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Telemedicine competition, pricing, and technology adoption: Evidence from talk therapists

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  • Goetz, Daniel

Abstract

This paper examines how new telemedicine competitors affected incumbent health care providers during the first waves of COVID-19. Using data from the largest mental health provider search platform in Canada, I show that increased telemedicine competition in a market caused incumbent providers in that market to stop offering income-based discounts to patients. I isolate the causal effect of competition in a difference-in-differences framework, comparing providers before and after a supply shock on the platform that exogenously assigned some markets new telemedicine search results. I find that higher-quality providers are more likely to stop income-based discounts when facing new telemedicine entrants, while lower-quality providers are more likely to exit the platform, which is consistent with telemedicine providers competing for more price-sensitive patients. The results suggest that expanding telemedicine options had a heterogeneous effect on the affordability of care.

Suggested Citation

  • Goetz, Daniel, 2023. "Telemedicine competition, pricing, and technology adoption: Evidence from talk therapists," International Journal of Industrial Organization, Elsevier, vol. 89(C).
  • Handle: RePEc:eee:indorg:v:89:y:2023:i:c:s0167718723000371
    DOI: 10.1016/j.ijindorg.2023.102956
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    More about this item

    Keywords

    Digitization; Telemedicine; Competition; Price discrimination; Mental health; COVID-19;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • L11 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance - - - Production, Pricing, and Market Structure; Size Distribution of Firms
    • O33 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Technological Change: Choices and Consequences; Diffusion Processes

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