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Title: Who benefits when inertia is reduced? Competition, quality and returns to skill in health care markets
Author(s): Sebastian Fleitas
Publication Date: January 2020
Keyword(s): Competition, inertia, Quality and Returns to skill
Programme Area(s): Industrial Organization
Abstract: Increased competition creates incentives for health-care providers to improve quality by incorporating better inputs, like higher-skill physicians. However, because the supply of high-skill physicians is relatively inelastic in the short run, increases in competition may lead only to increases in returns to skill. I leverage a reform in Uruguay that increased competition among completely vertically integrated providers by reducing lock-in of consumers. Using administrative data on wages and hours and a measure of physicians' skills based on test scores from medical school, I show that increased competition increased the returns to skill without strong evidence of an increase in quality.
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Bibliographic Reference
Fleitas, S. 2020. 'Who benefits when inertia is reduced? Competition, quality and returns to skill in health care markets'. London, Centre for Economic Policy Research. https://cepr.org/active/publications/discussion_papers/dp.php?dpno=14292