The Welfare Effects of Restricted Hospital Choice in the US Medical Care Market /

Managed care health insurers in the US restrict their enrollees' choice of hospitals to within specific networks. This paper considers the implications of these restrictions. A three-step econometric model is used to predict consumer preferences over health plans conditional on the hospitals th...

Ausführliche Beschreibung

Gespeichert in:
1. Verfasser:
Ho, Katherine
Körperschaft:
National Bureau of Economic Research
Format:
Elektronisch E-Book
Sprache:
Englisch
Veröffentlicht:
Cambridge, Mass. National Bureau of Economic Research 2005.
Zusammenfassung:
Managed care health insurers in the US restrict their enrollees' choice of hospitals to within specific networks. This paper considers the implications of these restrictions. A three-step econometric model is used to predict consumer preferences over health plans conditional on the hospitals they offer. The results indicate that consumers place a positive and significant weight on their expected utility from the hospital network when choosing plans. A welfare analysis, assuming fixed prices, implies that restricting consumers' choice of hospitals leads to a loss to society of approximately $1 billion per year across the 43 US markets considered. This figure may be outweighed by the price reductions generated by the restriction.
Umfang:
1 online resource: illustrations (black and white);
Anmerkungen:
December 2005.
Schlagworte: