In den vergangenen Jahren hat die Wissenschaft ihre Aufmerksamkeit verstärkt auf das Thema der individuellen Gesundheitskompetenz gerichtet - und gezeigt, dass große Teile der deutschen Bevölkerung eine geringe Gesundheitskompetenz aufweisen. Informationen und Angebote rund um Gesundheit sind...

This paper provides the first quantitative economic models of pharmacy benefit management regulation. The price-theoretic models allow for various market frictions and imperfections including market power, coordination costs, tax distortions, and incomplete innovation incentives. A rigorous...

Healthcare firms are filing for Chapter 11 bankruptcy at record rates. We find that bankruptcies increase healthcare staff turnover, worsen care, and harm patients. Using a difference-in- differences design, we estimate that a bankruptcy filing immediately increases staff turnover and worsens...

We use national physician-pair panel data to examine how switching electronic health record (EHR) developers affects out-of-network referrals from primary care physicians (PCPs) to specialists. We estimate a difference-in-differences model, exploiting changes in EHR developer adoption by...

This paper investigates how physicians adjust their clinical decision-making following medical malpractice lawsuits and how these responses are driven by mental rather than financial costs, and do not align with rational expectations. We combine a comprehensive health insurance claim database...

In 2019, the United States implemented new regulations for Organ Procurement Organizations (OPOs) aimed at increasing transparency and strengthening accountability. These rules introduced stronger performance incentives designed to improve organ procurement outcomes. This paper examines the...

Einleitung -- Begriffliche und theoretische Grundlagen -- Kundenbindung von gesetzlichen Krankenversicherungen -- Empirische Vorgehensweise zur modellhaften Abbildung der Kundenbindung bei gesetzlichen Krankenversicherungen -- Resultierende Ergebnisse zur Konzeptionierung eines...

Recent policy proposals seek to regulate out-of-network hospital prices. We study how such regulation affects equilibrium prices, network formation, and hospital exit. We estimate a structural model of insurer-hospital bargaining that allows for out-of-network transactions between...

Geleitwort -- 1 Einleitung -- Teil I: Theoretische Hintergründe -- 2 Recruiting: Die wesentlichen Elemente der Personalbeschaffung -- 3 „Fitness“ und „Gesundheit“: Begriffswurzeln und Schnittstellen -- 4 Die zentralen Merkmale des „Fitnessmarktes“ in Deutschland -- 5 Gegenwärtige...

"The U.S. Healthcare Ecosystem, 2nd Edition serves as an expert navigator through the complicated and often confusing environment where healthcare payers, healthcare providers, and producers of healthcare technologies all interact. This thorough resource provides expert insight and analysis of...

"Offering new insights into the excesses of capitalism that are shaping pandemic preparedness, Investable! is an ethnography of a Wall Street bond designed to solve a big-ticket global health problem by getting global investors to gamble on the next crisis."

This paper studies how product market competition shapes the impact of private equity (PE) acquisitions on consumers. We examine nursing home buyouts and observe that PE-owned facilities exhibit greater competitive sensitivity: competing more aggressively when competitive incentives are strong...

Without the opioid epidemic, American life expectancy would not have declined prior to 2020. In turn, the epidemic was sparked by the development and marketing of a new generation of prescription opioids and provider behavior is still helping to drive it. There is little relationship between the...

This study examines "tunneling" practices through which health care providers covertly extract profit by making inflated payments for goods and services to commonly-owned related parties. While incentives to tunnel exist across sectors, health care providers may find it uniquely advantageous to...

We measure the impacts of vertical integration between insurers and hospitals. In the Chilean market, where half of private hospital capacity is vertically integrated, integration increases inpatient care spending by 6 percent and decreases consumer surplus and total welfare. Integrated insurers...

Private equity (PE) plays an increasingly important role in the modern US economy. However, its impacts on owned-firms are incompletely understood. We exploit a historically large leveraged buyout of a national hospital chain to examine how the full life cycle of PE influences hospital-level...

Medical provider price transparency is often touted as a way to lower health care spending. But the impact of price transparency is theoretically ambiguous: it could lower health care spending via increased consumer price shopping or improved insurer bargaining but could also raise health care...

We analyze the economic consequences of rising health care prices in the US. Using exposure to price increases caused by horizontal hospital mergers as an instrument, we show that rising prices raise the cost of labor by increasing employer-sponsored health insurance premiums. A 1% increase in...

Einleitung -- Rahmenbedingungen -- Betriebsführung -- Betriebsorganisation -- Betriebliche Leistungserstellung -- Betriebliche Absatzwirtschaft -- Betriebsfinanzierung -- Betriebliches Informationswesen.

Many centralized assignment systems seek to not only provide good matches for participants' current needs, but also to accommodate changes in preferences and circumstances. We study the problem of designing a dynamic reassignment mechanism in the context of Norway's system for allocating...

A recent approach to testing for customer statistical discrimination involves studying price gaps between sellers from different gender, race, or ethnic groups and how they evolve as buyers obtain more information about seller quality. We consider a similar setting, testing for statistical...

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...

Innovation policy often involves an uncomfortable trade-off between rewarding innovators sufficiently and providing the innovation at the lowest possible price. However, in health care markets with insurance for innovative goods, society may be able to ensure efficient rewards for inventors and...

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...

"Health policymaking has become increasingly contentious over recent decades. The editors observe that legislators in the coming years will need to address Medicare and its increasing share of the federal budget. Against this backdrop they offer a collection of highly regarded experts to weigh...

Between 2000 and 2020, the share of US hospital bed capacity under multi-unit firms (systems) increased from 58% to 81% - a rapid corporatization of a sector with $1.3 trillion in annual spend. However, little is known about how system ownership affects hospital profitability and quality. We...

This paper examines the tradeoffs of monitoring for wasteful public spending. By penalizing unnecessary spending, monitoring improves the quality of public expenditure and incentivizes firms to invest in compliance technology. I study a large Medicare program that monitored for unnecessary...

This paper provides the first quantitative economic models of pharmacy benefit management regulation. The price-theoretic models allow for various market frictions and imperfections including market power, coordination costs, tax distortions, and incomplete innovation incentives. A rigorous...

This paper investigates the impact of monitoring institutions on market outcomes in health care. Health care markets are characterized by asymmetric information. Physicians have an information advantage over patients with respect to the appropriate treatment for the patient and may exploit this...

This paper develops a model of the nursing home industry to investigate the quality effects of policies that either raise regulated reimbursement rates or increase local competition. Using data from Pennsylvania, I estimate the parameters of the model. The findings indicate that nursing homes...

Vast organ shortages motivated recent efforts to increase the supply of transplantable organs, but we know little about the demand side of the market. We test the implications of a model of organ demand using the universe of U.S. transplant data from 1987 to 2013. Exploiting variation in supply...

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...

Without the opioid epidemic, American life expectancy would not have declined prior to 2020. In turn, the epidemic was sparked by the development and marketing of a new generation of prescription opioids and provider behavior is still helping to drive it. There is little relationship between the...

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...

This paper investigates the impact of monitoring institutions on market outcomes in health care. Health care markets are characterized by asymmetric information. Physicians have an information advantage over patients with respect to the appropriate treatment for the patient and may exploit this...