Regulating Hospital Prices Based On Market Concentration Is Likely To Leave High-Price Hospitals Unaffected

Concern about high hospital prices for commercially insured patients has motivated several proposals to regulate these prices. Such proposals often limit regulations to highly concentrated hospital markets. Using a large sample of 2017 US commercial insurance claims, we demonstrate that under the ma...

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Veröffentlicht in:	Health affairs (Millwood, Va.) Jg. 40; H. 9; S. 1386 - 21
Hauptverfasser:	Pany, Maximilian J, Chernew, Michael E, Dafny, Leemore S
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	United States The People to People Health Foundation, Inc., Project HOPE 01.09.2021
Schlagworte:	Action Antitrust Bipartisanship Competition Delivery of Health Care Economic Competition Health care policy Hospitals Humans Insurance Insurance claims Market concentration Market shares Markets Medicare Outpatient care facilities Patients Price regulations Prices Pricing Pricing policies Product differentiation Proposals Regulation United States United States United States > US
ISSN:	0278-2715, 2694-233X, 1544-5208, 2694-233X
Online-Zugang:	Volltext
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Zusammenfassung:	Concern about high hospital prices for commercially insured patients has motivated several proposals to regulate these prices. Such proposals often limit regulations to highly concentrated hospital markets. Using a large sample of 2017 US commercial insurance claims, we demonstrate that under the market definition commonly used in these proposals, most high-price hospitals are in markets that would be deemed competitive or "moderately concentrated," using antitrust guidelines. Limiting policy actions to concentrated hospital markets, particularly when those markets are defined broadly, would likely result in poor targeting of high-price hospitals. Policies that target the undesired outcome of high price directly, whether as a trigger or as a screen for action, are likely to be more effective than those that limit action based on market concentration.
Bibliographie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	0278-2715 2694-233X 1544-5208 2694-233X
DOI:	10.1377/hlthaff.2021.00001