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

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Does managed care reduce health care expenditure? Evidence from spatial panel data. / Ehlert, Andree; Oberschachtsiek, Dirk.
In: International Journal of Health Care Finance and Economics, Vol. 14, No. 3, 08.2014, p. 207-227.

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@article{b1c3cae791754242a3df49621c7625db,
title = "Does managed care reduce health care expenditure? Evidence from spatial panel data",
abstract = "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.",
keywords = "Economics, German health care reform, Health care expenditure, Managed care, Panel data, Pharmaceutical expenditure, Economics, empirical/statistics",
author = "Andree Ehlert and Dirk Oberschachtsiek",
year = "2014",
month = aug,
doi = "10.1007/s10754-014-9145-x",
language = "English",
volume = "14",
pages = "207--227",
journal = "International Journal of Health Care Finance and Economics",
issn = "1389-6563",
publisher = "Springer",
number = "3",

}

RIS

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 -