Deutschland leistet sich nach internationalen Maßstäben überdimensionierte Bettenkapazitäten, die sich auf zu viele und häufig zu kleine Krankenhäuser verteilen. Aufgabe der Länder wäre es, die Struktur anzupassen. Sie scheuen aber den politischen Widerstand der unmittelbar Betroffenen....

Health institutions in developing countries need to be transparent and accountable to attain universal health coverage and effective institutions as mandated by Sustainable Development Goals (SDG) 3 (target 3.8) and SDG 16 (target 16.6), respectively. This study seeks to achieve two objectives:...

This study presents new evidence on the potential detrimental effects of hospital closures. We examine how hospital closures affect the likelihood of incurring medical debt. Hospital closures can increase market concentration by removing a competitor from the market. Closures can also have...

This study presents a comparative analysis of inpatient care data from six countries (Ukraine, Moldova, Romania, Croatia, Estonia, and the Republic of Korea). It uses diagnosis related groups (DRGs) as a framework for benchmarking. The primary aim of the study is to propose methods for comparing...

This paper examines hospital competition and restrictions on physician-owned hospital; it proceeds as follows. Part I provides an overview of the seemingly inexorable trends towards further consolidation among healthcare providers and the related competition concerns this consolidation raises....

Excessive turnover can signicantly impair an organization's performance. Using high-quality administrative data and staggered dierence-in-dierences strategies, we evaluate the impact of a programme that encouraged public hospitals to increase staff retention by providing data and guidelines on...

Public investment in hospitals in Germany has been insufficient for decades, making it difficultto finance digitization. Due to dual financing, hospitals could alternatively use their own profitsto pay for digitization efforts. This raises the question of whether there is a relationship...

Healthcare payment systems influence to a great extent the hospitals' investment decision and thereby, their ability to treat patients. A payment system is optimal provided it incentivises hospitals to undertake an investment level that is appropriate, when considering treatment costs, patients'...

Background: Facebook ratings provide relevant information and data on hospital quality for individual patients, the hospitals themselves and the institutions responsible for the quality assessment of hospitals. However, there are still considerable doubts in the healthcare sector about the...

Hospitals account for 40 % of all healthcare expenditures and play a central role in healthcare provision. Therefore, the way hospitals are payed has major implications for the care they provide. Yet the knowledge about system wide effects of payment reforms is surprisingly thin. This study...

Purpose: This study examined whether nonprofit hospitals reflect social roles as well as values and satisfy their financial responsibilities compared with for-profit hospitals. Design/methodology/approach: Using panel data from the Hospital Financial and Utilization Information Data System in...

Hospitals face large and variable costs from treating indigent care patients. Two methods of "reinsuring" hospitals against these costs are providing these patients with insurance and directly providing hospitals with supplemental payments to cover the expected costs of treating the indigent....

A literature has found that medical providers inflate bills and report more conditions given financial incentives. We evaluate whether Medicare reimbursement incentives are driven more by bill inflation or coding costs. Medicare reformed its payment mechanism for inpatient hospitalizations in...

The hospital market is served by firms that are private for-profit, private not-for-profit, and government-owned and operated. I use a plausibly exogenous change in hospital financing that was intended to improve medical care for the poor to test three theories of organizational behavior. My...

This paper proposes a normative analysis which investigates the optimal management of private practices within a public hospital. Private income supplementation induces consultants to attend to more patients which reduces waiting lists and the public cost of healthcare. It is however optimal to...

Change is the only constant. 25th march 2020- a red letter day in the world calendar of the 21st century. Industries witnessed the unprecedented. While each new day spelt doom for yet another industry, a handful of companies started rolling in the big bucks. Aviation, entertainment, hospitality,...

Between 2000 and 2020, the share of US bed capacity at independent hospitals dropped from 42% to 19% – a rapid corporatization of care. We study whether this restructuring of the industry in favor of larger firms improved hospital profitability and quality. We combine novel, patient-level data...

There has been significant financial integration between hospitals and physicians since the early 2000s; however, there is limited research on the advantages and disadvantages to integration. This paper shows how hospital finances, hospital service lines, and quality-of-care change when...

This research note categorizes acute care hospitals services as relatively profitable, relatively unprofitable, variably profitable, or uncertain. It updates “Research Note: Relative Profitability of Acute Hospital Services,” an online exhibit to Horwitz, “Making Profits and Providing...

Increasing healthcare spending and lacking of efficiency in the healthcare market have spurred government and insurers interest in hospital price and quality transparency tools. This systematic review synthesized literature examing the impact of hospital price and quality transparency tools on...

Information problems in health care and the multifaceted nature of hospital quality complicate hospital choice. Online reviews provide an accessible, salient means through which researchers and health care decision-makers can gather information about a hospital's quality of care, and given their...

Objectives: French Guiana, the least-vaccinated French territory, also has the lowest COVID-19 vaccination coverage in Latin America. We aimed to estimate how many deaths, hospitalizations and costs the vaccines had and could have avoided. Methods: We calculated the Number Needed to Vaccinate to...

In this article, I describe my approach to dealing with the challenges and opportunities of synchronous online teaching during the Fall semester of 2020 in the specific context of a 90-student graduate course in healthcare finance at the MIT Sloan School of Management