Health Care Management Papers

Document Type

Journal Article

Date of this Version

2-2010

Publication Source

American Economic Journal: Economic Policy

Volume

2

Issue

1

Start Page

51

Last Page

76

DOI

10.1257/pol.2.1.51

Abstract

Prior studies suggest that with elastically supplied inputs free entry may lead to an inefficiently high number of firms in equilibrium. Under input scarcity, however, the welfare loss from free entry is reduced. Further, free entry may increase use of high-quality inputs, as oligopolistic firms underuse these inputs when entry is constrained. We assess these predictions by examining how the 1996 repeal of certificate-of-need (CON ) legislation in Pennsylvania affected the market for cardiac surgery in the state. We show that entry led to a redistribution of surgeries to higher quality surgeons, and that this entry was approximately welfare neutral.

Copyright/Permission Statement

Copyright © 2016 AEA

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Date Posted: 27 November 2017

This document has been peer reviewed.