provide incentives for hospitals to reduce costs or improve quality. Instead, it makes publicly available hospital quality … hospitals will be motivated to improve quality but not decrease costs. We study hospital costs and quality for the period … spanning 2003 to 2009. To assess the impact of the Reform on costs and quality, we compare the change in Massachusetts hospital …

competition and other forms of financial pressures undermine hospitals' ability to cross-subsidize and so challenges their …

This paper examines the impact of managed care on the local hospital market structure. During the 1990s, managed care … increased its presence rapidly in the healthcare market, and local hospital markets became more concentrated through closures … the literature that the hospital market concentration and managed care market penetration have little correlation …

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 …