Demand Analysis With Supply-Side Rationing: An Application to the US Dialysis Market

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Abstract/Contents

Abstract
Supply-side rationing is common in markets that do not rely exclusively on prices to determine allocation. Examples include matching markets for schools and colleges; entry-level labor markets; and healthcare services. In these cases, consumer choice sets are constrained endogeneously by supply-side admission policies induced by capacity constraints. We use a random utility model for consumer preferences and a reduced-form rationing rule for the supply side that can be derived from models of the examples described above. We study identification of this model, propose an estimator, and apply these methods to study admissions in the market for kidney dialysis in California. Our results establish identification of the model using two sets of instruments, one that only affects consumer preferences and the other that only affects the rationing rule. These results also suggest tests of supply-side rationing, which we apply to the dialysis market. We find that dialysis facilities are less likely to admit new patients when they have higher than normal caseload and that patients are more likely to travel further when nearby facilities, and high quality facilities in particular, have high caseloads. Finally, we use these data to estimate the preferences of consumers and the rationing rules used by facilities using a Gibbs’ sampler.

Description

Type of resource text
Date created July 14, 2021

Creators/Contributors

Author Agarwal, Nikhil
Author Somaini, Paulo
Organizer of meeting Santos, Andres
Organizer of meeting Shaikh, Azeem
Organizer of meeting Wolak, Frank

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Subject economics
Genre Text
Genre Working paper
Genre Grey literature

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User agrees that, where applicable, content will not be used to identify or to otherwise infringe the privacy or confidentiality rights of individuals. Content distributed via the Stanford Digital Repository may be subject to additional license and use restrictions applied by the depositor.
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This work is licensed under a Creative Commons Attribution 4.0 International license (CC BY).

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Preferred citation
Agarwal, N. and Somaini , P. (2022). Demand Analysis With Supply-Side Rationing: An Application to the US Dialysis Market. Stanford Digital Repository. Available at https://purl.stanford.edu/qz834fk6040

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