Quality competition in local hospital markets: Some econometric evidence from the period 1982–1988

1992 ◽  
Vol 34 (9) ◽  
pp. 1011-1021 ◽  
Author(s):  
Thomas N. Chirikos
2007 ◽  
Vol 55 (2) ◽  
pp. 265-288 ◽  
Author(s):  
JEAN MARIE ABRAHAM ◽  
MARTIN GAYNOR ◽  
WILLIAM B. VOGT

Author(s):  
Michael L Katz

Abstract I analyze price and quality competition in a model that captures important institutional features of U.S. hospital markets. I first consider duopoly hospitals serving a population of patients who are covered by insurance that their employers purchase from duopoly health plans. I show that second-best quality levels can be sustained as equilibrium outcomes under both indemnity insurance and managed care even when patients are fully insured. I also demonstrate that a monopoly hospital system can yield efficient quality levels and that prices may be lower under monopoly than duopoly even when there are no technical efficiencies associated with monopoly. The latter result arises when employers and health insurance plans view the hospitals as complements even though any given consumer views them as substitutes.


Medical Care ◽  
1993 ◽  
Vol 31 (1) ◽  
pp. 52-64 ◽  
Author(s):  
David Dranove ◽  
William D. White ◽  
Lawrence Wu

Author(s):  
Hanh Q. Trinh ◽  
James W. Begun

This study assesses organizational and market factors related to high-tech service differentiation in local hospital markets. The sample includes 1704 nonfederal, general acute hospitals in urban counties in the United States. We relate organizational and market factors in 2011 to service differentiation in 2013, using ordinary least squares regression. Data are compiled from the American Hospital Association Annual Survey of Hospitals, Area Resource File, and Centers for Medicare and Medicaid Services. Results show that hospitals differentiate more services relative to market rivals if they are larger than the rival and if the hospitals are further apart geographically. Hospitals differentiate more services if they are large, teaching, and nonprofit or public and if they face more market competition. Hospitals differentiate fewer services from rivals if they belong to multihospital systems. The findings underscore the pressures that urban hospitals face to offer high-tech services despite the potential of high-tech services to drive hospital costs upward.


Author(s):  
Jean Marie Abraham ◽  
Martin S. Gaynor ◽  
William B. Vogt

2005 ◽  
Author(s):  
Jean Abraham ◽  
Martin Gaynor ◽  
William Vogt

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