| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w21815 |
| 来源ID | Working Paper 21815 |
| The Price Ain\u2019t Right? Hospital Prices and Health Spending on the Privately Insured | |
| Zack Cooper; Stuart V. Craig; Martin Gaynor; John Van Reenen | |
| 发表日期 | 2015-12-21 |
| 出版年 | 2015 |
| 语种 | 英语 |
| 摘要 | We use insurance claims data covering 28 percent of individuals with employer-sponsored health insurance in the US to study the variation in health spending on the privately insured, examine the structure of insurer-hospital contracts, and analyze the variation in hospital prices across the nation. Health spending per privately insured beneficiary differs by a factor of three across geographic areas and has a very low correlation with Medicare spending. For the privately insured, half of the spending variation is driven by price variation across regions and half is driven by quantity variation. Prices vary substantially across regions, across hospitals within regions, and even within hospitals. For example, even for a near homogenous service such as lower-limb MRIs, about a fifth of the total case-level price variation occurs within a hospital in the cross-section. Hospital market structure is strongly associated with price levels and contract structure. Prices at monopoly hospitals are 12 percent higher than those in markets with four or more rivals. Monopoly hospitals also have contracts that load more risk on insurers (e.g. they have more cases with prices set as a share of their charges). In concentrated insurer markets the opposite occurs – hospitals have lower prices and bear more financial risk. Examining the 366 merger and acquisitions that occurred between 2007 and 2011, we find that prices increased by over 6 percent when the merging hospitals were geographically close (e.g. 5 miles or less apart), but not when the hospitals were geographically distant (e.g. over 25 miles apart). |
| 主题 | Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance |
| URL | https://www.nber.org/papers/w21815 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/579489 |
| 推荐引用方式 GB/T 7714 | Zack Cooper,Stuart V. Craig,Martin Gaynor,et al. The Price Ain\u2019t Right? Hospital Prices and Health Spending on the Privately Insured. 2015. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w21815.pdf（9763KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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