The changing nature of health care competition

D. Dranove*, W. D. White

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review


The concept of competition extends beyond price competition to differentiation of services by attributes. In health care, not only is price critical, but the quality of the care rendered and the amenities surrounding its provision are factored among the elements of competition. When competition is driven by patient perceptions, it may not be effective in reducing outlays. When competition is payor-driven, within certain limits of quality, price becomes a deciding factor. As payment vehicles become more concentrated, carriers can exert greater competitive clout. This article describes the finding of significant reductions in cost of hospital care in large metropolitan centers where competition is rife. In less competitive markets, hospital profit margins tend to be considerably higher. These findings would support the concept that managed competition may provide a tool for restraining health-care cost escalation.

Original languageEnglish (US)
Pages (from-to)233-236
Number of pages4
JournalJournal of Medical Practice Management
Issue number4
StatePublished - Jan 1 1993

ASJC Scopus subject areas

  • Health Policy


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