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An Empirical Investigation of Procurement Contract Structures

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  • Gregory Vistnes

Abstract

This article presents a model of procurement contracting with asymmetric cost information and investigates whether two of the model's predictions are consistent with actual contracts between hospitals and California's Medicaid program. The article first tests for the presence of a fixed-price payment region where Medicaid's payments are independent of hospitals' actual (but unobservable) production costs and then tests whether the size of the fixed-price region depends upon expectations about hospitals' costs. To conduct these tests, the article must first estimate hospitals' "unobservable" costs attributable to Medicaid patients. The article finds evidence of a fixed-price region but cannot confirm that the size of the fixed-price region depends upon expectations about hospitals' costs.

Suggested Citation

  • Gregory Vistnes, 1994. "An Empirical Investigation of Procurement Contract Structures," RAND Journal of Economics, The RAND Corporation, vol. 25(2), pages 215-241, Summer.
  • Handle: RePEc:rje:randje:v:25:y:1994:i:summer:p:215-241
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    Cited by:

    1. Aaditya Mattoo, 1996. "The Government Procurement Agreement: Implications of Economic Theory," The World Economy, Wiley Blackwell, vol. 19(6), pages 695-720, November.
    2. Frech, Ted E, 1998. "Managed Care, Distance Traveled, and Hospital Market Definition," University of California at Santa Barbara, Economics Working Paper Series qt84x5q49q, Department of Economics, UC Santa Barbara.
    3. Shannon W. Anderson & Henri C. Dekker, 2005. "Management Control for Market Transactions: The Relation Between Transaction Characteristics, Incomplete Contract Design, and Subsequent Performance," Management Science, INFORMS, vol. 51(12), pages 1734-1752, December.
    4. repec:kap:iaecre:v:11:y:2005:i:3:p:329-342 is not listed on IDEAS
    5. Sofia Lundberg, 2005. "Restrictions on Competition in Municipal Competitive Procurement in Sweden," International Advances in Economic Research, Springer;International Atlantic Economic Society, vol. 11(3), pages 329-342, August.

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