Determinants of Price Discrimination in the Acquisition of Medical Devices
University of Rome II Tor Vergata, Faculty of Economics, Department of Economics and Institutions (DEI); Center for the Study of State and Society (CEDES)
May 10, 2012
CEIS Working Paper No. 235
Medical device expenditures are an important driver of the growth in health care spending and hospitals pay significantly different prices for the same medical device. This paper uses hospitals’ acquisition data to explore the determinants of price discrimination in the acquisition of medical devices across Italian hospitals considering demand factors such as institutional characteristics of the buyer, devices substitution patterns, area of localization, and purchase conditions. I find evidence that public hospital trusts and those located in northern regions are more efficient in acquiring medical devices, and that more flexibility in contracting with different device manufacturers and higher purchase volumes reduce the likelihood of paying higher prices.
Number of Pages in PDF File: 27
Keywords: price discrimination, hospital efficiency, medical devices, procurement
JEL Classification: I18, H57, C25
Date posted: May 11, 2012 ; Last revised: March 3, 2014
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