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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
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
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
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
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
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