Equilibrium provider networks: Bargaining and exclusion in health care markets
We evaluate the consequences of narrow hospital networks in commercial health care
markets. We develop a bargaining solution,“Nash-in-Nash with Threat of Replacement,” that …
markets. We develop a bargaining solution,“Nash-in-Nash with Threat of Replacement,” that …
The affordable care act after a decade: industrial organization of the insurance exchanges
The regulated insurance exchanges set up in the Affordable Care Act (ACA) were designed
to deliver affordable, efficient health coverage through private insurers. It is crucial to study …
to deliver affordable, efficient health coverage through private insurers. It is crucial to study …
ACA marketplace premiums grew more rapidly in areas with monopoly insurers than in areas with more competition
JV Parys - Health Affairs, 2018 - healthaffairs.org
Premiums have increased rapidly in the two most recent years of the health insurance
Marketplaces, with notable variation across state rating areas. Some experts have …
Marketplaces, with notable variation across state rating areas. Some experts have …
What are consumers willing to pay for a broad network health plan?: Evidence from covered California
C Drake - Journal of Health Economics, 2019 - Elsevier
Abstract Health Insurance Marketplaces have received considerable attention for their
narrow network health plans. Yet, little is known about consumer tastes for network breadth …
narrow network health plans. Yet, little is known about consumer tastes for network breadth …
Association of expanded health care networks with utilization among Veterans Affairs enrollees
Importance Health insurers alter the size of their networks, offering lower premiums in
exchange for a more limited set of care choices. However, little is known about the …
exchange for a more limited set of care choices. However, little is known about the …
[PDF][PDF] The social, political, and economic effects of the Affordable Care Act: Introduction to the issue
AL Campbell, L Shore-Sheppard - RSF: The Russell Sage …, 2020 - rsfjournal.org
The Patient Protection and Affordable Care Act, commonly referred to as the ACA and
signed into law on March 23, 2010, was the most significant reform of the American health …
signed into law on March 23, 2010, was the most significant reform of the American health …
A knotty problem: consumer access and the regulation of provider networks
In order to increase access to medical services, expanding coverage has long been the
preferred solution of policy makers and advocates alike. The calculus appeared …
preferred solution of policy makers and advocates alike. The calculus appeared …
How Price Regulation Is Needed To Advance Market Competition: Study examines the need for price regulation in US health care.
RA Berenson, RB Murray - Health Affairs, 2022 - healthaffairs.org
In US health policy, conventional wisdom holds that market competition and price regulation
are mutually exclusive strategies to stem high and rising provider prices. This incorrect …
are mutually exclusive strategies to stem high and rising provider prices. This incorrect …
A consumer-centric approach to network adequacy: access to four specialties in California's marketplace
We assessed the effect of provider networks on access to four medical specialties for
Affordable Care Act Marketplace enrollees in California. Our approach incorporated a …
Affordable Care Act Marketplace enrollees in California. Our approach incorporated a …
Out-Of-Network Spending Mostly Declined In Privately Insured Populations With A Few Notable Exceptions From 2008 To 2016: Study examines out-of-network …
While out-of-network or potential “surprise” billing has garnered increasing attention,
particularly in emergency department and inpatient settings, few national studies have …
particularly in emergency department and inpatient settings, few national studies have …