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  1. Exploring the heterogeneous effects of state price transparency laws on charge prices, negotiated prices, and operating costs
    Autor*in: Linde, Sebastian; Siebert, Ralph
    Erschienen: October 2021
    Verlag:  CESifo, Center for Economic Studies & Ifo Institute, Munich, Germany

    To limit the dramatic growth of U.S. health care expenditures, some states have mandated that medical providers publicly report their charge prices. Our study evaluates the heterogeneous effects of this price transparency policy. We use a... mehr

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    To limit the dramatic growth of U.S. health care expenditures, some states have mandated that medical providers publicly report their charge prices. Our study evaluates the heterogeneous effects of this price transparency policy. We use a comprehensive database that covers more than 2,000 hospitals nationwide from 1996 to 2017. We employ a flexible generalized synthetic control method that allows for heterogeneous treatment effects. We find that the price transparency policy not only reduced charge prices by 3.9% (which corresponds to savings of $1,164 per hospital stay) but also diminished negotiated prices by 15.9% and hospital costs by 4.7%. Our estimation results show that the effects on charge prices do not last as long as the impacts on negotiated prices and costs. We also find large heterogeneous responses across hospitals that depend on: (1) hospitals’ past charge prices prior to adopting the price transparency law, that is, high-price hospitals reduce charge and negotiated prices, while low-price hospitals increase charges; (2) hospital characteristics such as ownership, case mix, and payer mix; and (3) hospital size and market competition. We also conduct counterfactuals to predict price changes of non-treated states and find large reductions in negotiated prices.

     
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    Sprache: Englisch
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    Weitere Identifier:
    hdl: 10419/248893
    Schriftenreihe: CESifo working paper ; no. 9348 (2021)
    Schlagworte: charge prices; difference-in-difference; heterogeneous treatment effects; hospitals; hospital costs; interactive fixed effects; negotiated prices; price transparency laws; synthetic controls
    Umfang: 1 Online-Ressource (circa 41 Seiten), Illustrationen
  2. Paying for health gains
    Autor*in: Siciliani, Luigi; Gaughan, James; Gutacker, Nils; Gravelle, Hugh; Chalkley, Martin
    Erschienen: July 2021
    Verlag:  Centre for Health Economics, Alcuin College, University of York, York, UK

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    Schriftenreihe: CHE research paper ; 183
    Schlagworte: hospitals; pay for performance; quality; health
    Umfang: 1 Online-Ressource (circa 29 Seiten), Illustrationen
  3. The financial health of select Philippine hospitals and the role of the Philippine Health Insurance Corporation as the national strategic purchaser of health services
    Autor*in: Uy, Jhanna; Nuevo, Christian Edward L.; Casas, Lyle; Ulep, Valerie Gilbert
    Erschienen: December 2021
    Verlag:  Philippine Institute for Development Studies, Quezon City, Philippines

    Health care providers such as hospitals and primary health care facilities form an integral part of any health system. Providers must have both financial sustainability, such that they are able to continuously deliver health care services without... mehr

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    Health care providers such as hospitals and primary health care facilities form an integral part of any health system. Providers must have both financial sustainability, such that they are able to continuously deliver health care services without bankruptcy, and sufficient profits to maintain and improve the quality of their services. In this context, the Philippine Health Insurance Corporation (PhilHealth) is envisioned to be the national purchaser of health services that can support both inpatient and primary health care providers in the country while providing financial risk protection for Filipinos. In this paper, we (1) described the financial health of select public and private hospitals in the Philippines, and (2) examined PhilHealth's current position in relation to its envisioned role as national strategic purchaser for Universal Health Care (UHC). [...]

     
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    hdl: 10419/256871
    Schriftenreihe: Discussion paper series / Philippine Institute for Development Studies ; no. 2021, 36 (December 2021)
    Schlagworte: Health financing; hospitals; financial health; PhilHealth; universal health care; primary health care; equity
    Umfang: 1 Online-Ressource (circa 55 Seiten), Illustrationen
  4. Staff engagement, coworkers' complementarity and employee retention
    evidence from English NHS hospitals
    Autor*in: Moscelli, Giuseppe; Sayli, Melisa; Mello, Marco
    Erschienen: October 2022
    Verlag:  IZA - Institute of Labor Economics, Bonn, Germany

    Retention of skilled workers is essential for labour-intensive organisations like hospitals, where an excessive turnover of doctors and nurses can reduce the quality and quantity of services to patients. In the public sector, where salaries are often... mehr

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    Retention of skilled workers is essential for labour-intensive organisations like hospitals, where an excessive turnover of doctors and nurses can reduce the quality and quantity of services to patients. In the public sector, where salaries are often not negotiable at individual level, workers increasingly care about the non-pecuniary aspects of their jobs. We empirically investigate the role played by two such aspects, staff engagement and the retention of complementary coworkers, in affecting employee retention within the public hospital sector. We exploit a unique and rich panel dataset based on employee-level payroll and staff survey records from the universe of English NHS hospitals, and estimate dynamic panel data models to deal with the bias due to reverse causality. We find that nurses' retention is positively associated with their engagement, whereas doctors' retention is positively associated with nurses' retention. This heterogeneous response of employee retention can be explained by the hierarchy of workers' professional roles within the organisation.

