Competition among Hospitals
We examine competition in the hospital industry, in particular the effect of ownership type (for-profit, not-for-profit, government). We estimate a structural model of demand and pricing in the hospital industry in California, then use the estimates to simulate the effect of a merger. California hospitals in 1995 face an average price elasticity of demand of -4.85. Not-for-profit hospitals face less elastic demand and act as if they have lower marginal costs. Their prices are lower than those of for-profits, but markups are higher. We simulate the effects of the 1997 merger of two hospital chains. In San Luis Obispo County, where the merger creates a near monopoly, prices rise by up to 53%, and the predicted price increase would not be substantially smaller were the chains not-for-profit. Copyright 2003 by the RAND Corporation.
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Volume (Year): 34 (2003)
Issue (Month): 4 (Winter)
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- Vita, Michael G & Sacher, Seth, 2001. "The Competitive Effects of Not-for-Profit Hospital Mergers: A Case Study," Journal of Industrial Economics, Wiley Blackwell, vol. 49(1), pages 63-84, March.
- Gregory Werden & Luke Froeb & Timothy Tardiff, 1996.
"The Use of the Logit Model in Applied Industrial Organization,"
International Journal of the Economics of Business,
Taylor & Francis Journals, vol. 3(1), pages 83-105.
- Werden, G.J. & Froeb, L.M. & Tardiff, T.J., 1994. "The Use of the Logit Model in Applied Industrial Organization," Papers 94-1, U.S. Department of Justice - Antitrust Division.
- Joris Pinkse & Margaret E. Slade & Craig Brett, 2002. "Spatial Price Competition: A Semiparametric Approach," Econometrica, Econometric Society, vol. 70(3), pages 1111-1153, May.
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