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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w22858 |
来源ID | Working 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 |
URL | https://www.nber.org/papers/w22858 |
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/580532 |
推荐引用方式 GB/T 7714 | Avi Dor,William Encinosa,Kathleen Carey. Do Good Reports Mean Higher Prices? The Impact of Hospital Compare Ratings on Cardiac Pricing. 2016. |
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 | ||
w22858.pdf(566KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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