• Hospital Competition in the National Health Service: Evidence from a Patient Choice Reform 

      Brekke, Kurt R.; Chiara, Canta; Luigi, Siciliani; Straume, Odd Rune (DP SAM;28/2018, Working paper, 2018-12)
      We study the impact of exposing hospitals in a National Health Service (NHS) to non-price competition by exploiting a patient choice reform in Norway in 2001. The reform facilitates a difference-in-difference research ...
    • Hospital competition with soft budgets 

      Brekke, Kurt Richard; Siciliani, Luigi; Straume, Odd Rune (Discussion paper;6/2012, Working paper, 2012-03)
      We study the incentives for hospitals to provide quality and expend cost-reducing effort when their budgets are soft, i.e., the payer may cover deficits or confiscate surpluses. The basic set up is a Hotelling model with ...
    • Hospital mergers : a spatial competition approach 

      Brekke, Kurt Richard; Siciliani, Luigi; Straume, Odd Rune (Discussion paper;8/2013, Working paper, 2013-04)
      Using a spatial competition framework with three ex ante identical hospitals, we study the effects of a hospital merger on quality, price and welfare. The merging hospitals always reduce quality, but the non-merging hospital ...
    • Hospital mergers with regulated prices 

      Brekke, Kurt Richard; Siciliani, Luigi; Straume, Odd Rune (Discussion paper;21/2014, Working paper, 2014-05)
      We study the effects of a hospital merger using a spatial competition framework with semialtruistic hospitals that invest in quality and expend cost-containment effort facing regulated prices. We find that the merging ...
    • How does the type of remuneration affect physician behaviour? Fixed salary versus fee-for-service 

      Brekke, Kurt R.; Holmås, Tor Helge; Monstad, Karin; Straume, Odd Rune (Working paper, 2018-09)
      We analyse the effects of fee-for-service versus fixed salary on the treatment decisions of general practitioners (GPs) and on patients’ health outcomes. Using rich Norwegian register data during 2009-2013, we find that ...
    • Industry concentration and strategic trade policy in successive oligopoly 

      Nese, Gjermund; Straume, Odd Rune (Working paper, Working paper, 2004-11)
      We study a policy game between exporting and importing countries in vertically linked industries. In a successive international Cournot oligopoly, we let the governments in the importing and exporting countries use tax ...
    • Konkurranse i spesialisthelsetjenesten 

      Andersen, Christian; Brekke, Kurt Richard; Kjerstad, Egil; Kristiansen, Frode; Straume, Odd Rune; Sunnevåg, Kjell J. (Rapport, Research report, 2006-09)
      Rapporten diskuterer om konkurranse i sykehussektoren er ønskelig, hvordan konkurranse kan oppnås, og hvilke effekter det har. Diskusjonen er organisert i tre deler. I del 1 diskuteres markedssvikt i helsesektoren, og det ...
    • Managerial delegation and merger incentives 

      Straume, Odd Rune (Working paper, Working paper, 2003-12)
      We analyse how the internal organisation of firms affects the correspondence between private and social incentives for horizontal merger. Applying a model of endogenous merger formation in a three-firm asymmetric Cournot ...
    • Margins and market shares : pharmacy incentives for generic substitution 

      Brekke, Kurt Richard; Straume, Odd Rune; Holmås, Tor Helge (Discussion paper, Working paper, 2010-07)
      We study the impact of product margins on pharmacies incentive to promote generics instead of brand-names. First, we construct a theoretical model where pharmacies can persuade patients with a brand-name prescription to ...
    • Margins and market shares : pharmacy incentives for generic substitution 

      Brekke, Kurt Richard; Holmås, Tor Helge; Straume, Odd Rune (Working paper;08/13, Working paper, 2013-02)
      We study the impact of product margins on pharmacies’ incentive to promote generics instead of brand-names. First, we construct a theoretical model where pharmacies can persuade patients with a brand-name prescription to ...
    • Merger profitability in unionized oligopoly 

      Lommerud, Kjell Erik; Straume, Odd Rune; Sørgard, Lars (Discussion paper, Working paper, 2000-05)
      We examine how a merger affects wages of unionized labour and, in turn, the profitability of a merger under both Cournot and Bertrand competition. If unions are plant-specific, we find that a merger is more profitable ...
    • National versus international mergers in unionised oligopoly 

      Lommerud, Kjell Erik; Straume, Odd Rune; Sørgard, Lars (Discussion paper, Working paper, 2004-06)
      We analyse how the presence of trade unions affects the pattern of mergers in an international oligopoly and the welfare implications thereof. We find that wages for the merger participants are always lower when they ...
    • National versus international mergers in unionised oligopoly 

      Lommerud, Kjell Erik; Straume, Odd Rune; Sørgard, Lars (Working paper, Working paper, 2003-06)
      We analyse how the presence of trade unions affects the pattern of mergers in an international oligopoly and the welfare implications thereof. We find that an international merger results in lower wages for all firms. A ...
    • Patient Mobility, Health Care Quality and Welfare 

      Brekke, Kurt Richard; Levaggi, Rosella; Siciliani, Luigi; Straume, Odd Rune (Discussion Papers;13/2011, Working paper, 2011-08)
      Patient mobility is a key issue in the EU who recently passed a new law on patients right to EU-wide provider choice. In this paper we use a Hotelling model with two regions that differ in technology to study the impact ...
    • Pharmaceutical patents : incentives for R&D or marketing? 

      Brekke, Kurt Richard; Straume, Odd Rune (Working paper, Working paper, 2005-11)
      We analyse how a patent-holding pharmaceutical firm may strategically use advertising of existing drugs to affect R&D investments in new (differentiated) drugs, and thereby affect the probability distribution of future ...
    • Pharmaceutical patents : incentives for R&D or marketing? 

      Brekke, Kurt Richard; Straume, Odd Rune (Discussion paper, Working paper, 2005-11)
      We analyse how a patent-holding pharmaceutical firm may strategically use advertising of existing drugs to affect R&D investments in new (differentiated) drugs, and thereby affect the probability distribution of future ...
    • Price and quality in spatial competition 

      Brekke, Kurt Richard; Siciliani, Luigi; Straume, Odd Rune (Discussion paper, Working paper, 2009-07)
      We study the relationship between competition and quality within a spatial competition framework where firms compete in prices and quality. We generalise existing literature on spatial price-quality competition along ...
    • The Price of Cost-effectiveness Thresholds 

      Brekke, Kurt R.; Dalen, Dag Morten; Straume, Odd Rune (SAM DP;04/2023, Working paper, 2023)
      Health systems around world are increasingly adopting cost-effectiveness (CE) analysis to inform decisions about access and reimbursement. We study how CE thresholds imposed by a health plan for granting reimbursement ...
    • Quality and location choices under price regulation 

      Brekke, Kurt Richard; Nuscheler, Robert; Straume, Odd Rune (Working Paper, Working paper, 2002-12)
      In a model of spatial competition, we analyse the equilibrium outcomes in markets where the product price is exogenous. Using an extended version of the Hotelling model, we assume that firms choose their locations and the ...
    • Quality competition with profit constraints 

      Brekke, Kurt Richard; Siciliani, Luigi; Straume, Odd Rune (Working paper;30/12, Working paper, 2012-09)
      Firms in markets such as health care and education are often profit constrained due to regulation or their non-profit status, and they are often viewed as being altruistic towards consumers. We use a spatial competition ...