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. 2013 Dec 5;49(3):878–892. doi: 10.1111/1475-6773.12131

Table 3.

Relationship between Insurance Competition and Spending, Utilization, and Price

Spending (Input Price Adjusted) Utilization Price (Adjusted for Input Price Differences)
Insurance Herfindahl Index −803.78 337.20 −.30
0.002 0.036 <0.005
% of pop. in commercial HMOs −1,051.98 −2,124.09 0.37
<0.005 <0.005 <0.005
% of pop. in Medicare −2,019.98 1,925.08 −1.02
0.045 0.003 0.002
% of pop. in Medicaid −1,099.65 −1,196.11 0.05
0.014 <0.005 0.734
% of pop. uninsured −1,257.93 −505.43 −0.20
0.033 0.172 0.296
Hospital Herfindahl Index −115.02 −22.37 −0.02
0.554 0.854 0.799
Beds per 100,000 2,213.76 −338.85 0.45
0.426 0.846 0.609
Physicians per 1,000 −75.92 5.89 −0.02
0.004 0.719 0.006
Population (millions) −16.28 35.78 −0.02
0.283 <0.005 0.001
Constant 4,548.84 3,529.95 1.27
<0.005 <0.005 <0.005

Three regression models across the 306 HRRs. P-scores are presented below point estimates. HRRs are weighted by population. Both insurance and hospital Herfindahl indices are presented on a scale from 0 to 1, with 1 representing perfect monopoly and 0 perfect competition.