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infer returns from hospital entry behavior. We estimate a model of patient flows for CABG patients that provides inputs for …
Persistent link: https://www.econbiz.de/10012470084
's charity caseload. However, these public hospitals also take on larger shares of most other types of patients. At the hospital …Many observers have blamed HMOs for increasing financial pressures on private hospitals and causing them to cut back on … the provision of charity care. We examine this issue using data on all hospital discharges in California between 1988 and …
Persistent link: https://www.econbiz.de/10012470095
There is considerable evidence that patients that are treated by high volume physicians and hospitals have better … health outcomes than patients treated by low volume physicians and hospitals. Thus, as an indirect measure of quality … patients covered by these two types of plans. We find that managed care patients tend to be treated by lower volume providers …
Persistent link: https://www.econbiz.de/10012472284
. For patients with diagnoses of Pneumonia or Acute Myocardial Infarction, an additional day in the hospital could decrease … reducing mortality rates far exceed the cost of keeping these patients in the hospital for an additional day … as important indicators of hospital quality. Concerns have been raised, however, as to whether post-discharge mortality …
Persistent link: https://www.econbiz.de/10012458168
likely to treat high-cost patients than not-for-profit (NFP) hospitals, showing no evidence that FP hospitals engage in cream …The paper examines whether, among inpatient psychiatric admissions in California, for-profit (FP) hospitals engage in … cream skimming, i.e., choosing patients for some characteristic(s) other than their need for care, which enhances the …
Persistent link: https://www.econbiz.de/10014512033
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
Persistent link: https://www.econbiz.de/10013480767
This study assessed the effect of hospital competition and HMO penetration on mortality after hospitalization for six … medical conditions in California, New York, and Wisconsin. We used linked hospital discharge and vital statistics data to … and hospital competition, HMO penetration, and hospital and patient characteristics as explanatory variables. Higher …
Persistent link: https://www.econbiz.de/10012466330
Managed care health insurers in the US restrict their enrollees' choice of hospitals to specific networks. This paper … investigates the causes and welfare effects of the observed hospital networks. A simple profit maximization model explains roughly … 63 per cent of the observed contracts between insurers and hospitals. I estimate a model that includes an additional …
Persistent link: https://www.econbiz.de/10012466849
Managed care health insurers in the US restrict their enrollees' choice of hospitals to within specific networks. This … preferences over health plans conditional on the hospitals they offer. The results indicate that consumers place a positive and … significant weight on their expected utility from the hospital network when choosing plans. A welfare analysis, assuming fixed …
Persistent link: https://www.econbiz.de/10012466852