Telemedicine competition,pricing, and technology adoption: Evidence from talk therapists |
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Affiliation: | 1. Department of Quantitative Finance, National Tsing Hua University, Taiwan;2. Department of Economics, National Tsing Hua University, Taiwan;1. Stockholm School of Economics, Sweden;2. University of Paris-Pantheon-Assas (CRED), France;3. Stockholm School of Economics (SITE), Sweden;4. Technological University Dublin, City Campus, Ireland |
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Abstract: | This paper examines how new telemedicine competitors affected incumbent health care providers during the first waves of COVID-19. Using data from the largest mental health provider search platform in Canada, I show that increased telemedicine competition in a market caused incumbent providers in that market to stop offering income-based discounts to patients. I isolate the causal effect of competition in a difference-in-differences framework, comparing providers before and after a supply shock on the platform that exogenously assigned some markets new telemedicine search results. I find that higher-quality providers are more likely to stop income-based discounts when facing new telemedicine entrants, while lower-quality providers are more likely to exit the platform, which is consistent with telemedicine providers competing for more price-sensitive patients. The results suggest that expanding telemedicine options had a heterogeneous effect on the affordability of care. |
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