How Health Insurance Undermines Quality Competition
Posted: June 29, 2011 Filed under: Competition, Health Insurance Leave a comment »http://healthblog.ncpa.org/how-health-insurance/
Death by Market Power: Reform, Competition and Patient Outcomes in the National Health Service — by Martin Gaynor, Rodrigo Moreno-Serra, Carol Propper
Posted: July 19, 2010 Filed under: Competition, Health Care, Uncategorized Leave a comment »Sent to you via Google Reader
Death by Market Power: Reform, Competition and Patient Outcomes in the National Health Service — by Martin Gaynor, Rodrigo Moreno-Serra, Carol Propper
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.
Daniel J. SmithSent Via Mobile Phone
http://www.danieljosephsmith.com
Video on the Public School Monopoly
Posted: February 11, 2010 Filed under: Competition, Education, Monopoly, Public Schools Leave a comment »http://jeffreymiron.blogspot.com/2010/02/public-school-monopoly.html
Effects of Free Choice Among Public Schools
Posted: February 11, 2010 Filed under: Competition, Education, Public Schools Leave a comment »“In this paper I investigate the impact of a program in Tel Aviv, Israel, that terminated an existing inter-district busing integration program and allowed students free choice among public schools. Theidentification is based on difference-in-differences and regression discontinuity designs that yield variousalternative comparison groups drawn from untreated tangent neighborhoods and adjacent cities. Acrossidentification methods and comparison groups, the results consistently suggest that choice significantlyreduces the drop-out rate and increases the cognitive achievements of high school students. It alsoimproves behavioral outcomes such as teacher-student relationships and students’ social acclimation andsatisfaction at school, and reduces the level of violence and classroom disruption.”
http://www.restud.com/uploads/papers/MS%252012566-3%2520manuscript.pdf
