@techreport{NBERw11819, title = "The Welfare Effects of Restricted Hospital Choice in the US Medical Care Market", author = "Katherine Ho", institution = "National Bureau of Economic Research", type = "Working Paper", series = "Working Paper Series", number = "11819", year = "2005", month = "December", URL = "http://www.nber.org/papers/w11819", abstract = {Managed care health insurers in the US restrict their enrollees' choice of hospitals to within specific networks. This paper considers the implications of these restrictions. A three-step econometric model is used to predict consumer preferences over health plans conditional on the hospitals they offer. The results indicate that consumers place a positive and significant weight on their expected utility from the hospital network when choosing plans. A welfare analysis, assuming fixed prices, implies that restricting consumers' choice of hospitals leads to a loss to society of approximately $1 billion per year across the 43 US markets considered. This figure may be outweighed by the price reductions generated by the restriction.}, }