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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/10013121091
design to examine effects of the expansion on health insurance coverage, hospital use, and patient health. We then link these … changes to effects on hospital finances. We show that a substantial share of the federally-funded Medicaid expansion … hospital revenue and profitability, with larger gains for government hospitals. On the benefits side, we do not detect …
Persistent link: https://www.econbiz.de/10012893981
Amenities such as good food, attentive staff, and pleasant surroundings may play an important role in hospital demand … patient perspective, hospital quality therefore embodies amenities as well as clinical quality. We also find that a one …-standard-deviation increase in amenities raises a hospital's demand by 38.4% on average, whereas demand is substantially less responsive to …
Persistent link: https://www.econbiz.de/10012758024
decompose the joint contribution of quality and unobserved productivity to hospital costs, relying on heterogeneous tastes among … the 75th percentile would increase costs at the average hospital by nearly fifty percent. Improvements in traditional … metrics of hospital quality such as risk-adjusted mortality are more modest, indicating that other factors such as amenities …
Persistent link: https://www.econbiz.de/10012759634
medical conditions in California, New York, and Wisconsin. We used linked hospital discharge and vital statistics data to … 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 …
Persistent link: https://www.econbiz.de/10012761270
We examine whether obtaining prescription drug insurance through the Medicare Part D program affected hospital … Medicare Part D was associated with an 8% decrease in the number of hospital admissions, a 7% decrease in Medicare expenditures …
Persistent link: https://www.econbiz.de/10013057818
population. We find support for both sides of this debate. Markets experiencing entry by a cardiac specialty hospital have lower … spending for cardiac care without significantly worse clinical outcomes. In markets with a specialty hospital, however …
Persistent link: https://www.econbiz.de/10013221882
The growth of unionization among hospital workers was sharply accelerated by the 1974 amendments to the NLRA covering … voluntary hospital workers. With continuing inflationary pressures in the hospital sector, the cost implications of the recent … and projected growth of hospital unions is of some concern to policy-makers . This paper presents estimates of union cost …
Persistent link: https://www.econbiz.de/10013249186
We examine the relationship between the adoption of EMR and hospital operating costs. We first identify a puzzle that …
Persistent link: https://www.econbiz.de/10013036633
We estimate the effects of hospital competition on the level of and the variation in quality of care and hospital …
Persistent link: https://www.econbiz.de/10013243657