Curb your premium! evaluating state intervention in medical malpractice insurance
Using data of Italian public healthcare providers over years 2001 through 2008, we evaluate the impact of two policies adopted by Italian Regions (i.e., States) to cope with increasing medical malpractice costs using a Difference-in-Difference specification. We assess the impact of the policies on premiums paid and legal expenditures. The first policy consisted in collecting information and monitoring both compensation requests and any legal action related to a medical malpractice claim against a public healthcare provider. The second policy is a switch from private to public insurance for damages up to 500,000 euros combined with a centralized-regional contracting out in the private insurance market for damages in excess of 500,000 euros. Both policies represent attempts to cope with multiple agency problems within the public sector. Our results show that the impact of central monitoring in malpractice claims trend can reduce up to 29% the premiums paid for the treated providers, while the effect is obviously stronger for public insurance (41%). We control for the effects of the latter also on the trend of legal expenditures as proxy for common pool behaviors which do not result from our data. Validity tests show that our results are not driven by a decreasing trend affecting the insurance expenditures of the analyzed units before the policies’ introduction.
|Date of creation:||Jul 2011|
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- David H. Autor & John J. Donohue III & Stewart J. Schwab, 2003.
"The Costs of Wrongful-Discharge Laws,"
NBER Working Papers
9425, National Bureau of Economic Research, Inc.
- George France & Francesco Taroni & Andrea Donatini, 2005. "The Italian health-care system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages S187-S202.
- Sloan, Frank A, 1990. "Experience Rating: Does It Make Sense for Medical Malpractice Insurance," American Economic Review, American Economic Association, vol. 80(2), pages 128-33, May.
- Melanie Lisac & Kerstin Blum & Sophia Schlette & Hans Maarse & Yvette Bartholomée & David McDaid & Adam Oliver & Ignacio Abásolo & Beatriz Lopez-Valcarcel & Gianluca Fiorentini & Matteo Lippi Bruni & , 2008. "Health Systems and Health Reform in Europe," Intereconomics: Review of European Economic Policy, Springer, vol. 43(4), pages 184-218, July.
- Paul Fenn & Alastair Gray & Neil Rickman, 2004. "The Economics of Clinical Negligence Reform in England," Economic Journal, Royal Economic Society, vol. 114(496), pages F272-F292, 06.
- Decio Coviello & Stefano Gagliarducci, 2010. "Tenure in Office and Public Procurement," CEIS Research Paper 179, Tor Vergata University, CEIS, revised 21 Dec 2010.
- Patricia M. Danzon, 1991.
"Liability for Medical Malpractice,"
Journal of Economic Perspectives,
American Economic Association, vol. 5(3), pages 51-69, Summer.
- Daniele Fabbri & Silvana Robone, 2010. "The geography of hospital admission in a national health service with patient choice," Health Economics, John Wiley & Sons, Ltd., vol. 19(9), pages 1029-1047, September.
- Kessler, Daniel & McClellan, Mark, 2002. "Malpractice law and health care reform: optimal liability policy in an era of managed care," Journal of Public Economics, Elsevier, vol. 84(2), pages 175-197, May.
- Eugenio Anessi-Pessina & Elena Cant� & Claudio Joninii, 2004. "Phasing Out Market Mechanisms in the Italian National Health Service," Public Money & Management, Chartered Institute of Public Finance and Accountancy, vol. 24(5), pages 309-316, October.
- Fenn, Paul & Gray, Alastair & Rickman, Neil, 2007. "Liability, insurance and medical practice," Journal of Health Economics, Elsevier, vol. 26(5), pages 1057-1070, September.
- Daniel P. Kessler, 2011. "Evaluating the Medical Malpractice System and Options for Reform," Journal of Economic Perspectives, American Economic Association, vol. 25(2), pages 93-110, Spring.
- Acemoglu, Daron & Cantoni, Davide & Johnson, Simon & Robinson, James A., 2011.
"The consequences of radical reform: The French revolution,"
Munich Reprints in Economics
20170, University of Munich, Department of Economics.
- Daron Acemoglu & Davide Cantoni & Simon Johnson & James A. Robinson, 2011. "The Consequences of Radical Reform: The French Revolution," American Economic Review, American Economic Association, vol. 101(7), pages 3286-3307, December.
- Acemoglu, Daron & Cantoni, Davide & Johnson, Simon & Robinson, James A, 2009. "The Consequences of Radical Reform: The French Revolution," CEPR Discussion Papers 7245, C.E.P.R. Discussion Papers.
- Daron Acemoglu & Davide Cantoni & Simon Johnson & James A. Robinson, 2009. "The Consequences of Radical Reform: The French Revolution," NBER Working Papers 14831, National Bureau of Economic Research, Inc.
- Daniel P. Kessler & Mark McClellan, 1996. "Do Doctors Practice Defensive Medicine?," NBER Working Papers 5466, National Bureau of Economic Research, Inc.
- Arrow, Kenneth J & Lind, Robert C, 1970. "Uncertainty and the Evaluation of Public Investment Decisions," American Economic Review, American Economic Association, vol. 60(3), pages 364-78, June.
- Bordignon, Massimo & Turati, Gilberto, 2009. "Bailing out expectations and public health expenditure," Journal of Health Economics, Elsevier, vol. 28(2), pages 305-321, March.
- Kessler, Daniel & McClellan, Mark, 1996. "Do Doctors Practice Defensive Medicine?," The Quarterly Journal of Economics, MIT Press, vol. 111(2), pages 353-90, May.
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