Does managed care reduce health care expenditure? Evidence from spatial panel data

Publikation: Beiträge in ZeitschriftenZeitschriftenaufsätzeForschungbegutachtet

Authors

Similar to, for example, the US, Switzerland or Great Britain the German health care sector has recently undergone a series of reforms towards managed care. These measures are intended to yield both a higher quality of care and cost containment. In our study we ask whether managed care reduces health care expenditure at the market level. We apply a macroeconomic evaluation approach based on a regional panel data set which is as yet unique in the context of managed care. Econometrically, we account for both unobserved heterogeneity and spatial dependence, i.e. regional interrelations in health care. We discuss alternative model specifications and include a range of sensitivity analyses. Our results suggest that in contrast to public perception the share of managed care contracts has a positive impact on pharmaceutical spending, in particular through regional spillover effects.

OriginalspracheEnglisch
ZeitschriftInternational Journal of Health Care Finance and Economics
Jahrgang14
Ausgabenummer3
Seiten (von - bis)207-227
Anzahl der Seiten21
ISSN1389-6563
DOIs
PublikationsstatusErschienen - 08.2014

DOI

Zuletzt angesehen

Forschende

  1. Hartmut Titze

Publikationen

  1. Intracellular Accumulation of Linezolid in Escherichia Coli, Citrobacter Freundii and Enterobacter Aerogenes
  2. Impactos do engajamento das empresas com seus stakeholders
  3. PPC Task Plan Sourcing - Synchronization of Procurement and Production. A Model-based Observation
  4. Palaeoecological Interpretation of a Late Holocene Sediment Sequence from the Alpine Belt of the Southern Mongolian Altai Mountains
  5. Advanced ice-clamping control in the context of Industry 4.0
  6. Das Konzept
  7. OH-radical reactivity and direct photolysis of triphenyltin hydroxide in aqueous solution
  8. Microstructure and mechanical properties of high pressure die cast AM50 magnesium alloy containing Ce
  9. Between the Ends of a Wire
  10. Situative bewegungssimulation des zweibeinigen, parallelkinematischen schreitroboters centaurob
  11. Glen Mills Schools
  12. The affective relevance of suggestion-focused and problem-focused voice
  13. The Social Productivity of Anonymity
  14. Multisensory Design of Retail Environments
  15. Selbstständiges Lernen in einer Lernwerkstatt
  16. Externes Rating aus Unternehmenssicht
  17. myStudy
  18. Accumulation of total trace metals due to rapid urbanization in microtidal zone of Pallikaranai marsh, South of Chennai, India
  19. Article 67 CISG
  20. Balloons, Sweat and Technologies
  21. Contrasting changes in the abundance and diversity of North American bird assemblages from 1971 to 2010
  22. On the Problematic Productivity of Hype
  23. Non-metric multidimensional performance indicator scaling reveals seasonal and team dissimilarity within the National Rugby League
  24. Orientierung im Realraum
  25. The Third Image
  26. Freiheit in Liebe. Eine Einführung
  27. Role of perceived importance in intergroup contact
  28. Versteigern statt Verschenken!
  29. Die Familienstiftung