     
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    hdl: 10419/267375
    Schriftenreihe: Discussion paper series / IZA ; no. 15638
    Schlagworte: employee retention; staff engagement; job complementarities; coworkers; hospitals; endogeneity
    Umfang: 1 Online-Ressource (circa 62 Seiten), Illustrationen
  5. Do pandemics change healthcare?
    evidence from the great influenza
    Autor*in: Mitchener, Kris; Esteves, Rui Pedro; Nencka, Peter; Thomasson, Melissa A.
    Erschienen: 14 November 2022
    Verlag:  Centre for Economic Policy Research, London

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    Schriftenreihe: Array ; DP17666
    Schlagworte: Infektionskrankheit; Epidemie; Sterblichkeit; Wirkungsanalyse; Gesundheitsversorgung; Krankenhaus; USA; hospitals; healthcare; influenza; pandemics; local public goods
    Umfang: 1 Online-Ressource (circa Seiten)
  6. The gift of a lifetime
    the hospital, modern medicine, and mortality
    Autor*in: Hollingsworth, Alex; Karbownik, Krzysztof; Thomasson, Melissa A.; Wray, Anthony
    Erschienen: November 2022
    Verlag:  CESifo, Munich, Germany

    The past century witnessed a dramatic improvement in public health, the rise of modern medicine, and the transformation of the hospital from a fringe institution to one essential to the practice of medicine. Despite the central role of medicine in... mehr

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    The past century witnessed a dramatic improvement in public health, the rise of modern medicine, and the transformation of the hospital from a fringe institution to one essential to the practice of medicine. Despite the central role of medicine in contemporary society, little is known about how hospitals and modern medicine contributed to this health transition. In this paper, we explore how access to the hospital and modern medicine affects mortality. We do so by leveraging a combination of novel data and a unique quasi-experiment: a large-scale hospital modernization program introduced by The Duke Endowment in the early twentieth century. The Endowment helped communities build and expand hospitals, obtain state-of-the-art medical technology, attract qualified medical personnel, and refine management practices. We find that access to a Duke-supported hospital reduced infant mortality by 10%, saving one life for every $20,000 (2017 dollars) spent. Effects were larger for Black infants (16%) than for White infants (7%), implying a reduction in the Black-White infant mortality gap by one-third. We show that the effect of Duke support persisted into later life with a 9% reduction in mortality between the ages of 56 and 65. We further provide evidence on the mechanisms that enabled these effects, finding that Endowment-supported hospitals attracted higher-quality physicians and were better able to take advantage of new medical innovations.

     
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    hdl: 10419/267329
    Schriftenreihe: CESifo working papers ; 10097 (2022)
    Schlagworte: Gesundheitsversorgung; Medizintechnik; Krankenhaus; Wirkungsanalyse; Sterblichkeit; Schätzung; North Carolina; USA; modern medicine; hospitals; mortality; infant health; hospital funding; physician labor supply; medical innovation; health care complementarities; charitable giving
    Umfang: 1 Online-Ressource (circa 84 Seiten), Illustrationen
  7. Do pandemics change healthcare?
    evidence from the great influenza
    Autor*in: Esteves, Rui Pedro; Mitchener, Kris; Nencka, Peter; Thomasson, Melissa A.
    Erschienen: November 2022
    Verlag:  CESifo, Munich, Germany

    Using newly digitized U.S. city-level data on hospitals, we explore how pandemics alter preferences for healthcare. We find that cities with higher levels of mortality during the Great Influenza of 1918-1919 subsequently expanded hospital capacity by... mehr

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    Using newly digitized U.S. city-level data on hospitals, we explore how pandemics alter preferences for healthcare. We find that cities with higher levels of mortality during the Great Influenza of 1918-1919 subsequently expanded hospital capacity by more than cities experiencing less influenza mortality: cities in the top half of the mortality distribution increased their count of hospitals by 8-10 percent in the years after the pandemic. This effect persisted to 1960 and was driven by increases in non-governmental hospitals. Growth responded most in richer cities, exacerbating existing inequalities in access to healthcare. We do not find evidence that government-run hospitals or other types of city-level spending related to healthcare responded to pandemic intensity, suggesting that large health shocks do not necessarily lead to increased public provision of health services.

