òòò½Íø Review
ISSN 0002-8282 (Print) | ISSN 1944-7981 (Online)
Hospital Choices, Hospital Prices, and Financial Incentives to Physicians
òòò½Íø Review
vol. 104,
no. 12, December 2014
(pp. 3841–84)
Abstract
We estimate an insurer-specific preference function which rationalizes hospital referrals for privately insured births in California. The function is additively separable in: a hospital price paid by the insurer, the distance traveled, and plan- and severity-specific hospital fixed effects (capturing hospital quality). We use an inequality estimator that allows for errors in price and detailed hospital-severity interactions and obtain markedly different results than those from a logit. The estimates indicate that insurers with more capitated physicians are more responsive to price. Capitated plans send patients further to utilize similar quality, lower-priced hospitals; but the cost-quality trade-off does not vary with capitation rates. (JEL G22, H51, I11, I13, I18, J44)Citation
Ho, Kate, and Ariel Pakes. 2014. "Hospital Choices, Hospital Prices, and Financial Incentives to Physicians." òòò½Íø Review 104 (12): 3841–84. DOI: 10.1257/aer.104.12.3841Additional Materials
JEL Classification
- G22 Insurance; Insurance Companies; Actuarial Studies
- H51 National Government Expenditures and Health
- I11 Analysis of Health Care Markets
- I13 Health Insurance, Public and Private
- I18 Health: Government Policy; Regulation; Public Health
- J44 Professional Labor Markets; Occupational Licensing