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Market concentration, supply, quality and prices paid by local authorities in the English care home market.

Espuny Pujol, F; Hancock, R; Hviid, M; Morciano, M; Pudney, S; (2021) Market concentration, supply, quality and prices paid by local authorities in the English care home market. Health Economics 10.1002/hec.4286. (In press). Green open access

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Abstract

We investigate the impact of exogenous local conditions which favor high market concentration on supply, price and quality in local markets for care homes for older people in England. We extend the existing literature in: (i) considering supply capacity as a market outcome alongside price and quality; (ii) taking account of the chain structure of care home supply and differences between the nursing home and residential care home sectors; (iii) using an econometric approach based on reduced form relationships that treats market concentration as a jointly determined outcome of a complex market. We find that areas susceptible to a high degree of market concentration tend to have greatly restricted supply of care home places and (to a lesser extent) a higher average public cost, than areas susceptible to low degree of market concentration. There is no significant evidence that conditions favoring high market concentration affect average care home quality.

Type: Article
Title: Market concentration, supply, quality and prices paid by local authorities in the English care home market.
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/hec.4286
Publisher version: https://doi.org/10.1002/hec.4286
Language: English
Additional information: © 2021 The Authors. Health Economics published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: care homes, market concentration, price, quality, supply
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Dept of Mathematics
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Dept of Mathematics > Clinical Operational Research Unit
URI: https://discovery.ucl.ac.uk/id/eprint/10128548
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