Does managed care reduce health care expenditure? Evidence from spatial panel data
Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › begutachtet
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in: International Journal of Health Care Finance and Economics, Jahrgang 14, Nr. 3, 08.2014, S. 207-227.
Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › begutachtet
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TY - JOUR
T1 - Does managed care reduce health care expenditure? Evidence from spatial panel data
AU - Ehlert, Andree
AU - Oberschachtsiek, Dirk
PY - 2014/8
Y1 - 2014/8
N2 - 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.
AB - 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.
KW - Economics
KW - German health care reform
KW - Health care expenditure
KW - Managed care
KW - Panel data
KW - Pharmaceutical expenditure
KW - Economics, empirical/statistics
UR - http://www.scopus.com/inward/record.url?scp=84905741425&partnerID=8YFLogxK
U2 - 10.1007/s10754-014-9145-x
DO - 10.1007/s10754-014-9145-x
M3 - Journal articles
C2 - 24691774
VL - 14
SP - 207
EP - 227
JO - International Journal of Health Care Finance and Economics
JF - International Journal of Health Care Finance and Economics
SN - 1389-6563
IS - 3
ER -