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Cross-subsidies are often considered the principal mechanism through which hospitals provide unprofitable care. Yet, hospitals' reliance on and extent of cross-subsidization are difficult to establish. We exploit entry by cardiac specialty hospitals as an exogenous shock to incumbent hospitals'...
Persistent link: https://www.econbiz.de/10012461357
This paper analyzes the savings and health care impacts of mortality contingent claims, defined here as income measures … understanding of the effects that mortality contingent claims have on resources devoted to life-extension. We analyze the incentives … that such claims imply for life-extension when resources may affect mortality endogenously and argue that these incentives …
Persistent link: https://www.econbiz.de/10012473074
substantial "offset" effects in terms of increased hospital utilization in response to the combination of higher copayments for … physicians and prescription drugs. These offset effects are concentrated in patients for whom medical care is presumably … underlying health status, with chronically ill patients facing lower cost-sharing. We also conclude that the externalities to …
Persistent link: https://www.econbiz.de/10012465684
hospital-insurer bargaining over premiums and reimbursements, household demand for insurance, and individual demand for … with the remaining insurers. We also document substantial heterogeneity in hospital price adjustments upon the removal of …
Persistent link: https://www.econbiz.de/10012459260
model of smoking and medical care use that highlights two forms of selection: selective mortality and non-random cessation … value of the discounted sum of total expenditures is lower for smokers, mainly because of excess mortality. We find no …
Persistent link: https://www.econbiz.de/10013172184
Persistent link: https://www.econbiz.de/10014385707
uncertainty leads hospitals to hold excess standby capacity to avoid turning away patients. In this paper we reformulate the … hospital beds. Utilized capacity in the hospital industry, as measured by the inpatient hospital bed occupancy rate, has … which will penalize hospitals with low occupancy rates. We estimate a short run cost function for a hospital facing …
Persistent link: https://www.econbiz.de/10012474486
patients and, surprisingly, a greater than socially optimal amount of quality to less severely ill patients. Further, the … inefficient distribution of quality occurs because prospective payment regulation fixes the price across patients with different …
Persistent link: https://www.econbiz.de/10012476799
The patient-centered medical home (PCMH) is a model for restructuring primary care with a focus on improved access to care and clinical excellence. However, to date, the evidence on its effect on healthcare utilization and expenditures has been quite mixed. One possible reason for this may lie...
Persistent link: https://www.econbiz.de/10012456248
We formally model direct to consumer advertising (DTCA) of prescription drugs and examine factors that determine a pharmaceutical firm's DTCA strategy. We highlight how the profitability of DTCA varies with the characteristics of the condition that the advertised drug treats, the incidence of...
Persistent link: https://www.econbiz.de/10012458869