| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w24946 |
| 来源ID | Working Paper 24946 |
| Long-Term Care Hospitals: A Case Study in Waste | |
| Liran Einav; Amy Finkelstein; Neale Mahoney | |
| 发表日期 | 2018-08-27 |
| 出版年 | 2018 |
| 语种 | 英语 |
| 摘要 | There is substantial waste in U.S. healthcare, but little consensus on how to identify or combat it. We identify one specific source of waste: long-term care hospitals (LTCHs). These post-acute care facilities began as a regulatory carve-out for a few dozen specialty hospitals, but have expanded into an industry with over 400 hospitals and $5.4 billion in annual Medicare spending in 2014. We use the entry of LTCHs into local hospital markets and an event study design to estimate LTCHs’ impact. We find that most LTCH patients would have counterfactually received care at Skilled Nursing Facilities – post-acute care facilities that provide medically similar care to LTCHs but are paid significantly less – and that substitution to LTCHs leaves patients unaffected or worse off on all dimensions we can objectively measure. Our results imply that Medicare could save about $4.6 billion per year – with no harm to patients – by not allowing for discharge to LTCHs. |
| 主题 | Public Economics ; National Fiscal Issues ; Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w24946 |
| 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/582620 |
| 推荐引用方式 GB/T 7714 | Liran Einav,Amy Finkelstein,Neale Mahoney. Long-Term Care Hospitals: A Case Study in Waste. 2018. |
| 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 | ||
| w24946.pdf（1361KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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