Multi-unit ownership and branding are separate decisions and non-consumer audiences can affect both. In this study we distinguish between the branding and chaining decisions of nursing homes, while measuring the effects of litigation and labor unions on these decisions. Chaining (independent of...

We propose and test a model of the strategic interaction between public and private insurers in the physician services market. We depart from the standard healthcare service pricing model and allow physicians to (partially) adjust patient access based on price differences between insurers....

The government-sponsored Five-Star Quality Rating System (FSQRS) aggregates multiple measures of nursing home quality into a standardized overall rating. Previous research has found that the FSQRS affected consumer demand and correspondingly motivated a strategic shift towards competing for...

Models of horizontal integration typically describe a tradeoff between multi-unit efficiencies and managerial agency costs. In extreme cases where managers cannot be incented contractually private ownership is thought to be the primary organizational substitute. In this paper we explore...

The previous decade witnessed a consumer “backlash” against cost-reducing models of health insurance that restrict consumers' decision rights and choices. In this paper I test the hypothesis that consumers' positive valuation of provider choice lead to a flight from HMO enrollments in the...