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Health care network formation and policyholders' welfare

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dc.creatorBardey, David
dc.creatorBourgeon, Jean-Marc
dc.date.accessioned2015-10-15T12:08:16Z
dc.date.available2015-10-15T12:08:16Z
dc.date.created2010
dc.date.issued2010
dc.description.abstractWe develop a model in which two insurers and two health care providers compete for a fixed mass of policyholders. Insurers compete in premium and offer coverage against financial consequences of health risk. They have the possibility to sign agreements with providers to establish a health care network. Providers, partially altruistic, are horizontally differentiated with respect to their physical address. They choose the health care quality and compete in price. First, we show that policyholders are better off under a competition between conventional insurance rather than under a competition between integrated insurers (Managed Care Organizations). Second, we reveal that the competition between a conventional insurer and a Managed Care Organization (MCO) leads to a similar equilibrium than the competition between two MCOs characterized by a different objective i.e. private versus mutual. Third, we point out that the ex ante providers’ horizontal differentiation leads to an exclusionary equilibrium in which both insurers select one distinct provider. This result is in sharp contrast with frameworks that introduce the concept of option value to model the (ex post) horizontal differentiation between providers.eng
dc.format.extent20 páginasspa
dc.format.mediumRecurso electrónicospa
dc.format.mimetypeapplication/pdf
dc.format.tipoDocumentospa
dc.identifier.doihttps://doi.org/10.48713/10336_11120
dc.identifier.editorialUniversidad del Rosariospa
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/11120
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Economíaspa
dc.relation.citationIssueNo. 88
dc.relation.citationTitleSerie Documentos de trabajo. Economía
dc.relation.ispartofSerie documentos de trabajo. No 88 (Agosto 2010)spa
dc.relation.urihttps://ideas.repec.org/p/col/000092/007457.html
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto completo)spa
dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.ddcProblemas & servicios de bienestar social
dc.subject.keywordHealth Care Networkeng
dc.subject.keywordHorizontal Differentiationeng
dc.subject.keywordHealth Care Qualityeng
dc.subject.lembSeguridad socialspa
dc.subject.lembSegurosspa
dc.subject.lembSalud públicaspa
dc.subject.lembAtención médicaspa
dc.subject.lembPolítica socialspa
dc.titleHealth care network formation and policyholders' welfarespa
dc.typeworkingPapereng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaDocumento de trabajospa
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