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Insurance and monopoly power in a mixed private/public hospital system, CHERE Discussion Paper No 55

Author

Listed:
  • Donald J Wright

    (Department of Economics, University of Sydney)

Abstract

Consumers, when ill, often have the choice of being treated for free in a public hospital or at a positive price in a private hospital. To compensate for the positive price, private hospitals offer a higher quality treatment. Private hospitals and doctors also have a degree of monopoly power in their pricing. In this setting, it is shown that the presence of insurance does not affect the number of consumers treated in the private hospital, rather the private hospital and the doctor respond to the presence of insurance by increasing the prices they charge and the quality of the private hospital experience.

Suggested Citation

  • Donald J Wright, 2004. "Insurance and monopoly power in a mixed private/public hospital system, CHERE Discussion Paper No 55," Discussion Papers 55, CHERE, University of Technology, Sydney.
  • Handle: RePEc:her:chedps:55
    as

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    File URL: http://www.chere.uts.edu.au/pdf/dp55.pdf
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    References listed on IDEAS

    as
    1. Jeremiah Hurley & Roberta Labelle, 1995. "Relative fees and the utilization of physicians' services in Canada," Health Economics, John Wiley & Sons, Ltd., vol. 4(6), pages 419-438, November.
    2. J Hurley & R Labelle, 1994. "Relative Fees and the Utilization of Physicians' Services in Canada," Centre for Health Economics and Policy Analysis Working Paper Series 1994-06, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    3. Jack, William & Sheiner, Louise, 1997. "Welfare-Improving Health Expenditure Subsidies," American Economic Review, American Economic Association, vol. 87(1), pages 206-221, March.
    4. Chiu, W. Henry, 1997. "Health insurance and the welfare of health care consumers," Journal of Public Economics, Elsevier, vol. 64(1), pages 125-133, April.
    5. Zeckhauser, Richard, 1970. "Medical insurance: A case study of the tradeoff between risk spreading and appropriate incentives," Journal of Economic Theory, Elsevier, vol. 2(1), pages 10-26, March.
    6. Martin Gaynor & Deborah Haas-Wilson & William B. Vogt, 2000. "Are Invisible Hands Good Hands? Moral Hazard, Competition, and the Second-Best in Health Care Markets," Journal of Political Economy, University of Chicago Press, vol. 108(5), pages 992-1005, October.
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    More about this item

    Keywords

    Physician payments;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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