79067 - Regulation in Healthcare Markets

Course Unit Page


This teaching activity contributes to the achievement of the Sustainable Development Goals of the UN 2030 Agenda.

Good health and well-being

Academic Year 2019/2020

Learning outcomes

At the end of the course the student is in a position to understand the fundamental microeconomic justifications of public intervention in the economy and to identify potential remedies and their limitations. Teaching practice supports theoretical considerations with an accurate discussion of the major institutional features that characterize the different possible forms of intervention in healthcare markets. At the end of the course, the student is expected to reach a detailed knowledge about: 1) the main reasons lying behind healthcare market and state failures; 2) the trade-offs characterising public intervention in financing and delivery of services; 3) the implications of regulatory policies.

Course contents

  1. Market failures in health care.
    1. Regulating market structure: the normative approach to the health care market.
    2. The political economy of the health care sector.
  2. Provider behavior under different payment mechanisms
  3. Payment systems  in primary care
  4. Pay for perfomance
  5. Hospital providers under cost-based reimbursement and prospective payments
  6. Public and private mix in provision of hospital services
  7. Third party certification: the role of report cards
  8. Non price rationing: waiting lists



Selected chapters from:

Glied, S. and Smith P C. (eds), The Oxford Handbook of Health Economics,Oxford University Press, 2011.

Pauly, M V., Mcguire T G. and Barros, P P. (eds), Handbook of Health Economics, Volume 2, Elsevier, 2012.

Zweifel, P., Breyer, F. and Kifmann, M. (eds),Health Economics, Oxford University Press, 2nded., 2009.

Complementary textbooks:

Jones A M. (ed), The Elgar Companion to Health Economics

Teaching methods

Mainly taught class (lezione frontale)

Assessment methods

Written Exam

Teaching tools

Material available on the e-learning website

Office hours

See the website of Matteo Lippi Bruni