Literature DB >> 29504738

Insurer-Provider Networks in the Medical Care Market.

Katherine Ho1.   

Abstract

I use data on the hospital networks offered by managed care health insurers to estimate the expected division of profits between insurers and providers. I include a simple profit-maximization framework and an additional effect: hospitals that can secure demand without contracting with all insurers (e.g., those most attractive to consumers and those that are capacity constrained) may demand high prices that some insurers refuse to pay. Hospital mergers may also affect price bargaining. I estimate that all three types of hospitals capture higher markups than other providers. These results provide information on the hospital investment incentives generated by bargaining.

Mesh:

Year:  2009        PMID: 29504738     DOI: 10.1257/aer.99.1.393

Source DB:  PubMed          Journal:  Am Econ Rev        ISSN: 0002-8282


  8 in total

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6.  Provider networks and health plan premium variation.

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7.  Prices and market power in mental health care: Evidence from a major policy change in the Netherlands.

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8.  A game theoretic setting of capitation versus fee-for-service payment systems.

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  8 in total

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