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Market Concentration

  • Health Affairs: Insurer Market Power Lowers Prices In Numerous Concentrated Provider Markets

    Tags: Health Affairs, Inpatient Spending, Market Concentration, Outpatient Spending, Peer Reviewed Journals
    Health Affairs: Insurer Market Power Lowers Prices In Numerous Concentrated Provider Markets
    Richard Scheffler, Daniel Arnold
    September 1, 2017

     ABSTRACT: Using prices of hospital admissions and visits to five types of physicians, we analyzed how provider and insurer market concentration—as measured by the Herfindahl-Hirschman Index (HHI)—interact and are correlated with prices. We found evidence that in the range of the Department of Justice’s and Federal Trade Commission’s definition of a moderately concentrated market (HHI of…

    Read more: Health Affairs: Insurer Market Power Lowers Prices In Numerous Concentrated Provider Markets
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  • NBER: Does Multispecialty Practice Enhance Physician Market Power?

    Tags: Market Concentration, NBER, Peer Reviewed Journals, Prices
    NBER: Does Multispecialty Practice Enhance Physician Market Power?
    Laurence Baker, Kate Bundorf, Daniel Kessler
    September 1, 2017

    ABSTRACT: In markets for health services, vertical integration – common ownership of producers of complementary services – may have both pro- and anti-competitive effects. Despite this, no empirical research has examined the consequences of multispecialty physician practice – a common and increasing form of vertical integration – for physician prices. We use data on 40 million…

    Read more: NBER: Does Multispecialty Practice Enhance Physician Market Power?
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  • NBER: Why Don’t Commercial Health Plans Use Prospective Payment?

    Tags: Commercially Insured, Geographic Variation, Inpatient Spending, Market Concentration, NBER, Peer Reviewed Journals
    NBER: Why Don’t Commercial Health Plans Use Prospective Payment?
    Laurence Baker, Kate Bundorf, Aileen Devlin, Daniel Kessler
    October 1, 2016

    ABSTRACT One of the key terms in contracts between hospitals and insurers is how the parties apportion the financial risk of treating unexpectedly costly patients. “Prospective” payment contracts give hospitals a lump-sum amount, depending on the medical condition of the patient, with limited adjustment for the level of services provided. We use data from the…

    Read more: NBER: Why Don’t Commercial Health Plans Use Prospective Payment?
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  • Health Affairs: Health Spending Slowdown Is Mostly Due To Economic Factors, Not Structural Change In The Health Care Sector

    Tags: Affordable Care Act, Commercially Insured, Health Affairs, Market Concentration, Peer Reviewed Journals
    Health Affairs: Health Spending Slowdown Is Mostly Due To Economic Factors, Not Structural Change In The Health Care Sector
    David Dranove, Craig Garthwaite, Christopher Ody
    August 1, 2014

    ABSTRACT: The source of the recent slowdown in health spending growth remains unclear. We used new and unique data on privately insured people to estimate the effect of the economic slowdown that began in December 2007 on the rate of growth in health spending. By exploiting regional variations in the severity of the slowdown, we determined…

    Read more: Health Affairs: Health Spending Slowdown Is Mostly Due To Economic Factors, Not Structural Change In The Health Care Sector
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