How important is price variation between health insurers?

Craig Stuart V; Ericson Keith Marzilli; Starc Amanda

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How important is price variation between health insurers?

机译：卫生保险公司之间的价格变异有多重要？

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摘要

Prices negotiated between payers and providers affect a health insurance contract's value via enrollees' cost-sharing and self-insured employers' costs. However, price variation across payers is difficult to observe. We measure negotiated prices for hospital-payer pairs in Massachusetts and characterize price variation. Between-payer price variation is similar in magnitude to between-hospital price variation. Administrative-services-only contracts, in which insurers do not bear risk, have higher prices. We model negotiation incentives and show that contractual form and demand responsiveness to negotiated prices are important determinants of negotiated prices.(c) 2021 Elsevier B.V. All rights reserved.

机译：付款人和提供商之间的价格通过登记者的成本分享和自我保险雇主的成本影响了健康保险合同的价值。但是，付费人的价格变化很难观察到。我们衡量Massachusetts医院付款人对的谈判价格，并表征价格变异。支付者之间的价格变化与医院价格变化相似。行政服务的合同，保险公司不承担风险，价格较高。我们模拟谈判激励措施并表明谈判价格的合同形式和需求响应是谈判价格的重要决定因素。（c）2021 Elsevier B.V.保留所有权利。

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来源
《Journal of health economics》 |2021年第5期|102423.1-102423.13|共13页
作者
Craig Stuart V; Ericson Keith Marzilli; Starc Amanda;
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作者单位

Univ Penn Wharton Sch Philadelphia PA 19104 USA;

Boston Univ Questrom Sch Business Boston MA 02215 USA|NBER Cambridge MA 02138 USA;

NBER Cambridge MA 02138 USA|Northwestern Univ Kellogg Sch Management Evanston IL 60208 USA;

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原文格式 PDF
正文语种 eng
中图分类
关键词
Insurance; Price variation; Negotiated prices; Contract; Self-insured employers;

机译：保险;价格变异;谈判价格;合同;自我保险雇主;

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专利

1. If reference‐based benefit designs work, why are they not widely adopted? Insurers and administrators not doing enough to address price variation [J] . Scanlon Dennis P. Health services research: HSR . 2020,第3期

机译：如果基于参考的利益设计工作，为什么他们没有被广泛采用？保险公司和管理员不足以解决价格变异
2. Market Power: Price Variation Among Commercial Insurers For Hospital Services [J] . Bai Ge, Anderson Gerard F. Health affairs . 2018,第10期

机译：市场力量：医院服务商业保险公司价格变化
3. Insurer market structure and variation in commercial health care spending [J] . McKellarM.R., NaimerS., LandrumM.B., Health services research: HSR . 2014,第3期

机译：保险公司的市场结构和商业医疗保健支出的变化
4. Changing Roles of Social Health Insurers in Delivering Public Health Services [C] . Matsuda R., Nakahara T. World Congress on Public Health . 2013

机译：改变社会卫生保险公司在提供公共卫生服务方面的角色
5. General equilibrium continuous-time asset pricing in the presence of: (1) Portfolio insurers and (2) non-price-taking investors. [D] . Basak, Suleyman. 1993

机译：存在以下情况时的一般均衡连续时间资产定价：（1）投资组合保险公司和（2）非定价投资者。
6. If reference‐based benefit designs work why are they not widely adopted? Insurers and administrators not doing enough to address price variation [O] . Dennis P. Scanlon 2020

机译：如果基于参考的利益设计工作为什么他们没有被广泛采用？保险公司和管理员不足以解决价格变异
7. Small-area variation in health care affecting the choice of cesarean delivery: the case of a colombian health insurer [O] . Vecino Ortiz Andrés Ignacio, Bardey David, Castano-Yepes Ramón 100

机译：影响剖宫产分娩选择的医疗保健的小范围变化：哥伦比亚健康保险公司的情况
8. Insurer Failures: Life/Health Insurer Insolvencies and Limitations of StateGuaranty Funds [R] . 1992

机译：保险公司失败：人寿/健康保险公司破产和国家保险基金的限制

How important is price variation between health insurers?

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