Does price deregulation in a competitive hospital market damage quality?
J Health Econ
; 72: 102328, 2020 07.
Article
em En
| MEDLINE
| ID: mdl-32599157
ABSTRACT
Regulators may be hesitant to permit price competition in healthcare markets because of its potential to damage quality. We assess whether this fear is well founded by examining a reform that permitted Dutch health insurers to freely negotiate prices with hospitals. Unlike previous research on hospital competition that has relied on quality indicators for urgent treatments, we take advantage of a plausible absence of selection bias to identify the effect on the quality of elective procedures that should be more price responsive. Using data on all admissions for hip replacements to Dutch hospitals and a difference-in-differences comparison between more and less concentrated markets, we find no evidence that price deregulation in a competitive environment reduces quality measured by hip replacement readmission rates.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Competição Econômica
/
Hospitais
Tipo de estudo:
Health_economic_evaluation
Limite:
Humans
Idioma:
En
Revista:
J Health Econ
Assunto da revista:
HOSPITAIS
/
SERVICOS DE SAUDE
Ano de publicação:
2020
Tipo de documento:
Article