Abstract:
:Previous studies of hospital competition have found that greater competition leads to higher hospital costs. In this paper we report how the behavior of California's hospitals has changed since the introduction of programs intended to contain the rate of increase of hospital costs. Using data that cover the period preceding and following the introduction of these programs, we found that hospitals in more competitive markets have lowered their costs significantly.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Zwanziger J,Melnick GAdoi
10.1016/0167-6296(88)90018-5subject
Has Abstractpub_date
1988-12-01 00:00:00pages
301-20issue
4eissn
0167-6296issn
1879-1646pii
0167-6296(88)90018-5journal_volume
7pub_type
杂志文章abstract::A necessary condition for competition to promote quality in hospital markets is that patients are sensitive to differences in hospital quality. In this paper we examine the relationship between hospital quality, as measured by publicly available quality ratings, and patient hospital choice for angioplasty using indivi...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2012.02.001
更新日期:2012-03-01 00:00:00
abstract::Using detailed panel data on local alcohol policy changes in Texas, this paper tests whether the effect of these changes on alcohol-related accidents depends on whether the policy change involves where the alcohol is consumed and the type of alcohol consumed. After controlling for both county and year fixed effects, w...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(01)00103-5
更新日期:2001-11-01 00:00:00
abstract::For decades, the US public and private sectors have committed substantial resources towards cancer research, but the societal payoff has not been well-understood. We quantify the value of recent gains in cancer survival, and analyze the distribution of value among various stakeholders. Between 1988 and 2000, life expe...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.02.006
更新日期:2010-05-01 00:00:00
abstract::This study asks why hospitals provide direct financial support to nursing schools and faculty. This support is striking because nursing education is clearly general, clearly paid by the firm, and information asymmetries appear minimal. Using AHA and survey data, I find hospitals employing a greater share of their MSA'...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2012.09.002
更新日期:2013-01-01 00:00:00
abstract::Assessing the welfare impact of consumer health advisories is a thorny task. Recently, Shimshack and Ward (2010) studied how U.S. households responded to FDA's 2001 mercury-in-fish advisory. They found that the average at-risk household reduced fish consumption by 21%, resulting in a 17%-reduction in mercury exposure ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.06.005
更新日期:2014-09-01 00:00:00
abstract::Despite its salience as a regulatory tool to ensure the delivery of unprofitable medical services, cross-subsidization of services within hospital systems has been notoriously difficult to detect and quantify. We use repeated shocks to a profitable service in the market for hospital-based medical care to test for cros...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.06.007
更新日期:2014-09-01 00:00:00
abstract::While recent research has shown that cannabis access laws can reduce the use of prescription opioids, the effect of these laws on opioid use is not well understood for all dimensions of use and for the general United States population. Analyzing a dataset of over 1.5 billion individual opioid prescriptions between 201...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2019.102273
更新日期:2020-01-01 00:00:00
abstract::During the 1990s, a record number of U.S. hospitals entered into some form of vertical combination with physicians. During the same period, many integrated hospital-physician arrangements broke up. Using data from California, we investigate whether such vertical activity affected hospital pricing. We find that neither...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2005.04.008
更新日期:2006-01-01 00:00:00
abstract::This study seeks to simulate the portion of moral hazard that is due to the income transfer contained in the coinsurance price reduction. Healthcare spending of uninsured individuals from the MEPS with a priority health condition is compared with the predicted counterfactual spending of those same individuals if they ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.12.003
更新日期:2018-01-01 00:00:00
abstract::Why do people purchase health insurance? Many economists would answer that it permits purchasers to avoid risk of financial loss. This note suggests that health insurance is also demanded because it represents a mechanism for gaining access to health care that would otherwise be unaffordable. For example, although a U...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(98)00049-6
更新日期:1999-04-01 00:00:00
abstract::This study used 1982-1986 data on 262 private community hospitals to evaluate the effects of selective contracting for inpatient services by California's Medicaid program. Selective contracting by Medicaid significantly reduced the rate of inflation in average costs per admission and per patient day, while slightly in...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(90)90025-x
更新日期:1989-01-01 00:00:00
abstract::The Patient-Centered Medical Home (PCMH) is a widely-implemented model for improving primary care, emphasizing care coordination, information technology, and process improvements. However, its treatment as an undifferentiated intervention in policy evaluation obscures meaningful variation in implementation. This heter...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2018.02.012
更新日期:2018-05-01 00:00:00
abstract::I study the interplay among competition, contractual commitment, income risk, and saving and borrowing in insuring consumers against both short-term healthcare expenses and longer-term changes in health status. Examining different combinations of firms' ability to commit to long-term contracts, consumers' access to cr...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2018.02.006
更新日期:2018-03-01 00:00:00
abstract::This paper estimates the effect of ambulatory surgical centers (ASCs) on hospital surgical volume using hospital and year fixed effects models with several robustness checks. We show that ASC entry only appears to influence a hospital's outpatient surgical volume if the facilities are within a few miles of each other....
