5 research outputs found
Market structure and hospitalāinsurer bargaining in the Netherlands
In 2005, competition was introduced in part of the hospital market in the Netherlands. Using a unique dataset of transactions and list prices between hospitals and insurers in the years 2005 and 2006, we estimate the influence of buyer and seller concentration on the negotiated prices. First, we use a traditional structureāconductāperformance model (SCP-model) along the lines of Melnick et al. (J Health Econ 11(3): 217ā233, 1992) to estimate the effects of buyer and seller concentration on priceācost margins. Second, we model the interaction between hospitals and insurers in the context of a generalized bargaining model similar to Brooks et al. (J Health Econ 16: 417ā434, 1997). In the SCP-model, we find that the market shares of hospitals (insurers) have a significantly positive (negative) impact on the hospital priceācost margin. In the bargaining model, we find a significant negative effect of insurer concentration, but no significant effect of hospital concentration. In both models, we find a significant impact of idiosyncratic effects on the market outcomes. This is consistent with the fact that the Dutch hospital sector is not yet in a long-run equilibrium
The income distributive implications of recent private health insurance policy reforms in Australia
Private health insurance (PHI), Tax subsidy, Australia, I10, I18,