Multiple Pricing for Personal Assistance Services

Tommy Andersson, Lina Maria Ellegård, Andreea Enache, Albin Erlanson () and Prakriti Thami ()
Additional contact information
Prakriti Thami: Department of Economics, Lund University, Postal: School of Economics and Management, Box 7080, S-220 07 Lund, Sweden

No 2021:14, Working Papers from Lund University, Department of Economics

Abstract: Third-party payers often reimburse health care providers based on prospectively set prices. Although a key motivation of prospective payment is to contain costs, this paper shows that this aspect crucially depends on the design of the pricing scheme due to the well-known incentives of patient selection (or ``dumping''). This paper provides a general theoretical framework where heterogeneous users are served by either private for-profit or public providers, each paid an hourly compensation by a third-party payer. The private, but not the public providers may select patients. It is demonstrated that this realistic feature of the model implies that total costs depends on the number of prices. The features of the model is illustrated using the Swedish system of personal assistance services as a motivating example. In numerical simulations, it is shown that marginal adjustments to the current uniform pricing scheme would lead to substantial savings.

Keywords: OR in health services; personal assistance; public and private providers; multiple pricing; welfare; dumping (search for similar items in EconPapers)
JEL-codes: C61 D47 D78 I11 (search for similar items in EconPapers)
Pages: 30 pages
Date: 2021-11-05, Revised 2024-05-02
New Economics Papers: this item is included in nep-hea and nep-ias
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Related works:
Journal Article: Multiple pricing for personal assistance services (2024)
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Persistent link: https://EconPapers.repec.org/RePEc:hhs:lunewp:2021_014

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