caa a22 4500 445332158 CHVBK 20180317142740.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10198-010-0273-z doi (NATIONALLICENCE)springer-10.1007/s10198-010-0273-z Market structure and hospital-insurer bargaining in the Netherlands [Elektronische Daten] [R. Halbersma, M. Mikkers, E. Motchenkova, I. Seinen] In 2005, competition was introduced in part of the hospital market in the Netherlands. Using a unique dataset of transactions and list prices between hospitals and insurers in the years 2005 and 2006, we estimate the influence of buyer and seller concentration on the negotiated prices. First, we use a traditional structure-conduct-performance model (SCP-model) along the lines of Melnick et al. (J Health Econ 11(3): 217-233, 1992) to estimate the effects of buyer and seller concentration on price-cost margins. Second, we model the interaction between hospitals and insurers in the context of a generalized bargaining model similar to Brooks et al. (J Health Econ 16: 417-434, 1997). In the SCP-model, we find that the market shares of hospitals (insurers) have a significantly positive (negative) impact on the hospital price-cost margin. In the bargaining model, we find a significant negative effect of insurer concentration, but no significant effect of hospital concentration. In both models, we find a significant impact of idiosyncratic effects on the market outcomes. This is consistent with the fact that the Dutch hospital sector is not yet in a long-run equilibrium. The Author(s), 2010 Emerging health care markets nationallicence Regulation nationallicence Market structure nationallicence Bargaining nationallicence Halbersma R. The Dutch Healthcare Authority, Postbus 3017, 3502, Utrecht, GA, The Netherlands aut Mikkers M. The Dutch Healthcare Authority, Postbus 3017, 3502, Utrecht, GA, The Netherlands aut Motchenkova E. Department of Economics, VU University Amsterdam, Amsterdam, The Netherlands aut Seinen I. The Dutch Healthcare Authority, Postbus 3017, 3502, Utrecht, GA, The Netherlands aut The European Journal of Health Economics Springer-Verlag 12/6(2011-12-01), 589-603 1618-7598 12:6<589 2011 12 10198 https://doi.org/10.1007/s10198-010-0273-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10198-010-0273-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Halbersma R. The Dutch Healthcare Authority, Postbus 3017, 3502, Utrecht, GA, The Netherlands aut NATIONALLICENCE 700 1- Mikkers M. The Dutch Healthcare Authority, Postbus 3017, 3502, Utrecht, GA, The Netherlands aut NATIONALLICENCE 700 1- Motchenkova E. Department of Economics, VU University Amsterdam, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Seinen I. The Dutch Healthcare Authority, Postbus 3017, 3502, Utrecht, GA, The Netherlands aut NATIONALLICENCE 773 0- The European Journal of Health Economics Springer-Verlag 12/6(2011-12-01), 589-603 1618-7598 12:6<589 2011 12 10198 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer