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来源类型Working Paper
规范类型报告
DOI10.3386/w22858
来源IDWorking Paper 22858
Do Good Reports Mean Higher Prices? The Impact of Hospital Compare Ratings on Cardiac Pricing
Avi Dor; William Encinosa; Kathleen Carey
发表日期2016-11-28
出版年2016
语种英语
摘要Previous research found that the initiation of Hospital Compare (HC) quality reporting had little impact on patient outcomes. However little is known about its impact on hospital prices, which may be significant since insurers are positioned to respond to quality information when engaging hospitals in price negotiations. To explore this issue we estimate variants of difference-in-difference models allowing HC impacts to vary by levels of quality scores. We separately examine the effects of the three main scores (heart attack, heart failure, and combined mortalities) on transaction prices of two related cardiac procedures: bypass surgery and angioplasty. States which had mandated reporting systems preceding HC form the control group. Analyzing claims data of privately insured patients, we find that HC exerted downward pressure on prices, which we attribute to competitive pressures. However, hospitals ranked “above average” captured higher prices, thereby offsetting the overall policy effect. We conclude that HC was effective at constraining prices without penalizing high performers.
主题Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance
URLhttps://www.nber.org/papers/w22858
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/580532
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Avi Dor,William Encinosa,Kathleen Carey. Do Good Reports Mean Higher Prices? The Impact of Hospital Compare Ratings on Cardiac Pricing. 2016.
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