under uncertainty and under certainty. CW assume that all individuals have a specific form of utility function, which yields their con...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(93)90015-7

    authors: Gafni A,Birch S,Mehrez A

    更新日期:1993-10-01 00:00:00

  • Mortality and the business cycle: Evidence from individual and aggregated data.

    abstract::There has been much interest recently in the relationship between economic conditions and mortality, with some studies showing that mortality is pro-cyclical, while others find the opposite. Some suggest that the aggregation level of analysis (e.g. individual vs. regional) matters. We use both individual and aggregate...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2017.09.005

    authors: van den Berg GJ,Gerdtham UG,von Hinke S,Lindeboom M,Lissdaniels J,Sundquist J,Sundquist K

    更新日期:2017-12-01 00:00:00

  • How payment systems affect physicians' provision behaviour--an experimental investigation.

    abstract::Understanding how physicians respond to incentives from payment schemes is a central concern in health economics research. We introduce a controlled laboratory experiment to analyse the influence of incentives from fee-for-service and capitation payments on physicians' supply of medical services. In our experiment, ph...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2011.05.001

    authors: Hennig-Schmidt H,Selten R,Wiesen D

    更新日期:2011-07-01 00:00:00

  • A model of the impact of reimbursement schemes on health plan choice.

    abstract::Flat capitation (uniform prospective payments) makes enrolling healthy enrollees profitable to health plans. Plans with relatively generous benefits may attract the sick and fail through a premium spiral. We simulate a model of idealized managed competition to explore the effect on market performance of alternatives t...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(97)00029-5

    authors: Keeler EB,Carter G,Newhouse JP

    更新日期:1998-06-01 00:00:00

  • Patient cost sharing and medical expenditures for the Elderly.

    abstract::Despite the rapidly aging population, relatively little is known about how cost sharing affects the elderly's medical spending. Exploiting longitudinal claims data and the drastic reduction of coinsurance from 30% to 10% at age 70 in Japan, we find that the elderly's demand responses are heterogeneous in ways that hav...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2015.10.005

    authors: Fukushima K,Mizuoka S,Yamamoto S,Iizuka T

    更新日期:2016-01-01 00:00:00

  • The effect of physician-hospital affiliations on hospital prices in California.

    abstract::During the 1990s, a record number of U.S. hospitals entered into some form of vertical combination with physicians. During the same period, many integrated hospital-physician arrangements broke up. Using data from California, we investigate whether such vertical activity affected hospital pricing. We find that neither...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2005.04.008

    authors: Ciliberto F,Dranove D

    更新日期:2006-01-01 00:00:00

  • A note on 'Economic conditions and alcohol problems'.

    abstract::This paper reexamines the effect of the business cycle on alcohol consumption using U.S. state-level analysis introduced by Rhum [Ruhm, C.J., 1995. Economic conditions and alcohol problems. Journal of Health Economics 14, 583-603]. Using an extended panel, this analysis finds that Ruhm's estimates are biased and incon...

    journal_title:Journal of health economics

    pub_type: 评论,杂志文章

    doi:10.1016/s0167-6296(99)00005-3

    authors: Freeman DG

    更新日期:1999-10-01 00:00:00

  • The impact of budgets for gatekeeping physicians on patient satisfaction: evidence from fundholding.

    abstract::Between 1991 and 1998 English general practices had the option of holding budgets for prescribing and elective secondary care. Fundholding was reintroduced in 2005. We examine the effect of fundholding on patients' satisfaction with their practice, using a cross section of 4441 patients from 60 practices in the last y...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2006.12.003

    authors: Dusheiko M,Gravelle H,Yu N,Campbell S

    更新日期:2007-07-01 00:00:00

  • The impact of comparative effectiveness research on health and health care spending.

    abstract::Comparative effectiveness research (CER) is thought to identify what works and does not work in health care. We interpret CER as infusing evidence on product quality into markets, shifting the relative demand for products in CER studies. We analyze how shifts in demand affect health and health care spending and demons...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2011.05.012

    authors: Basu A,Jena AB,Philipson TJ

    更新日期:2011-07-01 00:00:00

  • Blood donation and the nature of altruism.

