IDEAS home Printed from https://ideas.repec.org/a/kap/atlecj/v28y2000i4p450-462.html
   My bibliography  Save this article

Nonprice rivalry among health insurers and coverage of new technologies

Author

Listed:
  • Kevin Frick
  • Neil Powe

Abstract

This paper develops a multiple-period theoretical model of health maintenance organization (HMO) coverage of medical procedures as a function of HMO competition and a market's predisposition toward managed care. Previous empirical results regarding one laser procedure were not predicted by a single-period model. The new model predicts that more favorable predisposition toward managed care is positively associated with coverage of procedures for which coverage is discretionary. The empirical analysis in this paper focuses on 13 additional laser procedures. The new empirical findings are different from the previous findings and are more consistent with the hypotheses generated by the new theoretical model. Copyright International Atlantic Economic Society 2000

Suggested Citation

  • Kevin Frick & Neil Powe, 2000. "Nonprice rivalry among health insurers and coverage of new technologies," Atlantic Economic Journal, Springer;International Atlantic Economic Society, vol. 28(4), pages 450-462, December.
    • Handle: RePEc:kap:atlecj:v:28:y:2000:i:4:p:450-462
    DOI: 10.1007/BF02298397
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1007/BF02298397
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1007/BF02298397?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Wholey, Douglas & Feldman, Roger & Christianson, Jon B., 1995. "The effect of market structure on HMO premiums," Journal of Health Economics, Elsevier, vol. 14(1), pages 81-105, May.
    2. Kevin Frick & Neil Powe, 1998. "HMO coverage of cosmetic procedures: Response to market competition," International Advances in Economic Research, Springer;International Atlantic Economic Society, vol. 4(4), pages 398-410, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Allen C. Goodman & Miron Stano, 2000. "Hmos and Health Externalities: A Local Public Good Perspective," Public Finance Review, , vol. 28(3), pages 247-269, May.
    2. Donald Alexander & Jon Neill, 2015. "The Impact of Market Share on Health Insurance Premiums," Atlantic Economic Journal, Springer;International Atlantic Economic Society, vol. 43(4), pages 477-488, December.
    3. Anil Bamezai & Jack Zwanziger & Glenn A. Melnick & Joyce M. Mann, 1999. "Price competition and hospital cost growth in the United States (1989–1994)," Health Economics, John Wiley & Sons, Ltd., vol. 8(3), pages 233-243, May.
    4. Polsky, Daniel & Kletke, Phillip R. & Wozniak, Gregory D. & Escarce, Jose J., 2000. "HMO penetration and the geographic mobility of practicing physicians," Journal of Health Economics, Elsevier, vol. 19(5), pages 793-809, September.
    5. Leemore Dafny & Mark Duggan & Subramaniam Ramanarayanan, 2012. "Paying a Premium on Your Premium? Consolidation in the US Health Insurance Industry," American Economic Review, American Economic Association, vol. 102(2), pages 1161-1185, April.
    6. Farasat A.S. Bokhari, 2001. "Managed Care and the Adoption of Hospital Technology: The Case of Cardiac Catherterization," Working Papers wp2001_10_02, Department of Economics, Florida State University, revised Feb 2006.
    7. Abe Dunn, 2009. "Does Competition Among Medicare Advantage Plans Matter?: An Empirical Analysis of the Effects of Local Competition in a Regulated Environment," EAG Discussions Papers 200905, Department of Justice, Antitrust Division.
    8. Martin Gaynor & Deborah Haas-Wilson, 1999. "Change, Consolidation, and Competition in Health Care Markets," Journal of Economic Perspectives, American Economic Association, vol. 13(1), pages 141-164, Winter.
    9. Roland Maude-Griffin & Roger Feldman & Douglas Wholey, 2004. "Nash bargaining model of HMO premiums," Applied Economics, Taylor & Francis Journals, vol. 36(12), pages 1329-1336.
    10. Roggenkamp, Susan D. & White, Kenneth R. & Bazzoli, Gloria J., 2005. "Adoption of hospital case management: economic and institutional influences," Social Science & Medicine, Elsevier, vol. 60(11), pages 2489-2500, June.
    11. Patricia Born & Rosalie Liccardo Pacula, 1998. "Does Spending on Medical Services Change as HMOs Grow and Mature?," NBER Working Papers 6423, National Bureau of Economic Research, Inc.
    12. Trish, Erin E. & Herring, Bradley J., 2015. "How do health insurer market concentration and bargaining power with hospitals affect health insurance premiums?," Journal of Health Economics, Elsevier, vol. 42(C), pages 104-114.
    13. Kyoungrae Jung, 2010. "Incentives for Voluntary Disclosure of Quality Information in HMO Markets," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 77(1), pages 183-210, March.
    14. Given, Ruth S., 1996. "Economies of scale and scope as an explanation of merger and output diversification activities in the health maintenance organization industry," Journal of Health Economics, Elsevier, vol. 15(6), pages 685-713, December.
    15. Engberg, John & Wholey, Douglas & Feldman, Roger & Christianson, Jon B., 2004. "The effect of mergers on firms' costs: evidence from the HMO industry," The Quarterly Review of Economics and Finance, Elsevier, vol. 44(4), pages 574-600, September.
    16. Jean Marie Abraham & Coleman Drake & Jeffrey S. McCullough & Kosali Simon, 2017. "What drives insurer participation and premiums in the Federally-Facilitated Marketplace?," International Journal of Health Economics and Management, Springer, vol. 17(4), pages 395-412, December.
    17. Royalty, Anne Beeson, 2008. "Estimating workers' marginal valuation of employer health benefits: Would insured workers prefer more health insurance or higher wages," Journal of Health Economics, Elsevier, vol. 27(1), pages 89-105, January.
    18. Avi Dor & Michael Grossman & Siran M.Koroukian, 2004. "Transaction Prices and Managed Care Discounting for Selected Medical Technologies: A Bargaining Approach," NBER Working Papers 10377, National Bureau of Economic Research, Inc.
    19. Frick, Kevin D. & Powe, Neil R., 1998. "The decision to cover a procedure at HMOs: who makes the call?," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 27(4), pages 515-533.
    20. Yiyan Liu & Ginger Zhe Jin, 2013. "Employer Contribution and Premium Growth in Health Insurance," NBER Working Papers 19760, National Bureau of Economic Research, Inc.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:kap:atlecj:v:28:y:2000:i:4:p:450-462. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.