RAND Corporation, United States; School of Public Health, University of California, Berkeley, United States.
School of Public Health, University of California, Berkeley, United States.
J Health Econ. 2018 Sep;61:111-133. doi: 10.1016/j.jhealeco.2018.06.012. Epub 2018 Jul 26.
This paper examines how health care providers respond to a reference pricing insurance program that increases consumer cost sharing when consumers choose high-priced surgical providers. We use geographic variation in the population covered by the program to estimate supply-side responses. We find limited evidence of market segmentation and price reductions for providers with baseline prices above the reference price. Finally, approximately 75% of the reduction in provider prices is in the form of a positive externality that benefits a population not subject to the program.
本文考察了医疗服务提供者如何应对参考定价保险计划，该计划在消费者选择高价手术提供者时增加了消费者的自付费用。我们利用该计划覆盖人群的地理差异来估计供应方的反应。我们发现，对于基准价格高于参考价格的供应商，市场细分和价格降低的证据有限。最后，大约 75%的供应商价格降低是以正外部性的形式出现的，这使不受该计划影响的人群受益。
