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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w11087 |
来源ID | Working Paper 11087 |
Did the HMO Revolution Cause Hospital Consolidation? | |
Robert Town; Douglas Wholey; Roger Feldman; Lawton R. Burns | |
发表日期 | 2005-01-31 |
出版年 | 2005 |
语种 | 英语 |
摘要 | During the 1990s US healthcare markets underwent a significant transformation. Managed care rose to become the dominant form of insurance in the private sector. Also, a wave of hospital consolidation occurred. In 1990, the mean population-weighted hospital Herfindahl-Hirschman Index (HHI) in a Health Services Area (HSA) was .19. By 2000, the HHI had risen to .26. This paper explores whether the rise in managed care caused the increase in hospital concentration. We use an instrumental variables approach with 10-year differences to identify the relationship between managed care penetration and hospital consolidation. Our results strongly imply that the rise of managed care did not cause the hospital consolidation wave. This finding is robust to a number of different specifications. |
主题 | Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance |
URL | https://www.nber.org/papers/w11087 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/568724 |
推荐引用方式 GB/T 7714 | Robert Town,Douglas Wholey,Roger Feldman,et al. Did the HMO Revolution Cause Hospital Consolidation?. 2005. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w11087.pdf(411KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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