Skip to main content
Log in

The optimal negligence standard in health care under supply-side cost sharing

  • Published:
International Journal of Health Care Finance and Economics Aims and scope Submit manuscript

Abstract

This paper elaborates on the optimal negligence standard in a world where physicians choose their level of care subject to erroneous court judgements and to the degree of supply-side cost sharing. Uncertain liability in malpractice lawsuits leads physicians to provide excessive and insufficient care, which results in a loss of social welfare. The standard that maximizes welfare depends on the cost share: Under traditional, close to full cost reimbursement it is lower than the first-best level of care, while under substantial supply-side cost sharing it increases and may even exceed the first best.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Arlen J., MacLeod W.B. (2003) Malpractice liability for physicians and managed care organizations. New York University Law Review 78: 1929–2006

    Google Scholar 

  • Baicker, K., Chandra, A. (2004). The effect of malpractice liability on the delivery of health care. NBER Working Paper Series.

  • Brennan T.A., Sox C.M., Burstin H.R. (1996) Relation between negligent adverse events and the outcomes of medical-malpractice litigation. The New England Journal of Medicine 335: 1963–1967

    Article  Google Scholar 

  • Calfee J.E., Craswell R. (1984) Some effects of uncertainty on compliance with legal standards. Virginia Law Review 70: 965–1003

    Article  Google Scholar 

  • Cooter R., Ulen T. (2000) Law and economics. Addison, Reading, MA

    Google Scholar 

  • Craswell R., Calfee J.E. (1986) Deterrence and uncertain legal standards. Journal of Law, Economics, and Organization 2: 279–303

    Google Scholar 

  • Danzon P.M. (1997) Tort liability: A minefield for managed care. The Journal of Legal Studies 26: 491–519

    Article  Google Scholar 

  • Danzon, P. M. (2000). Liability for medical malpractice. In A. J. Culyer & P. Joseph (Eds.), Handbook of health economics (Vol. 1B). Amsterdam: Elsevier Science.

  • Demougin D., Fluet C. (2005) Deterrence versus judicial error: A comparative view of standards of proof. Journal of Institutional and Theoretical Economics 161: 193–206

    Article  Google Scholar 

  • Dubay L., Kaestner R., Waidmann T. (1999) The impact of malpractice fears on cesarean section rates. Journal of Health Economics 18: 491–522

    Article  Google Scholar 

  • Edlin A.S. (1994) Efficient standards of due care: Should courts find more parties negligent under comparative negligence?. International Review of Law and Economics 14: 21–34

    Article  Google Scholar 

  • Ellis R.P., McGuire T.G. (1993) Supply-side and demand-side cost sharing in health care. Journal of Economic Perspectives 7: 135–151

    Google Scholar 

  • Feess, E., & Ossig, S. (2004). Reimbursement schemes for hospitals, malpractice liability, and intrinsic motivation. Working Paper Aachen University.

  • Grady M.F. (1983) A new positive economic theory of negligence. The Yale Law Journal 92: 799–829

    Article  Google Scholar 

  • Kern B.-R. (2002) Haftungsrechtliche Aspekte bei der Abweichung von medizinischen Qualitätsstandards und qualitä tssichernden Vorgaben in der gesetzlichen Krankenversicherung. Gesundheitsrecht 1: 5–9

    Google Scholar 

  • Kessler D., McClellan M. (1997) The effects of malpractice pressure and liability reforms on physicians perceptions of medical care. Law and Contemporary Problems 60: 81–106

    Article  Google Scholar 

  • Kessler D., McClellan M. (2002a) How liability law affects medical productivity. Journal of Health Economics 21: 931–955

    Article  Google Scholar 

  • Kessler D., McClellan M. (2002b) Malpractice law and health care reform: optimal liability policy in an era of managed care. Journal of Public Economics 84: 175–197

    Article  Google Scholar 

  • Kohn, L.T., Corrigan, J., Donaldson, M.S. (eds) (2000) To err is human. National Academy Press, Washington, DC

    Google Scholar 

  • Olbrich, A. (2008a). Patient welfare under the legal standard of care. B.E. Journal of Economic Analysis & Policy (Forthcoming).

  • Olbrich A. (2008b) Heterogeneous physicians, imperfect courts, and the negligence standard. International Review of Law and Economics 28: 78–88

    Article  Google Scholar 

  • Polinsky A.M., Rogerson W.P. (1983) Products liability, consumer misperceptions, and market power. The Bell Journal of Economics 14: 581–589

    Article  Google Scholar 

  • Polinsky A.M., Shavell S. (1989) Legal error, litigation, and the incentive to obey the law. Journal of Law, Economics and Organization 5: 99–108

    Google Scholar 

  • Quinn R. (1998) Medical malpractice insurance: The reputation effect and defensive medicine. Journal of Risk and Insurance 65: 467–484

    Article  Google Scholar 

  • Schmitz P.W. (2000) On the joint use of liability and safety regulation. International Review of Law and Economics 20: 371–382

    Article  Google Scholar 

  • Shavell S. (1980) Strict liability versus negligence. The Journal of Legal Studies 9: 1–25

    Article  Google Scholar 

  • Shavell S. (1984) A model of optimal use of liability and safety regulation. The RAND Journal of Economics 15: 271–280

    Article  Google Scholar 

  • Shavell S. (1987) Economic analysis of accident law. Harvard University Press, Cambridge, MA

    Google Scholar 

  • Steffen E. (2000) Die Arzthaftung im Spannungsfeld zu den Anspruchsbegrenzungen des Sozialrechts für den Kassenpatienten. In: Brandner H.E., Hagen H., Stürner R.(eds) Festschrift für Karlmann Geiß : Zum 65. Carl Heymanns Verlag, Geburtstag. Köln

    Google Scholar 

  • White M.J. (1994) The value of liability in medical malpractice. Health Affairs 13: 75–87

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Anja Olbrich.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Olbrich, A. The optimal negligence standard in health care under supply-side cost sharing. Int J Health Care Finance Econ 8, 73–85 (2008). https://doi.org/10.1007/s10754-008-9034-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10754-008-9034-2

Keywords

JEL Classifications

Navigation