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The Effects of Market Concentration and Excess Demand on the Price of Nursing Home Care

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  • Nyman, John A

Abstract

Certificate-of-need laws and construction moratoria are policies designed to control government expenditures by limiting the number of nursing home beds in an area. These policies also represent barriers to entry and can result in excess demand. This study investigates the effect of market concentration and excess demand on private prices for nursing home care. The author finds evidence that both factors are associated with higher prices. Because higher prices may cause private patients to exhaust their financial resources and become Medicaid patients sooner than they otherwise would, these policies may have had indirect cost-increasing consequences. Copyright 1994 by Blackwell Publishing Ltd.

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  • Nyman, John A, 1994. "The Effects of Market Concentration and Excess Demand on the Price of Nursing Home Care," Journal of Industrial Economics, Wiley Blackwell, vol. 42(2), pages 193-204, June.
  • Handle: RePEc:bla:jindec:v:42:y:1994:i:2:p:193-204
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    Cited by:

    1. Dwayne Banks & Elliott Parker & Jeanne Wendel, 2001. "Strategic interaction among hospitals and nursing facilities: the efficiency effects of payment systems and vertical integration," Health Economics, John Wiley & Sons, Ltd., vol. 10(2), pages 119-134.
    2. Grabowski, David C., 2001. "Medicaid reimbursement and the quality of nursing home care," Journal of Health Economics, Elsevier, vol. 20(4), pages 549-569, July.
    3. Bowblis John R. & Brunt Christopher S. & Grabowski David C., 2016. "Competitive Spillovers and Regulatory Exploitation by Skilled Nursing Facilities," Forum for Health Economics & Policy, De Gruyter, vol. 19(1), pages 45-70, June.
    4. Huang, Sean Shenghsiu & Hirth, Richard A., 2016. "Quality rating and private-prices: Evidence from the nursing home industry," Journal of Health Economics, Elsevier, vol. 50(C), pages 59-70.
    5. Thomas Bauer & Magdalena Stroka, 2013. "Female labour supply and nursing home prices," Health Care Management Science, Springer, vol. 16(3), pages 258-270, September.
    6. Laurie Bates & Rexford Santerre, 2006. "Leviathan in the Crosshairs," Public Choice, Springer, vol. 127(1), pages 133-145, April.
    7. Rexford E. Santerre & John A. Vernon, 2005. "Testing for Ownership Mix Efficiency: The Case of the Nursing Home Industry," NBER Working Papers 11115, National Bureau of Economic Research, Inc.
    8. Roman Mennicken & Boris Augurzky & Heinz Rothgang & Jürgen Wasem, 2014. "Explaining differences in remuneration rates of nursing homes in Germany," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(4), pages 401-410, May.
    9. Forder, Julien, 2000. "Mental health: market power and governance," Journal of Health Economics, Elsevier, vol. 19(6), pages 877-905, November.
    10. Grabowski, David C. & Hirth, Richard A., 2003. "Competitive spillovers across non-profit and for-profit nursing homes," Journal of Health Economics, Elsevier, vol. 22(1), pages 1-22, January.
    11. Forder, Julien & Allan, Stephen, 2014. "The impact of competition on quality and prices in the English care homes market," Journal of Health Economics, Elsevier, vol. 34(C), pages 73-83.
    12. Hange, Ulrich, 2015. "The Market for Nursing Homes in Germany: a spatial competition approach," Annual Conference 2015 (Muenster): Economic Development - Theory and Policy 112853, Verein für Socialpolitik / German Economic Association.
    13. Julien Forder & Ann Netten, 2000. "The price of placements in residential and nursing home care: the effects of contracts and competition," Health Economics, John Wiley & Sons, Ltd., vol. 9(7), pages 643-657.
    14. Nishimura, Y.; Oikawa, M.;, 2017. "Effects of Informal Elderly Care on Labor Supply: Exploitation of Government Intervention on the Supply Side of Elderly Care Market," Health, Econometrics and Data Group (HEDG) Working Papers 17/02, HEDG, c/o Department of Economics, University of York.
    15. R. Tamara Konetzka, 2006. "Changing Economic Incentives in Long-Term Care," Center for Policy Research Policy Briefs 32, Center for Policy Research, Maxwell School, Syracuse University.
    16. Martin, Cécile, 2014. "Concurrence, prix et qualité de la prise en charge en EHPAD en France : Analyses micro-économétriques," Economics Thesis from University Paris Dauphine, Paris Dauphine University, number 123456789/13712 edited by Dormont, Brigitte, October.

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