The Long-Term Economic Gain from New Models of Healthcare Provision: The Opportunities for Pharmaceutical Companies (original) (raw)

Public or Private Health Services? A Skeptic's View

Journal of Policy Analysis and Management, 1983

For many years economists writing on the delivery of health services dusted off the traditional promarket analyses of textbooks and applied them uncritically to the health care industry. Specialists in health care today are far more cautious. From the medical side there has been an increasing interest in the economic Good research drawing on the skills of economists and other specialists is rapidly growing. This research offers little support either to those who reason abstractly from a market ideology or to those who are uncritically committed to socialized health care.

An economic analysis of the limits of market based reforms in the English NHS

BMC health services research, 2013

Over the past three decades, a limited range of market like mechanisms have been introduced into the hierarchically structured English National Health Service ('NHS'), which is a nationally tax funded, budget limited healthcare system, with access to care for all, producing structures known as a quasi market. Recently, the Health and Social Care Act 2012 ('HSCA') has been enacted, introducing further market elements. The paper examines the theory and effects of these market mechanisms. Using neo-classical economics as a primary theoretical framework, as well as new institutional economics and socio-legal theory, the paper first examines the fundamental elements of markets, comparing these with the operation of authority and resource allocation employed in hierarchical structures. Second, the paper examines the application of market concepts to the delivery of healthcare, drawing out the problems which economic and socio-legal theories predict are likely to be encount...

Public and Private Provision of Health Care

Journal of Economics & Management Strategy, 2002

One of the mechanisms that is implemented in the cost containment wave in the health care sectors in western countries is the definition, by the third-party payer, of a set of preferred providers. The insured patients have different access rules to such providers when ill. The rules specify the co-payments and the indemnity the patient obtains if patronizing an out-of-plan care provider. We propose to study the competitive process among providers in terms of both prices and qualities. Competition is influenced among other factors by the status of providers as in-plan or out-of-plan care providers. Also, we face a moral hazard of provider choice related to the trade-off between freedom to choose and the need to hold down costs. Our main findings are that we can define a reimbursement scheme when decisions on prices and qualities are taken simultaneously (that we relate to primary health care sectors) such that the first-best allocation is achieved. In contrast, some type of regulation is needed to achieve the optimal solution when decisions are sequential (specialized health care sector). We also derive some normative conclusions on the way price controls should be implemented in some European Union Member States.

Extending Choice in English Health Care: The Implications of the Economic Evidence

Journal of Social Policy, 2006

The Centre for Market and Public Organisation, a Research Centre based at the University of Bristol, was established in 1998. The principal aim of the CMPO is to develop understanding of the design of activities within the public sector, on the boundary of the state and within recently privatised entities with the objective of developing research in, and assessing and informing policy toward, these activities.

Death by Market Power: Reform, Competition, and Patient Outcomes in the National Health Service

American Economic Journal: Economic Policy, 2013

The Centre for Market and Public Organisation (CMPO) is a leading research centre, combining expertise in economics, geography and law. Our objective is to study the intersection between the public and private sectors of the economy, and in particular to understand the right way to organise and deliver public services. The Centre aims to develop research, contribute to the public debate and inform policy-making.