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hospital competition was associated with lower mortality in California and New York, but not Wisconsin. In addition, higher HMO …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 …
Persistent link: https://www.econbiz.de/10012761270
connection between selection and moral hazard in star hospital use …
Persistent link: https://www.econbiz.de/10012983664
infarction (reported by the state of California). Measures of competition are constructed for each hospital and payer type. The … of competition for HMO patients decrease risk-adjusted hospital mortality rates. Conversely, increases in competition for …. Increasing competition has little net effect on hospital quality for our sample …
Persistent link: https://www.econbiz.de/10013245092
whether patients discharged to hospital-based SNFs have better outcomes. In unadjusted comparisons, hospital-based SNF … solved the problem of differential selection into hospital-based and freestanding SNFs by using differential distance from … home to the nearest hospital with a SNF relative to the distance from home to the nearest hospital without a SNF as an …
Persistent link: https://www.econbiz.de/10012984774
form of insurance in the private sector. Also, a wave of hospital consolidation occurred. In 1990, the mean population …-weighted hospital Herfindahl-Hirschman Index (HHI) in a Health Services Area (HSA) was .19. By 2000, the HHI had risen to .26. This … paper explores whether the rise in managed care caused the increase in hospital concentration. We use an instrumental …
Persistent link: https://www.econbiz.de/10013324013
significant weight on their expected utility from the hospital network when choosing plans. A welfare analysis, assuming fixed …
Persistent link: https://www.econbiz.de/10013324038
Managed care activity may alter the incentives associated with the acquisition and use of new medical technologies, with potentially important implications for health care costs, patient care, and outcomes. This paper discusses mechanisms by which managed care could influence the adoption of new...
Persistent link: https://www.econbiz.de/10013308336
Increasing managed care activity could influence the adoption and diffusion of new medical technologies. This paper empirically examines the relationship between HMO market share and the diffusion of magnetic resonance imaging (MRI) equipment. Across markets, increases in HMO market share are...
Persistent link: https://www.econbiz.de/10013225561
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 differences between managed care and traditional fee-for-service...
Persistent link: https://www.econbiz.de/10013230776
We examine the recent increase in hospital advertising expenditures. We first illustrate that the rise in hospital … relationship between increases in for-profit presence in hospital markets and an increase in advertising spending by the not …
Persistent link: https://www.econbiz.de/10013231410