竞争与医疗支出：需求证明法的理论与应用

IF 1.7 4区经济学 Q2 ECONOMICS

Contemporary Economic Policy Pub Date : 2022-08-12 DOI:10.1111/coep.12584

James Bailey, Tom Hamami

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引用次数: 0

摘要

34个州的医院和其他医疗保健提供者在开业或扩张之前，必须从州委员会获得需求证明（CON），从而减少竞争。我们建立了一个市场集中度如何影响医疗支出的理论模型。我们的理论模型表明，集中度的提高，例如CON带来的集中度的增加，可以增加或减少支出。我们的模型预测，在成本较低、患者病情较重的市场中，CON更有可能增加支出。我们使用医疗支出小组调查（MEPS）的家庭部分的支出数据来测试我们的模型。

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Competition and health-care spending: Theory and application to Certificate of Need laws

Hospitals and other health-care providers in 34 states must obtain a Certificate of Need (CON) from a state board before opening or expanding, leading to reduced competition. We develop a theoretical model of how market concentration affects health-care spending. Our theoretical model shows that increases in concentration, such as those brought about by CON, can either increase or decrease spending. Our model predicts that CON is more likely to increase spending in markets in which costs are low and patients are sicker. We test our model using spending data from the Household Component of the Medical Expenditure Panel Survey (MEPS).

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来源期刊

Contemporary Economic Policy Multiple-

CiteScore

3.10

自引率

6.70%

发文量

期刊介绍： Contemporary Economic Policy publishes scholarly economic research and analysis on issues of vital concern to business, government, and other decision makers. Leading western scholars, including three Nobel laureates, are among CEP"s authors. The objectives are to communicate results of high quality economic analysis to policymakers, focus high quality research and analysis on current policy issues of widespread concern, increase knowledge among economists of features of the economy key to understanding the impact of policy, and to advance methods of policy analysis.