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.