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Death by market power : reform, competition and patient outcomes in the national health service

Death by market power : reform, competition and patient outcomes in the national health service PDF Author: Martin Gaynor
Publisher:
ISBN:
Category : Competition
Languages : en
Pages : 56

Book Description
The effect of competition on the quality of health care remains a contested issue. Most empirical estimates rely on inference from non experimental data. In contrast, this paper exploits a pro-competitive policy reform to provide estimates of the impact of competition on hospital outcomes. The English government introduced a policy in 2006 to promote competition between hospitals. Patients were given choice of location for hospital care and provided information on the quality and timeliness of care. Prices, previously negotiated between buyer and seller, were set centrally under a DRG type system. Using this policy to implement a difference-in-differences research design we estimate the impact of the introduction of competition on not only clinical outcomes but also productivity and expenditure. Our data set is large, containing information on approximately 68,000 discharges per year per hospital from 162 hospitals. We find that the effect of competition is to save lives without raising costs. Patients discharged from hospitals located in markets where competition was more feasible were less likely to die, had shorter length of stay and were treated at the same cost.

Death by market power : reform, competition and patient outcomes in the national health service

Death by market power : reform, competition and patient outcomes in the national health service PDF Author: Martin Gaynor
Publisher:
ISBN:
Category : Competition
Languages : en
Pages : 56

Book Description
The effect of competition on the quality of health care remains a contested issue. Most empirical estimates rely on inference from non experimental data. In contrast, this paper exploits a pro-competitive policy reform to provide estimates of the impact of competition on hospital outcomes. The English government introduced a policy in 2006 to promote competition between hospitals. Patients were given choice of location for hospital care and provided information on the quality and timeliness of care. Prices, previously negotiated between buyer and seller, were set centrally under a DRG type system. Using this policy to implement a difference-in-differences research design we estimate the impact of the introduction of competition on not only clinical outcomes but also productivity and expenditure. Our data set is large, containing information on approximately 68,000 discharges per year per hospital from 162 hospitals. We find that the effect of competition is to save lives without raising costs. Patients discharged from hospitals located in markets where competition was more feasible were less likely to die, had shorter length of stay and were treated at the same cost.

Death by Market Power

Death by Market Power PDF Author: Martin Gaynor
Publisher:
ISBN:
Category :
Languages : en
Pages : 68

Book Description
The effect of competition on the quality of health care remains a contested issue. Most empirical estimates rely on inference from non-experimental data. In contrast, this paper exploits a pro-competitive policy reform to provide estimates of the impact of competition on hospital outcomes. The English government introduced a policy in 2006 to promote competition between hospitals. Using this policy to implement a difference-in-differences research design, we estimate the impact of the introduction of competition on not only clinical outcomes but also productivity and expenditure. We find that the effect of competition is to save lives without raising costs.

The Myth of Capitalism

The Myth of Capitalism PDF Author: Jonathan Tepper
Publisher: John Wiley & Sons
ISBN: 1394184069
Category : Business & Economics
Languages : en
Pages : 349

Book Description
The Myth of Capitalism tells the story of how America has gone from an open, competitive marketplace to an economy where a few very powerful companies dominate key industries that affect our daily lives. Digital monopolies like Google, Facebook and Amazon act as gatekeepers to the digital world. Amazon is capturing almost all online shopping dollars. We have the illusion of choice, but for most critical decisions, we have only one or two companies, when it comes to high speed Internet, health insurance, medical care, mortgage title insurance, social networks, Internet searches, or even consumer goods like toothpaste. Every day, the average American transfers a little of their pay check to monopolists and oligopolists. The solution is vigorous anti-trust enforcement to return America to a period where competition created higher economic growth, more jobs, higher wages and a level playing field for all. The Myth of Capitalism is the story of industrial concentration, but it matters to everyone, because the stakes could not be higher. It tackles the big questions of: why is the US becoming a more unequal society, why is economic growth anemic despite trillions of dollars of federal debt and money printing, why the number of start-ups has declined, and why are workers losing out.

Economic Regulation and Its Reform

Economic Regulation and Its Reform PDF Author: Nancy L. Rose
Publisher: University of Chicago Press
ISBN: 022613816X
Category : Business & Economics
Languages : en
Pages : 619

Book Description
The past thirty years have witnessed a transformation of government economic intervention in broad segments of industry throughout the world. Many industries historically subject to economic price and entry controls have been largely deregulated, including natural gas, trucking, airlines, and commercial banking. However, recent concerns about market power in restructured electricity markets, airline industry instability amid chronic financial stress, and the challenges created by the repeal of the Glass-Steagall Act, which allowed commercial banks to participate in investment banking, have led to calls for renewed market intervention. Economic Regulation and Its Reform collects research by a group of distinguished scholars who explore these and other issues surrounding government economic intervention. Determining the consequences of such intervention requires a careful assessment of the costs and benefits of imperfect regulation. Moreover, government interventions may take a variety of forms, from relatively nonintrusive performance-based regulations to more aggressive antitrust and competition policies and barriers to entry. This volume introduces the key issues surrounding economic regulation, provides an assessment of the economic effects of regulatory reforms over the past three decades, and examines how these insights bear on some of today’s most significant concerns in regulatory policy.

