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Health insurer market power and primary care consolidation

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  • Brunt, Christopher S.
  • Bowblis, John R.

Abstract

This paper analyzes how health insurance market concentration impacts the market structure of primary care physicians. In more concentrated insurance markets, physicians are found to work in larger practices and their practices are more likely to have a hospital with an ownership interest. Physicians are also less likely to report being in a competitive physician market, consistent with practice consolidation. Our results suggest that consolidation in insurance markets impacts the competitive structure of physician markets.

Suggested Citation

  • Brunt, Christopher S. & Bowblis, John R., 2014. "Health insurer market power and primary care consolidation," Economics Letters, Elsevier, vol. 125(1), pages 61-65.
    • Handle: RePEc:eee:ecolet:v:125:y:2014:i:1:p:61-65
    DOI: 10.1016/j.econlet.2014.08.005
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    References listed on IDEAS

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    Cited by:

    1. Kamyar Nasseh & John R. Bowblis & Marko Vujicic & Sean Shenghsiu Huang, 2020. "Consolidation in the dental industry: a closer look at dental payers and providers," International Journal of Health Economics and Management, Springer, vol. 20(2), pages 145-162, June.
    2. Ian McCarthy & Sean Shenghsiu Huang, 2018. "Vertical Alignment Between Hospitals and Physicians as a Bargaining Response to Commercial Insurance Markets," Review of Industrial Organization, Springer;The Industrial Organization Society, vol. 53(1), pages 7-29, August.
    3. David Dranove & Christopher Ody, 2019. "Employed for Higher Pay? How Medicare Payment Rules Affect Hospital Employment of Physicians," American Economic Journal: Economic Policy, American Economic Association, vol. 11(4), pages 249-271, November.

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    More about this item

    Keywords

    Health insurance; Primary care; Market structure; Consolidation;
    All these keywords.

    JEL classification:

    • L40 - Industrial Organization - - Antitrust Issues and Policies - - - General
    • L44 - Industrial Organization - - Antitrust Issues and Policies - - - Antitrust Policy and Public Enterprise, Nonprofit Institutions, and Professional Organizations
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

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