QUALITY CHOICE AND MARKET STRUCTURE: A DYNAMIC ANALYSIS OF NURSING HOME OLIGOPOLIES

被引：18
|
作者：
Lin, Haizhen [1 ]
机构：
[1] Indiana Univ, Bloomington, IN 47405 USA
来源：
INTERNATIONAL ECONOMIC REVIEW | 2015年 / 56卷 / 04期
关键词：
MEDICAID REIMBURSEMENT; EMPIRICAL-MODEL; CARE; COMPETITION; ESTIMATORS; ENTRY; DEMAND;
D O I：
10.1111/iere.12137
中图分类号：
F [经济];
学科分类号：
02 ;
摘要：
This article develops a dynamic model of entry and exit to analyze quality choice and oligopoly market structure in the nursing home industry. I find significant heterogeneity in the competitive effects across market structures: Firms of similar quality levels compete more strongly than dissimilar firms. Sunken entry costs are extremely large, and quality adjustment behavior is governed by significant fixed adjustment costs. A proposal to eliminate low-quality nursing homes is found to cause a large supply-side shortage, and another proposal to lower entry costs has offered a perverse incentive to provide low quality of care.
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页码：1261 / 1290
页数：30
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