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Competencia en el sector de la salud: énfasis en el caso colombiano

Author

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  • David Bardey

Abstract

Este trabajo revisa la literatura que trata del funcionamiento de la competencia en el sector de la salud cuando este está organizado alrededor de una managed care competition. Se abordan en una primera parte los problemas de asimetría de información que caracterizan los mercados de aseguramiento en salud y aquellos en los cuales intervienen los prestadores de salud. La segunda parte se focaliza en los aspectos de organización industrial del sector salud, como los de competencia monopolística para el mercado de los médicos, el oligopolio bilateral que forman aseguradores y prestadores y los posibles aspectos de mercados de dos lados. Este documento concluye con algunas recomendaciones de política para el sistema de salud colombiano. En particular se contempla la posibilidad de introducir, al margen, una competencia en primas entre EPS para que la competencia entre ellas sea más efectiva. En el contexto actual, el canal de transmisión de las ganancias de eficiencia que generan las EPS está obstruido. Por ende, la competencia en primas permitiría una mejor transmisión de estas eficiencias. Abstract: This article reviews the literature that deals with the competition features in the health care markets in a managed care competition set up. In a first part, we focus on information asymmetries which characterize the health insurance and the providers’ markets. The second part tackles the industrial organization issues in the health care sector such as the monopolistic competition which characterize the physicians’ market, the bilateral oligopoly shape by health insurers and health care providers’ markets and, the two-sided market features of the health sector. This article provides policy recommendations for the Colombian health care system. More precisely, we suggest introducing some price competition in the health insurance market in order to make the competition much more effective. Moreover, a price competition would allow this managed care competition set up to ensure a better transmission of the efficiency gains generated by health insurers.

Suggested Citation

  • David Bardey, 2013. "Competencia en el sector de la salud: énfasis en el caso colombiano," Coyuntura Económica, Fedesarrollo, December.
  • Handle: RePEc:col:000438:012037
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    File URL: http://hdl.handle.net/11445/261
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    Cited by:

    1. Julián Andrés Arévalo (Editor) & Andrea García (Editor), 0. "Movilización ciudadana en Colombia : elementos para el análisis," Books, Universidad Externado de Colombia, Facultad de Economía, number 86, August.

    More about this item

    Keywords

    Mercados de salud; política de la competencia y asimetrías de información.Keywords: Health care markets; competition policy; information asymmetries;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • L10 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance - - - General
    • L13 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance - - - Oligopoly and Other Imperfect Markets

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