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Market structure and hospital–insurer 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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer-Verlag
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3197939/ https://www.ncbi.nlm.nih.gov/pubmed/20853127 http://dx.doi.org/10.1007/s10198-010-0273-z |
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author | Halbersma, R. S. Mikkers, M. C. Motchenkova, E. Seinen, I. |
author_facet | Halbersma, R. S. Mikkers, M. C. Motchenkova, E. Seinen, I. |
author_sort | Halbersma, R. S. |
collection | PubMed |
description | 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 structure–conduct–performance model (SCP-model) along the lines of Melnick et al. (J Health Econ 11(3): 217–233, 1992) to estimate the effects of buyer and seller concentration on price–cost 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: 417–434, 1997). In the SCP-model, we find that the market shares of hospitals (insurers) have a significantly positive (negative) impact on the hospital price–cost 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. |
format | Online Article Text |
id | pubmed-3197939 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-31979392011-11-10 Market structure and hospital–insurer bargaining in the Netherlands Halbersma, R. S. Mikkers, M. C. Motchenkova, E. Seinen, I. Eur J Health Econ Original Paper 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 structure–conduct–performance model (SCP-model) along the lines of Melnick et al. (J Health Econ 11(3): 217–233, 1992) to estimate the effects of buyer and seller concentration on price–cost 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: 417–434, 1997). In the SCP-model, we find that the market shares of hospitals (insurers) have a significantly positive (negative) impact on the hospital price–cost 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. Springer-Verlag 2010-09-19 2011 /pmc/articles/PMC3197939/ /pubmed/20853127 http://dx.doi.org/10.1007/s10198-010-0273-z Text en © The Author(s) 2010 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Original Paper Halbersma, R. S. Mikkers, M. C. Motchenkova, E. Seinen, I. Market structure and hospital–insurer bargaining in the Netherlands |
title | Market structure and hospital–insurer bargaining in the Netherlands |
title_full | Market structure and hospital–insurer bargaining in the Netherlands |
title_fullStr | Market structure and hospital–insurer bargaining in the Netherlands |
title_full_unstemmed | Market structure and hospital–insurer bargaining in the Netherlands |
title_short | Market structure and hospital–insurer bargaining in the Netherlands |
title_sort | market structure and hospital–insurer bargaining in the netherlands |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3197939/ https://www.ncbi.nlm.nih.gov/pubmed/20853127 http://dx.doi.org/10.1007/s10198-010-0273-z |
work_keys_str_mv | AT halbersmars marketstructureandhospitalinsurerbargaininginthenetherlands AT mikkersmc marketstructureandhospitalinsurerbargaininginthenetherlands AT motchenkovae marketstructureandhospitalinsurerbargaininginthenetherlands AT seineni marketstructureandhospitalinsurerbargaininginthenetherlands |