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Journal of Political Economy Vol. 128 No. 4 2020

Transparency and Negotiated Prices: The Value of Information in Hospital-Supplier Bargaining

Matthew Grennan; Ashley Swanson

National Bureau of Economic Research

Abstract

Using data on hospitals’ purchases across a large number of important product categories, we find that access to information on purchasing by peer hospitals leads to reductions in the prices hospitals negotiate for supplies. These effects are concentrated among hospitals previously paying relatively high prices for brands purchased in large volumes. Evidence from coronary stents suggests that transparency allows hospitals to resolve asymmetric information problems, but savings are limited in part by the stickiness of contracts in business-to-business settings. Savings are largest for physician preference items, where high-price, high-quantity hospital-brand combinations average 3.9% savings, versus 1.6% for commodities.

DOI
10.1086/705329
Volume
128
Issue
4
Pages
1234-1268
Language
en
Sources
openalex crossref bibtex:phds-export.bib

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