International Journal of Health Care Finance and Economics
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Has the use of physician gatekeepers declined among HMOs? Evidence from the United States
International Journal of Health Care Finance and Economics - Tập 9 - Trang 183-195 - 2009
Since the mid-1980s, health maintenance organizations (HMOs) have grown rapidly in the United States. But despite initial successes in constraining health care costs, they have come under increasing criticism for their restrictive practices. This suggests that, to remain viable, HMOs must change their behavior. Yet few studies offer empirical evidence on the matter. The present study investigates ......
The Contingency of Contingent Valuation How Much Are People Willing to Pay against Alzheimer's Disease?
International Journal of Health Care Finance and Economics - Tập 2 - Trang 219-240 - 2002
The present work focuses on the choice of the elicitation technique within a contingent valuation (CV) framework. We simultaneously apply three different elicitation techniques to elicit willingness-to-pay (WTP) values for three programs against Alzheimer's disease. First, the dichotomous choice approach is used, which is the standard procedure. However, giving respondents only a yes/no response a......
Has the European union achieved a single pharmaceutical market?
International Journal of Health Care Finance and Economics - Tập 11 - Trang 223-244 - 2011
This paper explores price differences in the European Union (EU) pharmaceutical market, the EU’s fifth largest industry. With the aim of enhancing quality of life along with industry competitiveness and R&D capability, many EU directives have been adopted to achieve a single EU-wide pharmaceutical market. Using annual 1994–2003 data on prices of molecules that treat cardiovascular disease, we exam......
Does managed care reduce health care expenditure? Evidence from spatial panel data
International Journal of Health Care Finance and Economics - Tập 14 - Trang 207-227 - 2014
Similar to, for example, the US, Switzerland or Great Britain the German health care sector has recently undergone a series of reforms towards managed care. These measures are intended to yield both a higher quality of care and cost containment. In our study we ask whether managed care reduces health care expenditure at the market level. We apply a macroeconomic evaluation approach based on a regi......
Market power and contract form: evidence from physician group practices
International Journal of Health Care Finance and Economics - Tập 11 - Trang 115-132 - 2011
We examine how the market power of physician groups affects the form of their contracts with health insurers. We develop a simple model of physician contracting based on ‘behavioral economics’ and test it with data from two sources: a survey of physician group practices in Minnesota; and the physician component of the Community Tracking Survey. In both data sets we find that increases in groups’ m......
The organization and funding of the treatment of end-stage renal disease in Australia
International Journal of Health Care Finance and Economics - Tập 7 - Trang 113-132 - 2007
Treatment rates for end-stage renal disease have risen over the last 25 years in Australia, from 3,181 patients in 1981 to 14,221 patients (707 per million) in 2004. Access to dialysis services is largely through the national public insurance system, with more than 85% of services provided by public hospitals for outpatient (68%) or home-based (32%) care. Annual payment rates per patient are aroun......
The Evolving Science of Quality Measurement for Hospitals: Implications for Studies of Competition and Consolidation
International Journal of Health Care Finance and Economics - Tập 4 - Trang 131-157 - 2004
The literature on hospital competition and quality is young; most empirical studies have focused on few conditions and outcomes. Measures of in-hospital mortality and complications are susceptible to bias from unmeasured severity and transfer/discharge practices. Only one research team has evaluated related process and outcome measures, and none has exploited chart-review or patient survey-based d......
Spillover Effects of Medicare Fee Reductions: Evidence from Ophthalmology
International Journal of Health Care Finance and Economics - Tập 2 - Trang 171-188 - 2002
Relatively little research has examined physicians' supply responses to Medicare fee cuts especially whether fee reductions for specific procedures have “spillover” effects that cause physicians to increase the supply of other services they provide. In this study we investigate whether ophthalmologist changed their provision of non-cataract services to Medicare patients over the time period 1992–1......
Information vs advertising in the market for hospital care
International Journal of Health Care Finance and Economics - Tập 8 - Trang 145-162 - 2007
Recent health care reforms have introduced prospective payments and have allowed patients to choose their preferred providers. The expected outcome is efficiency in production and an increase in the quality level. The former objective should be obtained by the prospective payment scheme; the latter by the demand mechanism, through the competition between providers. Unfortunately, because of asymme......
Evaluating an employee wellness program
International Journal of Health Care Finance and Economics - Tập 13 - Trang 173-199 - 2013
What criteria should be used to evaluate the impact of a new employee wellness program when the initial vendor contract expires? Published academic literature focuses on return-on-investment as the gold standard for wellness program evaluation, and a recent meta-analysis concludes that wellness programs can generate net savings after one or two years. In contrast, surveys indicate that fewer than ......
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