Georgetown University LogoGeorgetown University Library LogoDigitalGeorgetown Home
    • Login
    View Item 
    •   DigitalGeorgetown Home
    • Georgetown University Institutional Repository
    • McCourt School of Public Policy
    • Graduate Theses and Dissertations - Public Policy
    • View Item
    •   DigitalGeorgetown Home
    • Georgetown University Institutional Repository
    • McCourt School of Public Policy
    • Graduate Theses and Dissertations - Public Policy
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    COMPETITION AND QUALITY OUTCOMES IN THE HEALTH CARE MARKET: A BILATERAL ANALYSIS

    Cover for COMPETITION AND QUALITY OUTCOMES IN THE HEALTH CARE MARKET:  A BILATERAL ANALYSIS
    View/Open
    View/Open: Li_georgetown_0076M_12221.pdf (913kB) Bookview

    Creator
    Li, Tingting
    Advisor
    Pylypchuk, Yuriy O
    Abstract
    Micro-economic theory suggests both insurance market concentration and hospital market concentration may affect outcomes such as insurance premium and quality of care. Moreover, as concentration in the insurance market and hospital market may interact, it is impossible for economic theory to sign the impact. Using Healthcare Cost and Utilization Project (HCUP) 2007 data this paper addresses the question empirically. Insurance and hospital market concentrations are measured by Herfindahl-Hirschman Index (HHI) and quality of care is measured by length of inpatient stay in days and probability of dying during hospitalization. To address the potential endogeneity problem, lagged values of both markets' HHIs are used as instrumental variables. The results of regressions on length of stay show that, generally, increases of both insurance and hospital market concentration erode the quality of care, while the exact impact of the structure of one market depends on the structure of the other. Study finds a positive correlation between monopoly-monopsony confrontation and quality of care in extreme cases but outcomes experienced by patients in such market are worse than outcomes experienced by patients in competitive markets. Results about inpatient mobility are mixed. These findings suggest that, anti-competition trends in health care market should be closely monitored and regulated.
    Description
    M.P.P.
    Permanent Link
    http://hdl.handle.net/10822/558659
    Date Published
    2013
    Subject
    competition; health care; HHI; hospital market; insurance market; market concentration; Health services administration; Economics; Health care management; Economics;
    Type
    thesis
    Embargo Lift Date
    2015-06-11
    Publisher
    Georgetown University
    Extent
    50 leaves
    Collections
    • Graduate Theses and Dissertations - Public Policy
    Metadata
    Show full item record

    Related items

    Showing items related by title, author, creator and subject.

    • Thumbnail

      Market Competition: Everybody Is Talking, but What Do They Say? A Sociological Analysis of Market Competition in Policy Networks 

      Paulus, Aggie; van Raak, Arno; van der Made, Jan; Mur-Veeman, Ingrid (2003-06)
    Related Items in Google Scholar

    Georgetown University Seal
    ©2009 - 2022 Georgetown University Library
    37th & O Streets NW
    Washington DC 20057-1174
    202.687.7385
    digitalscholarship@georgetown.edu
    Accessibility
     

     

    Browse

    All of DigitalGeorgetownCommunities & CollectionsCreatorsTitlesBy Creation DateThis CollectionCreatorsTitlesBy Creation Date

    My Account

    Login

    Statistics

    View Usage Statistics

    Georgetown University Seal
    ©2009 - 2022 Georgetown University Library
    37th & O Streets NW
    Washington DC 20057-1174
    202.687.7385
    digitalscholarship@georgetown.edu
    Accessibility