FINANCIAL INCENTIVES AND COMPETITIVE PRESSURE: THE CASE OF THE HOSPITAL INDUSTRY

• 成果类型: Article
• 署名作者: Chone, Philippe; Wilner, Lionel
• 署名单位: Institut Polytechnique de Paris; ENSAE Paris; Institut Polytechnique de Paris; ENSAE Paris
• 刊物名称: JOURNAL OF THE EUROPEAN ECONOMIC ASSOCIATION
• ISSN/ISSBN: 1542-4766
• DOI: 10.1093/jeea/jvab031
• 发表日期: 2022
• 页码: 626-666
• 关键词: merger simulation; care; CHOICE; QUALITY; prices; demand; models

摘要

In the late 2000s, a regulatory reform dramatically strengthened the incentives of French nonprofit (NP) hospitals to attract patients. Exploiting exhaustive data for surgery treatments between 2005 and 2008, and modeling hospitals as supplying utility to patients, we show that increased competitive pressure on NP hospitals caused them to perform more procedures, but did not inflate overall activity at the industry level. Although they have gained market shares over their for-profit (FP) counterparts, NP hospitals have been significantly worse off after the reform. To adjust to stronger financial incentives, they incurred an additional effort (pecuniary and non-pecuniary costs) equivalent to about a quarter of their annual revenue.