Pricing health services: Transaction cost approach

Pricing health services: Transaction cost approach PDF

Author: Monika Raulinajtys-Grzybek

Publisher: Anchor Academic Publishing (aap_verlag)

Published: 2015-03-04

Total Pages: 160

ISBN-13: 3954898888

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The study is the result of the research on the transaction costs of the pricing of health services. Due to the fact that the regulations in terms of pricing include activities that lead to price-setting of a good (health service), costs associated with these activities should be treated as transaction costs. According to the assumptions of classical economics, the price should be set at the intersection of the supply and demand curve under the assumption of full information and rationality of market participants. The primary objective of the study is to identify the transaction costs occurring during the pricing of health services (and relate these cost to the institutional environment and the organization of pricing transaction) and characterize the factors that affect the level of transaction costs – to present the force and direction of the relationship between each of the factors and the level of transaction costs. An additional objective of this study is to link the conclusions about the level of transaction costs to the conclusions regarding the accuracy of the cost-based pricing in health care. The accuracy of the pricing system is related to the degree to which the price structure reflects the actual cost structure of the health services. The institutional approach will add up to the existing research on the importance of cost information for the pricing of health services. The empirical part of the work was carried out based on the analysis of primary and secondary sources. Its aim was to present how pricing is organized in seventeen countries selected.

Health Care Development

Health Care Development PDF

Author: M. Hajli

Publisher:

Published: 2015

Total Pages: 0

ISBN-13:

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The emergence of Web 2.0 technologies has already been influential in many industries, and Web 2.0 applications are now beginning to have an impact on health care. These new technologies offer a promising approach for shaping the future of modern health care, with the potential for opening up new opportunities for the health care industry as it struggles to deal with challenges including the need to cut costs, the increasing demand for health services and the increasing cost of medical technology. Social media such as social networking sites are attracting more individuals to online health communities, contributing to an increase in the productivity of modern health care and reducing transaction costs. This study therefore examines the potential effect of social technologies, particularly social media, on health care development by adopting a social support/transaction cost perspective. Viewed through the lens of Information Systems, social support and transaction cost theories indicate that social media, particularly online health communities, positively support health care development. The results show that individuals join online health communities to share and receive social support, and these social interactions provide both informational and emotional support.

Understanding Value Based Healthcare

Understanding Value Based Healthcare PDF

Author: Vineet Arora

Publisher: McGraw Hill Professional

Published: 2015-04-03

Total Pages: 417

ISBN-13: 007181700X

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Provide outstanding healthcare while keeping within budget with this comprehensive, engagingly written guide Understanding Value-Based Healthcare is a succinct, interestingly written primer on the core issues involved in maximizing the efficacy and outcomes of medical care when cost is a factor in the decision-making process. Written by internationally recognized experts on cost- and value-based healthcare, this timely book delivers practical and clinically focused guidance on one of the most debated topics in medicine and medicine administration today. Understanding Value-Based Healthcare is divided into three sections: Section 1 Introduction to Value in Healthcare lays the groundwork for understanding this complex topic. Coverage includes the current state of healthcare costs and waste in the USA, the challenges of understanding healthcare pricing, ethics of cost-conscious care, and more. Section 2 Causes of Waste covers important issues such as variation in resource utilization, the role of technology diffusion, lost opportunities to deliver value, and barriers to providing high-value care. Section 3 Solutions and Tools discusses teaching cost awareness and evidence-based medicine, the role of patients, high-value medication prescribing, screening and prevention, incentives, and implementing value-based initiatives. The authors include valuable case studies within each chapter to demonstrate how the material relates to real-world situations faced by clinicians on a daily basis. .

The Transaction Cost Economics Project

The Transaction Cost Economics Project PDF

Author: Oliver E. Williamson

Publisher: Edward Elgar Publishing

Published: 2013

Total Pages: 0

ISBN-13: 9780857938770

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Transaction cost economics has and continues to be a fruitful area of research. There is still much to be done in the field with past research being used in conjunction with the vast number of contractual phenomena that have yet to be investigated in transaction cost economics terms. New challenges are posed by the need to move beyond the design of new contractual instruments (such as financial derivatives) to include an examination of the lurking hazards that attend contract implementation.

