Physician Practice Organization and Negotiated Prices: Evidence from State Law Changes

A-Tier
Journal: American Economic Journal: Applied Economics
Year: 2021
Volume: 13
Issue: 2
Pages: 258-96

Authors (2)

Score contribution per author:

2.011 = (α=2.01 / 2 authors) × 2.0x A-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

We study the relationship between physician organizational structures and prices negotiated with private insurers. Using variation caused by state-level judicial law changes, we show that a 10 percent increase in the enforceability of noncompete agreements (NCAs) causes 4.3 percent higher physician prices, and declines in practice sizes and concentration. Using two databases containing every physician establishment and firm between 1996 and 2007, linked to negotiated prices, we show that larger practices have lower prices for services with high fixed costs, consistent with economies of scale. In contrast, increases in firm concentration conditional on establishment concentration leads to higher prices.

Technical Details

RePEc Handle
repec:aea:aejapp:v:13:y:2021:i:2:p:258-96
Journal Field
General
Author Count
2
Added to Database
2026-01-25