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Change, Consolidation, and Competition in Health Care Markets

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Author Info
Martin Gaynor (Carnegie Mellon University)
Deborah Haas-Wilson (Smith College)

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Abstract

The health care industry is being transformed. Large firms are merging and acquiring other firms. Alliances and contractual relations between players in this market are shifting rapidly. Within the next few years, many markets are predicted to be dominated by a few large firms. Antitrust enforcement authorities like the Department of Justice and the Federal Trade Commission, as well as courts and legislators at both the federal and state levels, are struggling with the implications of these changes for the nature and consequences of competition in health care markets. In this paper we summarize the nature of the changes in the structure of the health care industry. We will focus on the markets for health insurance, hospital services, and physician services. We will discuss the potential implications of the restructuring of the health care industry for competition, efficiency, and public policy. As will become apparent, this area offers a number of intriguing questions for inquisitive researchers.

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Publisher Info
Paper provided by EconWPA in its series HEW with number 9809001.

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Length: 49 pages
Date of creation: 01 Sep 1998
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Handle: RePEc:wpa:wuwphe:9809001

Note: Type of Document - acrobat; prepared on IBM PC; pages: 49; figures: none
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Web page: http://129.3.20.41

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Related research
Keywords: Health care competition antitrust consolidation

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Find related papers by JEL classification:
I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
L1 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance
L4 - Industrial Organization - - Antitrust Issues and Policies

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References listed on IDEAS
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Full references

Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Darius Lakdawalla & Neeraj Sood, 2006. "Health Insurance as a Two-Part Pricing Contract," NBER Working Papers 12681, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  2. Hirsch, Barry T. & Schumacher, Edward J., 2004. "Classic Monopsony or New Monopsony? Searching for Evidence in Nursing Labor Markets," IZA Discussion Papers 1154, Institute for the Study of Labor (IZA). [Downloadable!]
  3. Daniel P. Kessler & Mark B. McClellan, 1999. "Is Hospital Competition Socially Wasteful?," NBER Working Papers 7266, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  4. Fernández Montt, René, 2006. "Ges or not ges? That is the question," MPRA Paper 2428, University Library of Munich, Germany, revised Jan 2007. [Downloadable!]
    Other versions:
  5. Martin Gaynor & Deborah Haas-Wilson & William B. Vogt, 1998. "Are Invisible Hands Good Hands? Moral Hazard, Competition, and the Second Best in Health Care Markets," NBER Working Papers 6865, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  6. Martin Gaynor, 2006. "What Do We Know About Competition and Quality in Health Care Markets?," NBER Working Papers 12301, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  7. repec:mop:credwp:04.05.45 is not listed on IDEAS
    Other versions:
  8. Jill R. Horwitz, 2005. "Does Corporate Ownership Matter? Service Provision in the Hospital Industry," NBER Working Papers 11376, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  9. Inderst, Roman & Wey, Christian, 2001. "Bargaining, Mergers and Technology Choice in Bilaterally Oligopolistic Industries," CEPR Discussion Papers 2981, C.E.P.R. Discussion Papers. [Downloadable!] (restricted)
    Other versions:
  10. Patricia Born & M. Martin Boyer, 2008. "Claims-Made and Reported Policies and Insurer Profitability in Medical Malpractice," CIRANO Working Papers 2008s-13, CIRANO. [Downloadable!]
  11. Jeff DeSimone & Edward J. Schumacher, 2004. "Compensating Wage Differentials and AIDS Risk," NBER Working Papers 10861, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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