Health care costs in the United States are much higher than in other countries. These cost differences can be explained in part by a lack of competition in the United States. Some markets, such as pharmaceuticals and medical equipment, have elements of monopoly. Other markets, such as health...

The landscape of the U.S. healthcare industry is changing dramatically as healthcare providers expand both within and across markets. While federal antitrust agencies have mounted several challenges to same-market combinations, they have not challenged any non-horizontal affiliations - including...

Retail clinics are an innovation that has the potential to improve competition in health care markets. We use the universe of emergency room (ER) visits in New Jersey from 2006-2014 to examine the impact of retail clinics on ER usage. We find significant effects of retail clinics on ER visits...

I assess the extent to which the gender gap in physician earnings may be driven by physicians' preference for referring to specialists of the same gender. Analyzing administrative data on 100 million Medicare patient referrals, I provide robust evidence that doctors refer more to specialists of...

There is much debate about the effects of pharmaceutical direct to consumer advertising (DTCA) on health care use. In this paper, we inform this debate by examining the effects of DTCA on office visits, as well as treatment courses resulting from those visits, for five common chronic conditions...

"The COVID-19 pandemic has laid bare the world's vulnerabilities to health and economic ruin from disease outbreaks. But the pandemic merely reveals fundamental weaknesses and contradictions in global health. What are the roots of discontents in global health? How do geo-politics, power...

Financial Management in Context -- Organization of Financial Management -- Financial Analysis and Management Reporting -- Tax Status of Healthcare Oganizations -- Third-Party Payment -- Medicare -- Medicaid -- Cost Accounting -- Reimbursement -- Managing Working Capital -- Managing Revenue Cycle...

Einleitende Überlegungen -- Gesellschaftlicher Rahmen, Marktgeschehen und Gesundheit -- Die Gesundheitswirtschaft und die aktuelle Marktentwicklung -- Der Umbruch in der Patientensicht -- Evidenz eines neuen Patientenverhaltens als Konsumenten -- Analytische Betrachtung einer neuen...

I review the key issues that arise in financing health care delivery. I begin by documenting the key features of health care markets that make financing so central in this sector, such as the skewed and unpredictable nature of health care spending and market failures in health care delivery. I...

Der Beitrag untersucht die Übernahmen von Unternehmen im deutschen Gesund-heitssektor durch Private Equity-Gesellschaften. Hierzu wurden Transaktionsdaten aus verschiedenen Datenquellen für die Jahre 2013 bis zum ersten Halbjahr 2018 aus-gewertet. Für diesen Zeitraum konnten rund 130...

A Guide Through the Wilderness -- What is a Healthcare System? -- Population Health -- Goals of Healthcare -- The 800-Pound Gorilla : Rising Healthcare Costs -- Managing Quality : Another 800-Pound Gorilla? -- Healthcare Providers -- The Medical Profession -- Primary Care : Physicians, Nurses,...

We examine the impacts of physician-hospital integration on care fragmentation and other measures of care-coordination using a dynamic model of movers and stayers in commercially insured plans. Although recent growth in the share of practicing physicians belonging to these vertical organizations...

Prescription Drugs: Monopolies and Profits -- Hospitals : Profit First -- Physicians -- Health Plans : The Money Middlemen -- European Systems of Health-Care Delivery -- The Affordable Care Act of 2010 and Other Federal Health-Care Laws -- Emergency Departments -- The Medical Implant Device...

"When it comes to healthcare, bigger isn't always better. The early-1990s rise of "megaproviders"-large, hospital-based healthcare systems that have become the norm in American medicine-brought promises of accessibility, cost savings, and excellence to the American healthcare experience. Today's...

In this paper, I assess the extent to which the gender gap in physician earnings may be driven by physicians' preference for working with specialists of the same gender. By analyzing administrative data on 100 million Medicare patient referrals, I provide robust evidence that doctors refer more...

A central question in the debate over privatized Medicare is whether increased government payments to private Medicare Advantage (MA) plans generate lower premiums for consumers or higher profits for producers. Using difference-in-differences variation brought about by a sharp legislative...

Retail clinics are an innovation that has the potential to improve competition in health care markets. We use the universe of emergency room (ER) visits in New Jersey from 2006-2014 to examine the impact of retail clinics on ER usage. We find significant effects of retail clinics on ER visits...

In this study we examine the impact of a value-based insurance design (V-BID) program implemented between 2010 and 2013 at a large public employer in the state of Oregon. The program substantially increased cost-sharing, specifically copayments and coinsurance, for several healthcare services...

Retail clinics are an innovation that has the potential to improve competition in health care markets. We use the universe of emergency room (ER) visits in New Jersey from 2006-2014 to examine the impact of retail clinics on ER usage. We find significant effects of retail clinics on ER visits...

In this paper, I assess the extent to which the gender gap in physician earnings may be driven by physicians' preference for working with specialists of the same gender. By analyzing administrative data on 100 million Medicare patient referrals, I provide robust evidence that doctors refer more...

In markets for health services, vertical integration - common ownership of producers of complementary services - may have both pro- and anti-competitive effects. Despite this, no empirical research has examined the consequences of multispecialty physician practice - a common and increasing form...

We evaluate the consequences of narrow hospital networks in commercial health care markets. We develop a bargaining solution, Nash-in-Nash with Threat of Replacement, that captures insurers' incentives to exclude, and combine it with California data and estimates from Ho and Lee (2017) to...

The retail clinic is an innovation that has the potential to improve competition in health care markets. Given concern about inefficient use of the emergency room (ER) increasing health care costs, we use all ER visits in New Jersey from 2006-2014 to examine the impact of retail clinics on ER...

In this study we examine the impact of a value-based insurance design (V-BID) program implemented between 2010 and 2013 at a large public employer in the state of Oregon. The program substantially increased cost-sharing, specifically copayments and coinsurance, for several healthcare services...

In markets for health services, vertical integration – common ownership of producers of complementary services – may have both pro- and anti-competitive effects. Despite this, no empirical research has examined the consequences of multispecialty physician practice – a common and increasing...

Why do insurers choose to exclude medical providers, and when would this be socially desirable? We examine network design from the perspective of a profit-maximizing insurer and a social planner to evaluate the welfare effects of narrow networks and restrictions on their use. An insurer may...

We evaluate the consequences of narrow hospital networks in commercial health care markets. We develop a bargaining solution, Nash-in-Nash with Threat of Replacement, that captures insurers' incentives to exclude, and combine it with California data and estimates from Ho and Lee (2017) to...

The retail clinic is an innovation that has the potential to improve competition in health care markets. Given concern about inefficient use of the emergency room (ER) increasing health care costs, we use all ER visits in New Jersey from 2006-2014 to examine the impact of retail clinics on ER...

From resources to beneficiaries : an introduction of an end-to-end resource tracking & management framework and its application for primary health care development in LMICs / Hong Wang, Dan Kress, Peter Berman -- Five decades of health resource tracking and beyond / Nirmala Ravishankar, Ravi...

"Customer-centric, market-driven solutions for fixing America's broken healthcare system from one of the industry's most innovative thought leaders. Healthcare accounts for one-fifth of the U.S. economy. Everyone agrees that our current system is broken and needs repair. It must cost less,...