Multimarket Contact in Health Insurance: Evidence from Medicare Advantage

被引:5
作者
Lin, Haizhen [1 ,2 ]
McCarthy, Ian M. [3 ,4 ]
机构
[1] Indiana Univ, Kelley Sch Business, Business Econ & Publ Policy, 1309 E Tenth St, Bloomington, IN 47405 USA
[2] NBER, Kelley Sch Business, Business Econ & Publ Policy, 1309 Tenth St, Bloomington, IN 47405 USA
[3] Emory Univ, Dept Econ, 1602 Fishburne Dr, Atlanta, GA 30322 USA
[4] NBER, Dept Econ, 1602 Fishburne Dr, Atlanta, GA 30322 USA
关键词
MARKET POWER; QUALITY; COMPETITION; CONSOLIDATION; PERFORMANCE; COLLUSION; MONOPOLY; MERGERS; IMPACT; TRADE;
D O I
10.1111/joie.12318
中图分类号
F8 [财政、金融];
学科分类号
0202 ;
摘要
Many industries consist of large firms that compete in multiple geographic markets. Such overlap, defined as multimarket contact (MMC), may facilitate tacit collusion and soften competition. We examine the effects of MMC on health insurance prices and quality using comprehensive data on the Medicare Advantage (MA) market from 2008 through 2015. Our identification strategy exploits two plausibly exogenous changes to MMC: (1) out-of-market mergers; and (2) policy-driven changes in the benchmark rates of other markets. Our results consistently support the mutual forbearance hypothesis, where we find that prices are significantly higher and high-quality plans less pervasive as MMC increases.
引用
收藏
页码:212 / 255
页数:44
相关论文
共 54 条
[1]   MULTIMARKET CONTACT AND COLLUSIVE BEHAVIOR [J].
BERNHEIM, BD ;
WHINSTON, MD .
RAND JOURNAL OF ECONOMICS, 1990, 21 (01) :1-26
[2]   Do mergers increase product variety? Evidence from radio broadcasting [J].
Berry, ST ;
Waldfogel, J .
QUARTERLY JOURNAL OF ECONOMICS, 2001, 116 (03) :1009-1025
[3]   The Impact of Competition on Management Quality: Evidence from Public Hospitals [J].
Bloom, Nicholas ;
Propper, Carol ;
Seiler, Stephan ;
Van Reenen, John .
REVIEW OF ECONOMIC STUDIES, 2015, 82 (02) :457-489
[4]   Do Larger Health Insurance Subsidies Benefit Patients or Producers? Evidence from Medicare Advantage [J].
Cabral, Marika ;
Geruso, Michael ;
Mahoney, Neale .
AMERICAN ECONOMIC REVIEW, 2018, 108 (08) :2048-2087
[5]   The environmental consequences of trade: Evidence from subnational trade flows [J].
Chintrakarn, Pandej ;
Millimet, Daniel L. .
JOURNAL OF ENVIRONMENTAL ECONOMICS AND MANAGEMENT, 2006, 52 (01) :430-453
[6]   Does multimarket contact facilitate tacit collusion? Inference on conduct parameters in the airline industry [J].
Ciliberto, Federico ;
Williams, Jonathan W. .
RAND JOURNAL OF ECONOMICS, 2014, 45 (04) :764-791
[7]   PLAUSIBLY EXOGENOUS [J].
Conley, Timothy G. ;
Hansen, Christian B. ;
Rossi, Peter E. .
REVIEW OF ECONOMICS AND STATISTICS, 2012, 94 (01) :260-272
[8]  
Correia S., 2016, FEASIBLE ESTIMATOR L
[9]  
Correia Sergio., 2017, Reghdfe: Stata Module for Linear and Instrumental-Variable/GMM Regression Absorbing Multiple Levels of Fixed Effects
[10]   Quality Overprovision in Cable Television Markets [J].
Crawford, Gregory S. ;
Shcherbakov, Oleksandr ;
Shum, Matthew .
AMERICAN ECONOMIC REVIEW, 2019, 109 (03) :956-995