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.07.003
更新日期:2010-09-01 00:00:00
abstract::This paper performs new tests of the QALY model when health varies over time. Our tests do not involve confounding assumptions and are robust to violations of expected utility. The results support the use of QALYs at the aggregate level, i.e. in economic evaluations of health care. At the individual level, there is le...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2008.05.009
更新日期:2008-09-01 00:00:00
abstract::This paper studies the health effects of one of the world's largest demand-side financial incentive programmes--India's Janani Suraksha Yojana. Our difference-in-difference estimates exploit heterogeneity in the implementation of the financial incentive programme across districts. We find that cash incentives to women...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2015.07.001
更新日期:2015-09-01 00:00:00
abstract::The production of health care services has the unique feature that physicians do not face explicit costs for hospital inputs. This paper develops models of the production process given alternative hospital and medical staff relationships, and analyzes the impact of the change in hospital reimbursement under Medicare f...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(90)90016-v
更新日期:1990-09-01 00:00:00
abstract::Proponents of hospital consolidation claim that mergers lead to significant cost savings, but there is little systematic evidence backing these claims. For a large sample of hospital mergers between 2000 and 2010, I estimate difference-in-differences models that compare cost trends at acquired hospitals to cost trends...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.01.007
更新日期:2017-03-01 00:00:00
abstract::This article assesses the impact of dentist remuneration on the incidence of potentially harmful dental X-rays. We use unique panel data which provide details of 1.3 million treatment claims by Scottish NHS dentists made between 1998 and 2007. Controlling for unobserved heterogeneity of both patients and dentists we e...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.12.005
更新日期:2018-03-01 00:00:00
abstract::Increasing the adoption of generic drugs has the potential to improve static efficiency in a health system without harming pharmaceutical innovation. However, very little is known about the timing of generic adoption and diffusion. No prior study has empirically examined the differential launch times of generics acros...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.04.004
更新日期:2014-12-01 00:00:00
abstract::Previous work suggests but cannot prove that education improves health behaviors. We exploit a randomized intervention that increased schooling (and reduced working) among male students in the Dominican Republic, by providing information on the returns to schooling. We find that treated youths were much less likely to...
journal_title:Journal of health economics
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jhealeco.2012.05.004
更新日期:2012-07-01 00:00:00
abstract::This paper examines whether Dutch disability insurance reforms have helped or hindered employment opportunities of workers that are facing unanticipated shocks to their health. An important component of the reforms was to make employers responsible for paying sickness benefits and to strengthen their sickness monitori...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2018.09.004
更新日期:2018-11-01 00:00:00
abstract::Partial expected value of perfect information (EVPI) quantifies the value of removing uncertainty about unknown parameters in a decision model. EVPIs can be computed via Monte Carlo methods. An outer loop samples values of the parameters of interest, and an inner loop samples the remaining parameters from their condit...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.03.006
更新日期:2010-05-01 00:00:00
abstract::Most government employees have access to retiree health coverage, which provides them with group health coverage even if they retire before Medicare eligibility. We study the impact of retiree health coverage on the labor supply of public sector workers between the ages of 55 and 64. We find that retiree health covera...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.03.013
更新日期:2014-12-01 00:00:00
abstract::Empirical studies of the diffusion of innovations have not addressed adequately econometric problems that are characteristic of such analyses. Reanalysis of data for five innovations using an estimator with desirable statistical properties results in a considerably revised estimate of the impact of prospective reimbur...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(85)90014-1
更新日期:1985-12-01 00:00:00
abstract::We exploit lottery-determined admission to dental school to estimate the payoffs to the study of dentistry in the Netherlands. Using data from up to 22 years after the lottery, we find that in most years after graduation dentists earn around 50,000 Euros more than they would earn in their next-best profession. The pay...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2018.11.001
更新日期:2019-01-01 00:00:00
abstract::This paper measures the extent to which the price of nursing home care affects a potential substitute living arrangement: coresidence with adult children. Exploiting variation in state Medicaid income "spend-down" provisions over time, I find that living in a state with a spend-down provision decreases the prevalence ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2018.04.003
更新日期:2018-05-01 00:00:00
abstract::While there has been an important increase in methodological and empirical studies on health inequality, not much has been written on the theoretical foundation of health inequality measurement. We discuss several reasons why the classic welfare approach, which is the foundation of income inequality analysis, fails to...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(01)00138-2
更新日期:2002-05-01 00:00:00
abstract::We examine whether patients covered by workers' compensation insurance, which covers the cost of medical care for injured workers without cost sharing and with relatively little oversight, are charged more for treatment or receive more services than patients covered by traditional insurance. Our findings indicate that...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(95)00020-8
更新日期:1995-12-01 00:00:00
abstract::The last time that federal excise taxes on alcoholic beverages were increased was 1991. The changes were larger than the typical state-level changes that have been used to study price effects, but the consequences have not been assessed due to the lack of a control group. Here we develop and implement a novel method f...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2012.11.003
更新日期:2013-01-01 00:00:00