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'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/10013218507
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/10013249138
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/10013230776
. 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/10013047022
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/10012986303
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/10012761270
“star” hospitals. I highlight a theoretically distinct selection channel: these plans attract consumers loyal to the star … hospitals and who tend to use their high-price care when sick. Using a structural model, I show that selection creates a strong … incentive to exclude star hospitals but that standard policy solutions do not improve net welfare. A key reason is the …
Persistent link: https://www.econbiz.de/10012983664
As hospitals are increasingly held accountable for patients' post-discharge outcomes under new payment models … whether patients discharged to hospital-based SNFs have better outcomes. In unadjusted comparisons, hospital-based SNF … instrument. We found that hospital-based SNF patients spent roughly 5 more days in the community and 6 fewer days in the SNF in …
Persistent link: https://www.econbiz.de/10012984774
. Across markets, increases in HMO market share are associated with slower diffusion of MRI into hospitals between 1983 and … 1993, and with substantially lower overall MRI availability in and outside of hospitals in the mid and later 1990s. High …
Persistent link: https://www.econbiz.de/10013225561
We examine the recent increase in hospital advertising expenditures. We first illustrate that the rise in hospital … advertising has not been universal. Large, not-for-profit, teaching hospitals have, by far, experienced the largest increase in … spending. Adjusting for size, for-profit hospitals over this period have actually decreased their marketing expenses. This …
Persistent link: https://www.econbiz.de/10013231410