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
[21]   LIVING BY THE GOLDEN-RULE - MULTIMARKET CONTACT IN THE UNITED-STATES AIRLINE INDUSTRY [J].
EVANS, WN ;
KESSIDES, IN .
QUARTERLY JOURNAL OF ECONOMICS, 1994, 109 (02) :341-366
[22]   Ownership Consolidation and Product Characteristics: A Study of the US Daily Newspaper Market [J].
Fan, Ying .
AMERICAN ECONOMIC REVIEW, 2013, 103 (05) :1598-1628
[23]   Pricing of First-Run Movies in Small US Metropolitan Areas: Multimarket Contact and Chain Effects [J].
Feinberg, Robert M. .
B E JOURNAL OF ECONOMIC ANALYSIS & POLICY, 2015, 15 (01) :285-297
[24]   Market power and multimarket contact: Some evidence from the Spanish hotel industry [J].
Fernandez, N ;
Marin, PL .
JOURNAL OF INDUSTRIAL ECONOMICS, 1998, 46 (03) :301-315
[25]   Is trade good or bad for the environment? Sorting out the causality [J].
Frankel, JA ;
Rose, AK .
REVIEW OF ECONOMICS AND STATISTICS, 2005, 87 (01) :85-91
[26]   The impact of mass migration on the Israeli labor market [J].
Friedberg, RM .
QUARTERLY JOURNAL OF ECONOMICS, 2001, 116 (04) :1373-1408
[27]   OLS with multiple high dimensional category variables [J].
Gaure, Simen .
COMPUTATIONAL STATISTICS & DATA ANALYSIS, 2013, 66 :8-18
[28]   Is vertical integration anticompetitive? Definitely maybe (but that's not final) [J].
Gaynor, M .
JOURNAL OF HEALTH ECONOMICS, 2006, 25 (01) :175-180
[29]   Death by Market Power: Reform, Competition, and Patient Outcomes in the National Health Service [J].
Gaynor, Martin ;
Moreno-Serra, Rodrigo ;
Propper, Carol .
AMERICAN ECONOMIC JOURNAL-ECONOMIC POLICY, 2013, 5 (04) :134-166
[30]   Competition, payers, and hospital quality [J].
Gowrisankaran, G ;
Town, RJ .
HEALTH SERVICES RESEARCH, 2003, 38 (06) :1403-1421