Organizational Form of Disease Management Programs

Organizational Form of Disease Management Programs PDF

Author: Nahush Chandaver

Publisher:

Published: 2007

Total Pages:

ISBN-13:

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ABSTRACT: Patient care programs such as wellness, preventive care and specifically disease management programs, which target the chronically ill population, are designed to reduce healthcare costs and improve health, while promoting the efficient use of healthcare resources, and increasing productivity. The organizational form adopted by the health plan for these programs, i.e. in-sourced vs. outsourced is an important factor in the success of these programs and the extent to which the core objectives listed above are fulfilled. Transaction cost economics aims to explain the working arrangement for an organization and to explain why sourcing decisions were made by considering alternate organizational arrangements and comparing the costs of transacting under each. This research aims to understand the nature and sources of transaction costs, how they affect the sourcing decision of disease management and other programs, and its effect on the organization, using current industry data. Predictive models are used to obtain empirical results of the influence of each factor, and also to provide cost estimates for each organizational form available, irrespective of the form currently adopted. The analysis of the primary data obtained by the means of a web-based survey supports and confirms the effect of transaction cost factors on these programs. This implies that in order to reap financial rewards and serve patients better, health plans must aim to minimize transaction costs and select the organizational form that best accomplishes this objective.

Transaction Cost Theories and Health Policies

Transaction Cost Theories and Health Policies PDF

Author: Christine C. Huttin

Publisher:

Published: 2024-01-25

Total Pages: 0

ISBN-13: 9783659844164

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This book includes essays on Transaction Cost theories for Health policies; it shows that such an approach is still useful for liberal economies. It is part of a larger research agenda to develop policy aiding decision tools and address inefficiencies of medical markets. The Transaction Cost Economics framework is applied for a project on re-engineering of California primary care; then an emerging theoretical framework called the "3Ps" develops further a Transaction Cost Political theory with a business approach; it combines Politics, Patients and Products from companies for market access, with 3P from the demand side: Physicians, Pharmacists and Patients. These actors choose individual cost reduction strategies for patients, this explicit information complements the implicit cost cues used in the cost sensitivity simulators (Huttin-Endepusresearch, 2017). Then, the author uses this "3P" framework in two case studies: France and Germany. Results identified that physicians were key players in Germany versus pharmacists in France, with their choices of individual cost reduction strategies. The Transaction Cost approach remains useful for Random Utility Models in health insurance.

Accounting for Health and Health Care

Accounting for Health and Health Care PDF

Author: National Research Council

Publisher: National Academies Press

Published: 2011-02-05

Total Pages: 238

ISBN-13: 0309156793

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It has become trite to observe that increases in health care costs have become unsustainable. How best for policy to address these increases, however, depends in part on the degree to which they represent increases in the real quantity of medical services as opposed to increased unit prices of existing services. And an even more fundamental question is the degree to which the increased spending actually has purchased improved health. Accounting for Health and Health Care addresses both these issues. The government agencies responsible for measuring unit prices for medical services have taken steps in recent years that have greatly improved the accuracy of those measures. Nonetheless, this book has several recommendations aimed at further improving the price indices.

A Transaction Cost Analysis of Dutch Hospital Care

A Transaction Cost Analysis of Dutch Hospital Care PDF

Author: Claudia Brandenburg

Publisher: LAP Lambert Academic Publishing

Published: 2009-08

Total Pages: 172

ISBN-13: 9783838305295

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This study shows that transactions between hospitals and health insurance companies in a deregulated environment will develop towards more sophisticated coordination mechanisms. A transaction cost analysis shows that ultimately the classic hospital, with a full range of services and products, which contracts health insurance companies for all hospital products will disappear. Economic behaviour of hospitals and health insurance companies in a deregulated environment results in segmentation, specialisation and selective contracting. Health insurance companies with a limited number of transactions are recommended, from an economic point of view, to use a lean hybrid governance structure or even a classic contract. However, market governance has the disadvantage that instability in transactions is expected and eventually results in financial losses. Large health insurance companies can efficiently coordinate segments of hospital care in a hierarchy (vertical integration). All-in-one contracts and shared ownership are efficient alternatives in a hybrid governance structure.

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