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  1. Transaction prices and managed care discounting for selected medical technologies
    a bargaining approach
    Autor*in: Dor, Avi; Grossman, Michael; Koroukian, Siran M.
    Erschienen: 2004
    Verlag:  National Bureau of Economic Research, Cambridge, Mass.

    "It is generally assumed that managed care has been successful at capturing discounts from medical providers, but the implications have been a matter of debate. Critics argue that managed care organizations attain savings by reducing intensity of... mehr

    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signatur:
    W 1 (10377)
    Fernleihe:
    uneingeschränkte Fernleihe, Kopie und Ausleihe

     

    "It is generally assumed that managed care has been successful at capturing discounts from medical providers, but the implications have been a matter of debate. Critics argue that managed care organizations attain savings by reducing intensity of services, while others have argued that savings are 'real' and are a consequence of discounts per unit of care. To address this, we obtain separate transaction prices for hospital episodes (treatment) and for the narrowly defined surgical procedure, using the example of heart bypass surgery. Both sets of prices were drawn from a database of insurance claims of self-insured firms that offer a menu of insurance options. We use a Nash-Bargaining framework to obtain price discounts by type of insurance. Adjusting for product and patient heterogeneity, the per-procedure prices yield the anticipated pattern of discounts: Relative to traditional fee for service, point-of-service HMOs exhibited the largest discounts followed by Preferred-Provider-Organizations (18 and 12 percent, respectively). While reductions in intensity of services are not directly observable from the data, combining the results from the per-procedure and per-episode analysis yields a range of intensity reduction of 20.6 %, with a corresponding per-unit price discount of 4.18 % for the entire episode. We conclude that a large share cost savings by managed care organizations are due to per-unit price reductions"--National Bureau of Economic Research web site

     
    Export in Literaturverwaltung   RIS-Format
      BibTeX-Format
    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Druck
    Schriftenreihe: NBER working paper series ; 10377
    Schlagworte: Integrierte Versorgung; Gesundheitskosten; Medizintechnik; Rabatt; USA; Managed care plans (Medical care)
    Umfang: 14 S
    Bemerkung(en):

    Internetausg.: papers.nber.org/papers/w10377.pdf - lizenzpflichtig
  2. Economics of technological change in medical care
    concepts, measures and models
    Erschienen: 2004
    Verlag:  North-Holland, Amsterdam [u.a.]

    Standort:
    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    Signatur:
    YY 13667 (44.2004)
    Fernleihe:
    uneingeschränkte Fernleihe, Kopie und Ausleihe
    Export in Literaturverwaltung   RIS-Format
      BibTeX-Format
    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Druck
    Schriftenreihe: The quarterly review of economics and finance ; 44.2004,3
    Schlagworte: Krankenhaus; Ärzte; Technischer Fortschritt; Medizintechnik; Dienstleistungsqualität; USA
    Umfang: S. 363-473, graph. Darst
    Bemerkung(en):

    Enth. 6 Beitr