Competition and Quality in Health Care Markets

Competition and Quality in Health Care Markets PDF Author: Martin Gaynor
Publisher: Now Publishers Inc
ISBN: 1601980078
Category : Business & Economics
Languages : en
Pages : 83

Book Description
Provides an economic assessment of the impact of competition on quality in health care markets. This book offers performance standards for competition; findings from economic theory; and, empirical evidence on health care competition and quality.

Controlling Mergers and Market Power

Controlling Mergers and Market Power PDF Author: John Kwoka
Publisher:
ISBN: 9781950769575
Category : Business & Economics
Languages : en
Pages : 160

Book Description
This is an important and timely contribution from a prominent antitrust economist and policy advisor. It has been many decades since questions about antitrust enforcement have been so prominent in political, economic, and scholarly debate. Mergers in countless industries, rising concentration throughout the economy, and the dominance of tech giants have brought renewed attention to the role and the responsibility of antitrust policy.

Market Power Politics

Market Power Politics PDF Author: Stephen E. Gent
Publisher: Oxford University Press
ISBN: 0197529836
Category : Political Science
Languages : en
Pages : 281

Book Description
A new theory of market power politics that explains when and why states will delay cooperation or even fight wars in pursuit of this elusive goal. How are the Iraqi invasion of Kuwait, the Russian incursions into Ukraine and Georgia, and China's occupation of islands in the South China Sea related? All three of these important moments in modern history were driven by the motivation to capture market power. Whether it was oil for Iraq, natural gas for Russia, or rare earth elements for China, the goal isn't just the commodities themselves--it is the ability to determine their price on the global market. In Market Power Politics, Stephen Gent and Mark Crescenzi develop a new theory of market power politics that explains when and why states will delay cooperation or even fight wars in pursuit of this elusive goal. Empirically examining case studies from different regions of the world, they explore how competition between states over market power can create disruptions in the global political economy and potentially lead to territorial aggression and war. They also provide clear policy recommendations, urging international institutions to establish norms that reduce the potential for open conflict. Ultimately, Market Power Politics shows that nations' desire to increase their market power means that the push for territorial expansion will continue to shape the trajectory of world politics.

Eco-Imperialism Green Power, Black Death

Eco-Imperialism Green Power, Black Death PDF Author: Paul Driessen
Publisher: Academic Foundation
ISBN: 9788171884278
Category : Nature
Languages : en
Pages : 262

Book Description


Empirical Health Economics

Empirical Health Economics PDF Author: Andrew M. Jones
Publisher:
ISBN: 9781788119801
Category : Electronic books
Languages : en
Pages : 928

Book Description
"This important collection gathers the most influential literature in the area of empirical health economics. Health economics provides empirical evidence to aid decision-making across a broad spectrum of issues in health and health care. This evidence is often derived from econometric methods. This title brings together landmark contributions to the development and application of these methods which span the field, ranging from structural models, models for health care costs and other microeconometric approaches, including bayesian methods, longitudinal data, applications to health technology assessment, along with field experiments and policy evaluation. Prefaced by an original introduction from the editor, this collection will be of interest to economic researchers and students as well as health scholar's wishing to explore the development of modern econometrics applied to health policy"--

Deaths of Despair and the Future of Capitalism

Deaths of Despair and the Future of Capitalism PDF Author: Anne Case
Publisher: Princeton University Press
ISBN: 0691217068
Category : Business & Economics
Languages : en
Pages : 332

Book Description
A New York Times Bestseller A Wall Street Journal Bestseller A New York Times Notable Book of 2020 A New York Times Book Review Editors’ Choice Shortlisted for the Financial Times and McKinsey Business Book of the Year A New Statesman Book to Read From economist Anne Case and Nobel Prize winner Angus Deaton, a groundbreaking account of how the flaws in capitalism are fatal for America's working class Deaths of despair from suicide, drug overdose, and alcoholism are rising dramatically in the United States, claiming hundreds of thousands of American lives. Anne Case and Angus Deaton explain the overwhelming surge in these deaths and shed light on the social and economic forces that are making life harder for the working class. As the college educated become healthier and wealthier, adults without a degree are literally dying from pain and despair. Case and Deaton tie the crisis to the weakening position of labor, the growing power of corporations, and a rapacious health-care sector that redistributes working-class wages into the pockets of the wealthy. This critically important book paints a troubling portrait of the American dream in decline, and provides solutions that can rein in capitalism's excesses and make it work for everyone.