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For-profit status and industry evolution in health care markets: evidence from the dialysis industry.
Wilson, Nathan E.
Afiliação
  • Wilson NE; Federal Trade Commission, 600 Pennsylvania Avenue NW, Washington, DC, 20580, USA. nwilson@ftc.gov.
Int J Health Econ Manag ; 16(4): 297-319, 2016 Dec.
Article em En | MEDLINE | ID: mdl-27878689
ABSTRACT
This paper examines why for-profit dialysis providers have displaced non-profit providers over the last 25 years. Using detailed data on individual markets' evolutions, I find that for-profit facilities were quicker to enter growing markets and slower to exit declining ones than non-profit facilities. Moreover, for-profit providers' presence in a market had a larger impact on the exit and entry behavior of competitors. These results suggest that for-profit dialysis providers have an advantage in static competition relative to non-profit providers, and that this-rather than lower entry costs-explains their increasing prominence. Additional empirical analyses indicate that for-profits' advantage cannot solely be attributed to efficiencies related to membership in a large, multi-facility chain. This further suggests that managerial incentives have had an economically significant impact on long-run market structure in this industry.
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Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Diálise Renal / Setor de Assistência à Saúde / Instituições de Assistência Ambulatorial / Instituições Privadas de Saúde País/Região como assunto: America do norte Idioma: En Revista: Int J Health Econ Manag Ano de publicação: 2016 Tipo de documento: Article
Buscar no Google
Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Diálise Renal / Setor de Assistência à Saúde / Instituições de Assistência Ambulatorial / Instituições Privadas de Saúde País/Região como assunto: America do norte Idioma: En Revista: Int J Health Econ Manag Ano de publicação: 2016 Tipo de documento: Article