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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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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. |
format | Online Article Text |
id | pubmed-6772112 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
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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