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Optimal funding coverage in a mixed oligopoly with quality competition and price regulation. (English) Zbl 1497.91175

Summary: We study the optimal design of a public funding scheme in a mixed oligopoly setting (with applications to health care and education) with one welfare-maximising public provider and two profit-maximising private providers, where all providers compete on quality and where providers included in the public funding scheme are subject to price regulation. We find that the first-best solution cannot be implemented without including (at least) one of the private providers in the public funding scheme. However, inclusion of only one of the private providers is sufficient to induce the first-best outcome. Such inclusion allows for the elimination of a negative competition externality between the private providers that, all else equal, yields underprovision of quality.

MSC:

91B54 Special types of economic markets (including Cournot, Bertrand)
91B18 Public goods
Full Text: DOI

References:

[1] Bardey D, Canta C, Lozachmeur J-M (2012) The regulation of health care providers’ payments when horizontal and vertical differentiation matter. J Health Econ 31:691-704
[2] Barros, PP; Martinez-Giralt, X., Public and private provision of health care, J Econ Manag Strategy, 11, 109-133 (2002) · doi:10.1162/105864002317247596
[3] Bennett, J.; La Manna, M., Mixed oligopoly, public firm behavior, and free private entry, Econ Lett, 117, 767-769 (2012) · Zbl 1283.91118 · doi:10.1016/j.econlet.2012.08.025
[4] Boeskens L (2016) Regulating publicly funded private schools: a literature review on equity and effectiveness. OECD Education Working Papers, No. 147, OECD Publishing, Paris. Available at doi:10.1787/5jln6jcg80r4-en
[5] Brunello, G.; Rocco, L., Educational standards in private and public schools, Econ J, 118, 1866-1887 (2008) · doi:10.1111/j.1468-0297.2008.02194.x
[6] Cellini, R.; Siciliani, L.; Straume, OR, A dynamic model of quality competition with endogenous prices, J Econ Dyn Control, 94, 190-206 (2018) · Zbl 1402.91316 · doi:10.1016/j.jedc.2018.06.004
[7] Chang, C-W; Wu, D.; Lin, Y-S, Price control and privatization in a mixed duopoly with a public social enterprise, J Econ, 124, 57-73 (2018) · Zbl 1417.91213 · doi:10.1007/s00712-017-0564-2
[8] Chumacero, RA; Gómez, D.; Paredes, RD, I would walk 500 miles (if it paid): vouchers and school choice in Chile, Econ Educ Rev, 30, 1103-1114 (2011) · doi:10.1016/j.econedurev.2011.05.015
[9] Cremer, H.; Marchand, M.; Thisse, J-F, The public firm as an instrument for regulating an oligopolistic market, Oxf Econ Pap, 41, 283-301 (1989) · doi:10.1093/oxfordjournals.oep.a041895
[10] Cremer, H.; Marchand, M.; Thisse, J-F, Mixed oligopoly with differentiated products, Int J Ind Organ, 9, 43-53 (1991) · doi:10.1016/0167-7187(91)90004-5
[11] De Fraja, G.; Delbono, F., Alternative strategies of a public enterprise in oligopoly, Oxf Econ Pap, 41, 302-311 (1989) · doi:10.1093/oxfordjournals.oep.a041896
[12] Duggan, M., Hospital market structure and the behavior of not-for-profit hospitals, RAND J Econ, 33, 433-446 (2002) · doi:10.2307/3087466
[13] Ghandour, Z., Public-private competition in regulated markets, J Inst Theor Econ, 177, 299-336 (2021) · doi:10.1628/jite-2021-0007
[14] Ghatak, M.; Mueller, H., Thanks for nothing? Not-for-profits and motivated agents, J Public Econ, 95, 94-105 (2011) · doi:10.1016/j.jpubeco.2010.09.003
[15] Glaeser, EL; Shleifer, A., Not-for-profits entrepreneurs, J Public Econ, 81, 99-115 (2001) · doi:10.1016/S0047-2727(00)00130-4