    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

    authors: Wildman J,Hollingsworth B

    更新日期:2009-03-01 00:00:00

  • Future costs in economic evaluation. A comment on Lee.

    abstract::In a recent article in this journal Lee argued that indirect medical costs should be ignored in economic evaluations. To reach this conclusion, Lee uses an unrealistic and uncommon budget constraint. This comment highlights a number of methodological problems in Lee's analysis. Moreover, it highlights that looking at ...

    journal_title:Journal of health economics

    pub_type: 评论,杂志文章

    doi:10.1016/j.jhealeco.2008.07.007

    authors: Feenstra TL,van Baal PH,Gandjour A,Brouwer WB

    更新日期:2008-12-01 00:00:00

  • Managing imperfect competition by pay for performance and reference pricing.

    abstract::I study a managed health service market where differentiated providers compete for consumers by choosing multiple service qualities, and where copayments that consumers pay and payments that providers receive for services are set by a payer. The optimal regulation scheme is two-sided. On the demand side, it justifies ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2017.11.002

    authors: Mak HY

    更新日期:2018-01-01 00:00:00

  • Time to death and the forecasting of macro-level health care expenditures: some further considerations.

    abstract::Although the effect of time to death (TTD) on health care expenditures (HCE) has been investigated using individual level data, the most profound implications of TTD have been for the forecasting of macro-level HCE. Here we estimate the TTD model using macro-level data from the Netherlands consisting of mortality rate...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2012.08.003

    authors: van Baal PH,Wong A

    更新日期:2012-12-01 00:00:00

  • The role of regret minimisation in lifestyle choices affecting the risk of coronary heart disease.

    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

    authors: Boeri M,Longo A,Grisolía JM,Hutchinson WG,Kee F

    更新日期:2013-01-01 00:00:00

  • Does competition from ambulatory surgical centers affect hospital surgical output?

    abstract::This paper estimates the effect of ambulatory surgical centers (ASCs) on hospital surgical volume using hospital and year fixed effects models with several robustness checks. We show that ASC entry only appears to influence a hospital's outpatient surgical volume if the facilities are within a few miles of each other....

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2010.07.003

    authors: Courtemanche C,Plotzke M

    更新日期:2010-09-01 00:00:00

  • Price elasticity of expenditure across health care services.

    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

    authors: Duarte F

    更新日期:2012-12-01 00:00:00

  • The social value of mortality risk reduction: VSL versus the social welfare function approach.

    abstract::We examine how different welfarist frameworks evaluate the social value of mortality risk reduction. These frameworks include classical, distributively unweighted cost-benefit analysis--i.e., the "value per statistical life" (VSL) approach-and various social welfare functions (SWFs). The SWFs are either utilitarian or...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2014.02.001

    authors: Adler MD,Hammitt JK,Treich N

    更新日期:2014-05-01 00:00:00

  • The internet and children's psychological wellbeing.

    abstract::Late childhood and adolescence is a critical time for social and emotional development. Over the past two decades, this life stage has been hugely affected by the almost universal adoption of the internet as a source of information, communication, and entertainment. We use a large representative sample of over 6300 ch...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2019.102274

    authors: McDool E,Powell P,Roberts J,Taylor K

    更新日期:2020-01-01 00:00:00

  • The design of long term care insurance contracts.

    abstract::This paper studies the design of long term care (LTC) insurance contracts in the presence of ex post moral hazard. While this problem bears some similarity with the study of health insurance (Blomqvist, 1997) the significance of informal LTC affects the problem in several crucial ways. It introduces the potential crow...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2016.08.008

    authors: Cremer H,Lozachmeur JM,Pestieau P

    更新日期:2016-12-01 00:00:00

  • Alternative health insurance schemes: a welfare comparison.

    abstract::In this paper, we present a simple model of health insurance with asymmetric information, where we compare two alternative ways of organizing the insurance market. Either as a competitive insurance market, where some risks remain uninsured, or as a compulsory scheme, where however, the level of reimbursement of loss i...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(02)00062-0

    authors: Hansen BO,Keiding H

    更新日期:2002-09-01 00:00:00