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Article
Health policy-makers worldwide have adopted different Reference Pricing (RP) systems for pharmaceuticals. Systems may differ concerning their effects on pharmaceutical prices, firms? strategies, market structure, public and private expenditure, [...]
Document de travail
A. MASON ; M. MIRALDO ; L. SICILIANI ; P. SIVEY ; A. STREET ; University of York. Centre for Health Economics. (C.H.E.). York. GBR | York : University of York | 2008The English government has encouraged private providers ? known as Independent Sector Treatment Centres (ISTCs) ? to treat publicly funded (NHS) patients. Providers are paid a fixed price per patient treated, adjusted to reflect geographical dif[...]
Document de travail
M.M. GALIZZI ; M. MIRALDO ; University of York. Centre for Health Economics. (C.H.E.). York. GBR | York : University of York | 2008We study the impact of different contractual arrangements within the hospital on the optimal contracts designed by third party payers when severity is hospital's private information. We develop a multi-issue bargaining process between doctors an[...]
Document de travail
M. MIRALDO ; L. SICILIANI ; A. STREET ; University of York. Centre for Health Economics. (C.H.E.). York. GBR | York : University of York | 2008Prospective payment systems are currently used in many OECD countries, where hospitals are paid a fixed price for each patient treated. We develop a theoretical model to analyse the properties of the optimal fixed prices to be paid to hospitals [...]
Document de travail
R. LONGO ; M. MIRALDO ; A. STREET ; University of York. Centre for Health Economics. (C.H.E.). York. GBR | York : University of York | 2008We analyse incentives for collusive behaviour when heterogeneous providers are faced with regulated prices under two forms of yardstick competition, namely discriminatory and uniform schemes. Providers are heterogeneous in the degree to which th[...]
Document de travail
M. MIRALDO ; University of York. Centre for Health Economics. (C.H.E.). York. GBR | York : University of York | 2007We study the influence of different reimbursement systems, namely Prospective Payment System, Cost Based Reimbursement System and fixed Reimbursement System on the development and adoption of different technologies with an endogenous supply of t[...]
Document de travail
M. MIRALDO ; University of York. Centre for Health Economics. (C.H.E.). York. GBR | York : University of York | 2007Within a horizontally differentiation model and allowing for heterogeneous qualities, we analyze the effects of reference pricing reimbursement on firms? pricing strategies. With this analysis we find inherent incentives for firms? pricing behav[...]
Document de travail
M. MIRALDO ; University of York. Centre for Health Economics. (C.H.E.). York. GBR | York : University of York | 2007Within a horizontally differentiation model, we analyse the relative effects of reference pricing and copayment reimbursement on firms pricing and quality strategies as well as on market coverage under different market structures: competitive ma[...]
Document de travail
M. MIRALDO ; M. GODDARD ; P.C. SMITH ; University of York. Centre for Health Economics. (C.H.E.). York. GBR | York : University of York | 2006Recently the English NHS has introduced an activity-based payment scheme for secondary care - the Payment by Results (PbR) policy. In this paper we discuss, from an economic perspective, the main intended and unintended incentives created by thi[...]