[16] Gravelle, H.; Sivey, P., Imperfect information in a quality-competitive hospital market, J Health Econ, 29, 524-535 (2010) · doi:10.1016/j.jhealeco.2010.04.003
[17] Grilo, I., Mixed duopoly under vertical differentiation, Ann Econ Stat, 33, 91-112 (1994)
[18] Haraguchi, J.; Matsumura, T., Cournot-Bertrand comparison in a mixed oligopoly, J Econ, 117, 117-136 (2016) · Zbl 1408.91147 · doi:10.1007/s00712-015-0452-6
[19] Haraguchi, J.; Matsumura, T., Optimal privatization policy with asymmetry among private firms, Bull Econ Res, 72, 213-224 (2020) · Zbl 1468.91079 · doi:10.1111/boer.12213
[20] Haraguchi, J.; Matsumura, T., Implicit protectionism via state enterprises and technology transfer from foreign enterprises, Rev Int Econ, 28, 723-743 (2020) · doi:10.1111/roie.12468
[21] Hehenkamp, B.; Kaarbøe, OM, Location choice and quality competition in mixed hospital markets, J Econ Behav Organ, 177, 641-660 (2020) · doi:10.1016/j.jebo.2020.06.026
[22] Herr, A., Quality and welfare in a mixed duopoly with regulated prices: the case of a public and a private hospital, Ger Econ Rev, 12, 422-437 (2011) · doi:10.1111/j.1468-0475.2010.00527.x
[23] Ishibashi, K.; Kaneko, T., Partial privatization in mixed duopoly with price and quality competition, J Econ, 95, 213-231 (2008) · Zbl 1151.91462 · doi:10.1007/s00712-008-0020-4
[24] Laine, LT; Ma, CA, Quality and competition between public and private firms, J Econ Behav Organ, 140, 336-353 (2017) · doi:10.1016/j.jebo.2017.05.012
[25] Lee, J., Understanding site selection of for-profit educational management organization charter schools, Educ Policy Anal Arch, 26, 77 (2018) · doi:10.14507/epaa.26.3024
[26] Levaggi, L.; Levaggi, R., Is there scope for mixed markets in the provision of hospital care?, Soc Sci Med, 247 (2020) · doi:10.1016/j.socscimed.2020.112810
[27] Levaggi, R.; Montefiori, M., Patient selection in a mixed oligopoly market for health care: the role of the soft budget constraint, Int Rev Econ, 60, 49-70 (2013) · doi:10.1007/s12232-013-0175-3
[28] Lutz, S.; Pezzino, M., Vertically differentiated mixed oligopoly with quality-dependent fixed costs, Manch Sch, 82, 596-619 (2014) · doi:10.1111/manc.12035
[29] Lyon, TP, Quality competition, insurance, and consumer choice in health care markets, J Econ Manag Strategy, 8, 545-580 (1999) · doi:10.1162/105864099567758
[30] Ma, CA; Burgess, JF, Quality competition, welfare and regulation, J Econ, 58, 153-73 (1993) · Zbl 0800.90342 · doi:10.1007/BF01253480
[31] Matsumura, T., Partial privatization in mixed duopoly, J Public Econ, 70, 473-483 (1998) · doi:10.1016/S0047-2727(98)00051-6
[32] OECD (2020) PISA 2018 results (volume V): effective policies, successful schools. PISA, OECD Publishing, Paris. Available at doi:10.1787/ca768d40-en
[33] Sanjo, Y., Quality choice in a health care market: a mixed duopoly approach, Eur J Health Econ, 10, 207-215 (2009) · doi:10.1007/s10198-008-0120-7
[34] Siciliani, L.; Chalkley, M.; Gravelle, H., Policies towards hospital and GP competition in five European countries, Health Policy, 121, 103-110 (2017) · doi:10.1016/j.healthpol.2016.11.011
[35] Spence, M., Monopoly, quality and regulation, Bell J Econ, 6, 417-429 (1975) · doi:10.2307/3003237
[36] Stenbacka, R.; Tombak, M., Optimal reimbursement policy in health care: competition, ownership structure and quality provision, BE J Econ Anal Policy (2018) · doi:10.1515/bejeap-2017-0122
[37] Willner, J.; Grönblom, S., Quality provision under conditions of oligopoly, J Econ, 132, 103-131 (2021) · Zbl 1479.91194 · doi:10.1007/s00712-020-00714-8
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