A denial a day keeps the doctor away

A Dunn, JD Gottlieb, AH Shapiro… - … Quarterly Journal of …, 2024 - academic.oup.com
Who bears the consequences of administrative problems in health care? We use data on
repeated interactions between a large sample of US physicians and many different insurers …

Estimating equilibrium in health insurance exchanges: Price competition and subsidy design under the aca

P Tebaldi - Review of Economic Studies, 2024 - academic.oup.com
Regulations to design private yet publicly sponsored health insurance markets are
increasingly adopted in many OECD countries. Here I combine data and economic theory to …

Equilibrium labor market search and health insurance reform

N Aizawa, H Fang - Journal of Political Economy, 2020 - journals.uchicago.edu
We present and empirically implement an equilibrium labor market search model where risk-
averse workers facing medical expenditure shocks are matched with firms making health …

Bargaining with private equity: Implications for hospital prices and patient welfare

T Liu - Available at SSRN 3896410, 2022 - papers.ssrn.com
This paper studies how changes in hospital ownership after private equity (PE) buyouts
impact hospital–insurer price negotiations and patient welfare. Estimating an empirical …

[PDF][PDF] What to Do about Health‐​ Care Markets? Policies to Make Health‐​ Care Markets Work

M Gaynor - Hamilton Project Policy Proposal, 2020 - brookings.edu
The US health-care system in based on markets, but those markets do not perform as well
as they could or should. One of the major reasons for this is lack of competition. There has …

Subsidy targeting with market power

M Polyakova, SP Ryan - 2019 - nber.org
Public programs frequently use observable characteristics of recipients, such as income, to
target benefits. We show theoretically that when the provision of the subsidized good is …

Options for states to constrain pricing power of health care providers

KL Gudiksen, RB Murray - Frontiers in Health Services, 2022 - frontiersin.org
Health care is becoming increasingly unaffordable for both individuals and employers and
prices vary in nearly incomprehensible ways that do not correlate with quality. In many …

Medicaid managed care restrictions on medications for the treatment of opioid use disorder

MT Stewart, CM Andrews, SR Feltus… - Health services …, 2024 - Wiley Online Library
Abstract Objective To examine whether Medicaid managed care plan (MCP) utilization
management policies for buprenorphine–naloxone and injectable naltrexone are related to …

Health insurers' use of quality improvement expenses to achieve a minimum medical loss ratio requirement

PH Born, E Tice Sirmans… - Journal of Risk and …, 2023 - Wiley Online Library
Health insurer medical loss ratios (MLRs) are the percentage of premium dollar spent on
medical claims and healthcare quality improvement expenses (QIEs). QIEs include activities …

Physician agency in China: evidence from a drug-percentage incentive scheme

B Wu - Journal of Development Economics, 2019 - Elsevier
This paper examines how physicians respond to financial incentives in China. Faced with
the requirement to lower drug expenditure as a percentage of the total medical expenditure …