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Price effects of a hospital merger: Heterogeneity across health insurers, hospital products, and hospital locations

In most studies on hospital merger effects, the unit of observation is the merged hospital, whereas the observed price is the weighted average across hospital products and across payers. However, little is known about whether price effects vary between hospital locations, products, and payers. We ex...

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Autores principales: Roos, Anne‐Fleur, Croes, Ramsis R., Shestalova, Victoria, Varkevisser, Marco, Schut, Frederik T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6772112/
https://www.ncbi.nlm.nih.gov/pubmed/31264329
http://dx.doi.org/10.1002/hec.3920
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author Roos, Anne‐Fleur
Croes, Ramsis R.
Shestalova, Victoria
Varkevisser, Marco
Schut, Frederik T.
author_facet Roos, Anne‐Fleur
Croes, Ramsis R.
Shestalova, Victoria
Varkevisser, Marco
Schut, Frederik T.
author_sort Roos, Anne‐Fleur
collection PubMed
description In most studies on hospital merger effects, the unit of observation is the merged hospital, whereas the observed price is the weighted average across hospital products and across payers. However, little is known about whether price effects vary between hospital locations, products, and payers. We expand existing bargaining models to allow for heterogeneous price effects and use a difference‐in‐differences model in which price changes at the merging hospitals are compared with price changes at comparison hospitals. We find evidence of heterogeneous price effects across health insurers, hospital products and hospital locations. These findings have implications for ex ante merger scrutiny.
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spelling pubmed-67721122019-10-07 Price effects of a hospital merger: Heterogeneity across health insurers, hospital products, and hospital locations Roos, Anne‐Fleur Croes, Ramsis R. Shestalova, Victoria Varkevisser, Marco Schut, Frederik T. Health Econ Research Articles In most studies on hospital merger effects, the unit of observation is the merged hospital, whereas the observed price is the weighted average across hospital products and across payers. However, little is known about whether price effects vary between hospital locations, products, and payers. We expand existing bargaining models to allow for heterogeneous price effects and use a difference‐in‐differences model in which price changes at the merging hospitals are compared with price changes at comparison hospitals. We find evidence of heterogeneous price effects across health insurers, hospital products and hospital locations. These findings have implications for ex ante merger scrutiny. John Wiley and Sons Inc. 2019-07-01 2019-09 /pmc/articles/PMC6772112/ /pubmed/31264329 http://dx.doi.org/10.1002/hec.3920 Text en © 2019 The Authors Health Economics Published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research Articles
Roos, Anne‐Fleur
Croes, Ramsis R.
Shestalova, Victoria
Varkevisser, Marco
Schut, Frederik T.
Price effects of a hospital merger: Heterogeneity across health insurers, hospital products, and hospital locations
title Price effects of a hospital merger: Heterogeneity across health insurers, hospital products, and hospital locations
title_full Price effects of a hospital merger: Heterogeneity across health insurers, hospital products, and hospital locations
title_fullStr Price effects of a hospital merger: Heterogeneity across health insurers, hospital products, and hospital locations
title_full_unstemmed Price effects of a hospital merger: Heterogeneity across health insurers, hospital products, and hospital locations
title_short Price effects of a hospital merger: Heterogeneity across health insurers, hospital products, and hospital locations
title_sort price effects of a hospital merger: heterogeneity across health insurers, hospital products, and hospital locations
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6772112/
https://www.ncbi.nlm.nih.gov/pubmed/31264329
http://dx.doi.org/10.1002/hec.3920
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