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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
We study the design of provider incentives in the post-acute care setting – a high-stakes but under-studied segment of the healthcare system. We focus on long-term care hospitals (LTCHs) and the large (approximately $13,000) jump in Medicare payments they receive when a patient's stay reaches...
Persistent link: https://www.econbiz.de/10012964400
The aim of this paper is to examine the determinants of interests rates on tax-exempt hospital bonds. The results … hospitals in states with relatively high income tax rates to issue debt. The Federal tax act of 1986 raised the cost of hospital … hospital should receive via its participation in tax-exempt markets, how this subsidy should vary among hospitals with …
Persistent link: https://www.econbiz.de/10012777104
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
financial health affect different aspects of hospital operation. In our study, we analyze this issue focusing on hospital access … account both hospital's current and past financial health as well as their expected financial outlook (i.e., whether there is …
Persistent link: https://www.econbiz.de/10012758492
Medicare's prospective payment system for long-term acute-care hospitals (LTCHs) pro- vides modest reimbursements at the beginning of a patient's stay before jumping discontinuously to a large lump-sum payment after a pre-specified number of days. We show that LTCHs respond to financial...
Persistent link: https://www.econbiz.de/10012983666
for surgical ones. We further use a 2008 policy where Medicare implemented financial penalties for certain hospital …
Persistent link: https://www.econbiz.de/10013324112
or service, but are bundled by a common intermediary. Focusing on hospital mergers across distinct geographic markets, we … higher prices (or lower-quality care). Using data on hospital mergers from 1996-2012, we find support that this mechanism … operates within state boundaries: cross-market, within-state hospital mergers yield price increases of 7-9 percent for …
Persistent link: https://www.econbiz.de/10012996459
Mergers that affiliate a hospital with a Catholic owner, network, or system reduce the set of possible reproductive …
Persistent link: https://www.econbiz.de/10012948095
Hospital payment regulation has historically been introduced to meet multiple policy objectives. The primary objective …
Persistent link: https://www.econbiz.de/10012948430