     
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    hdl: 10419/267321
    Schriftenreihe: CESifo working papers ; 10089 (2022)
    Schlagworte: Infektionskrankheit; Epidemie; Sterblichkeit; Wirkungsanalyse; Gesundheitsversorgung; Krankenhaus; USA; hospitals; healthcare; influenza; pandemics; local public goods
    Umfang: 1 Online-Ressource (circa 55 Seiten), Illustrationen
  8. The gift of a lifetime
    the hospital, modern medicine, and mortality
    Autor*in: Hollingsworth, Alex; Thomasson, Melissa A.; Karbownik, Krzysztof; Wray, Anthony
    Erschienen: November 2022
    Verlag:  IZA - Institute of Labor Economics, Bonn, Germany

    The past century witnessed a dramatic improvement in public health, the rise of modern medicine, and the transformation of the hospital from a fringe institution to one essential to the practice of medicine. Despite the central role of medicine in... mehr

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    The past century witnessed a dramatic improvement in public health, the rise of modern medicine, and the transformation of the hospital from a fringe institution to one essential to the practice of medicine. Despite the central role of medicine in contemporary society, little is known about how hospitals and modern medicine contributed to this health transition. In this paper, we explore how access to the hospital and modern medicine affects mortality. We do so by leveraging a combination of novel data and a unique quasi-experiment: a large-scale hospital modernization program introduced by The Duke Endowment in the early twentieth century. The Endowment helped communities build and expand hospitals, obtain state-of-the-art medical technology, attract qualified medical personnel, and refine management practices. We find that access to a Duke-supported hospital reduced infant mortality by 10%, saving one life for every $20,000 (2017 dollars) spent. Effects were larger for Black infants (16%) than for White infants (7%), implying a reduction in the Black-White infant mortality gap by one-third. We show that the effect of Duke support persisted into later life with a 9% reduction in mortality between the ages of 56 and 65. We further provide evidence on the mechanisms that enabled these effects, finding that Endowment-supported hospitals attracted higher-quality physicians and were better able to take advantage of new medical innovations.

     
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    hdl: 10419/267456
    Schriftenreihe: Discussion paper series / IZA ; no. 15719
    Schlagworte: Gesundheitsversorgung; Medizintechnik; Krankenhaus; Wirkungsanalyse; Sterblichkeit; Schätzung; North Carolina; USA; modern medicine; hospitals; mortality; infant health; hospital funding; physician labor supply; medical innovation; health care complementarities; charitable giving
    Umfang: 1 Online-Ressource (circa 83 Seiten), Illustrationen
  9. I've got 99 problems but a bill ain't one
    hospital billing caps and financial distress in California
    Autor*in: Akosa Antwi, Yaa; Aouad, Marion; Blascak, Nathan
    Erschienen: [2023]
    Verlag:  Research Department, Federal Reserve Bank of Philadelphia, Philadelphia, PA

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    Schriftenreihe: Working papers / Research Department, Federal Reserve Bank of Philadelphia ; 23, 20 (September 2023)
    Schlagworte: financial distress; consumer credit; hospitals; health care
    Umfang: 1 Online-Ressource (circa 25 Seiten), Illustrationen
  10. Facility management services in UK hospitals
    in-house or outsourcing
    Autor*in: Podaneva, Alena; Picard, Pierre M.
    Erschienen: Dec. 2023
    Verlag:  University of Luxemborg, Faculty of Law, Economics and Finance, Luxembourg

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    Weitere Identifier:
    hdl: 10993/58900
    Schriftenreihe: Array ; 2023, 15
    Schlagworte: Private finance initiatives; foundation trusts; hospitals; facility management services outsourcing; moral hazard; incomplete contracts; bundling
    Umfang: 1 Online-Ressource (circa 48 Seiten), Illustrationen
  11. Prices for medical services vary within hospitals, but vary more across them
    Autor*in: Panhans, Matthew; Rosenbaum, Ted; Wilson, Nathan
    Erschienen: December 2018
    Verlag:  Bureau of Economics, Federal Trade Commission, Washington, DC

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    Schriftenreihe: Working papers / Bureau of Economics, Federal Trade Commission ; no. 339
    Schlagworte: Price dispersion; hospitals; payers; bargaining
    Umfang: 1 Online-Ressource (circa 31 Seiten), Illustrationen
  12. Industrial reorganization
    learning about patient substitution patterns from natural experiments
    Autor*in: Raval, Devesh; Rosenbaum, Ted; Wilson, Nathan E.
    Erschienen: May 2016
    Verlag:  Bureau of Economics, Federal Trade Commission, Washington, DC

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    Schriftenreihe: Working papers / Bureau of Economics, Federal Trade Commission ; no. 329
    Schlagworte: hospitals; natural experiment; patient choice; forecasting; antitrust
    Umfang: 1 Online-Ressource (circa 82 Seiten), Illustrationen
  13. Do hospitals respond to rivals' quality and efficiency?
    a spatial econometrics approach
    Autor*in: Longo, Francesco; Siciliani, Luigi; Gravelle, Hugh; Santos, Rita
    Erschienen: March 2017
    Verlag:  Centre for Health Economics, University of York, York, UK

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    Schriftenreihe: CHE research paper ; 144
    Schlagworte: quality; efficiency; hospitals; competition; spatial econometrics
    Umfang: 1 Online-Ressource (circa 45 Seiten)