Biomedical subjects

Michel Mougeot

Publications and source records attributed to Michel Mougeot.

2 recordsLinked to original sources

PubMed2005

Hospital price regulation and expenditure cap policy.

In several European countries, governments have chosen to put a global budget cap on health care expenditure. This paper analyzes the strategies of the providers facing this policy and evaluates its effects on provider and patient surplus. We consider this policy when it is applied to local monopoly hospitals and when it is applied to hospitals playing as Cournot competitors. Using a two-stage model to characterize the optimal expenditure cap policy taking the hospitals' optimal responses as given, we prove that this policy induces a level of welfare lower than the first-best outcome. However, we show that a second-best outcome may be achieved under this policy when the number of hospitals becomes large.

Benchmarking↗

PubMed2003

Using auctions for contracting with hospitals when quality matters.

This paper analyzes the problem of contracting with hospitals with hidden information when the number of patients wanting treatment depends on the quality of health care services offered. The optimal policy is characterized in the case of a single hospital. It is demonstrated that the regulator can reduce the information rent by decreasing the quality. When the regulator is assumed to be able to organize an auction for awarding the right to provide the service, we characterize the optimal auction and the first score tendering procedure implementing it. The regulator can reimburse a unit price per treated patient and let the hospital choose the level of quality. It is proved that the expected quality of health care services is greater and the expected payment is lower than in the monopoly case.

Competitive Bidding↗