Examines the monopolistic competition model for its adequacy as a predictive tool for determining factors that influence fee setting among private practice social workers. Indication of responsiveness of price of psyc...
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Examines the monopolistic competition model for its adequacy as a predictive tool for determining factors that influence fee setting among private practice social workers. Indication of responsiveness of price of psychotherapy in the social worker's primary practice setting to demand; Discussion of reimbursement policy implications.
This paper details the potential adverse welfare consequences of monopsony power in health insurance markets. It is shown that the exercise of monopsony power in the medical services market can augment the monopoly re...
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This paper details the potential adverse welfare consequences of monopsony power in health insurance markets. It is shown that the exercise of monopsony power in the medical services market can augment the monopoly rents of an insurer with market power in the insurance market, while at the same time inefficiently reducing supplier welfare. Cost-sharing by not-for-profit firms and its welfare consequences are also analyzed.
Many believe that nursing homes exclude heavy-care Medicaid patients because their costs exceed the Medicaid reimbursement rate. This paper tests whether this was true in New York in 1983 by calculating the marginal c...
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Many believe that nursing homes exclude heavy-care Medicaid patients because their costs exceed the Medicaid reimbursement rate. This paper tests whether this was true in New York in 1983 by calculating the marginal costs of a day of nursing home care and comparing them with the per diem Medicaid reimbursement rate. Contrary to popular beliefs, the marginal cost of the most dependent SNF patient was found to be between $9 and $12 less per patient day than the average Medicaid reimbursement rate for SNF patients. This suggests that excess demand, rather than lower-than-cost reimbursement rates, was creating the heavy-care access problem in New York in 1983. Policy solutions differ depending on the cause of the access problem. The strengths and weaknesses of the different policy solutions are compared.
The analysis in this paper extends the existing research on supplier-inducement by introducing a fixed price constraint on supplier behaviour and analysing output by treatment episode. Testable predictions are generat...
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The analysis in this paper extends the existing research on supplier-inducement by introducing a fixed price constraint on supplier behaviour and analysing output by treatment episode. Testable predictions are generated which distinguish between the inducement and traditional approaches to explaining supplier behaviour. Using data on dental care provision under the U.K. National Health Service support is found for the presence of supplier-inducement. The implications of the findings for the organisation of dental care in the U.K. are considered.
The World Bank's Financing health services in developing countries emphasizes demand-side issues - highlighting user fees, insurance, and the private sector as tools for strengthening the health sector. That appro...
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The World Bank's Financing health services in developing countries emphasizes demand-side issues - highlighting user fees, insurance, and the private sector as tools for strengthening the health sector. That approach is a major departure from the focus on the supply side - public sector spending, costs, management, and efficiency - that has dominated the international health finance agenda for many years. An important set of empirical papers by Paul Gertler and his co-authors coincided with the release of the policy paper. Gertler's work has questioned a policy of greater dependence on user fees by emphasizing the potential welfare costs to consumers of higher fees for medical services. Many health professionals have adopted the jargon of this new approach without understanding the underlying analysis. This article attempts to demystify the debate that has ensued by illustrating economists' idiosyncratic approach to welfare, explaining how the policy paper and Gertler differ, and suggesting alternative approaches to testing the feasibility of the policy paper's prescriptions.
In the summer of 1999 the BDA conducted a timings Inquiry in order to provide information on treatment timings within the General Dental Services (GDS) and to develop a model of an hourly rate for general practice. A ...
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In the summer of 1999 the BDA conducted a timings Inquiry in order to provide information on treatment timings within the General Dental Services (GDS) and to develop a model of an hourly rate for general practice. A panel of dentists measured the absolute time taken to carry out 21 key treatments. The relative times of related treatments were then estimated. The panel also come to consensus about the variables to construct the hourly rate model. The absolute timings exercise was applied to the hourly rate model in order to draw some conclusions about the average earnings of a full-time dentist committed to the NHS. This information formed a! central part of the BDA's 1999 evidence to the Doctors and Dentists Review Body.
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