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来源类型Working Paper
规范类型报告
DOI10.3386/w27505
来源IDWorking Paper 27505
Natural Disasters and Elective Medical Services: How Big is the Bounce-Back?
Tatyana Deryugina; Jonathan Gruber; Adrienne Sabety
发表日期2020-07-13
出版年2020
语种英语
摘要COVID-19 has created a dual set of stresses on health care systems worldwide: a rise in expensive intensive care services and a dramatic decline in elective services. The U.S. government has responded with both grant and loan programs to help health care providers weather the storm. But the optimal size and nature of such programs are hard to evaluate without an understanding of the ability of providers to make up their lost elective service revenues over time. In this paper, we study the closest relevant parallel to the reduction in elective services seen under COVID-19: hurricanes. We match information on hurricanes to data on Medicare hospital elective visits and charges from 1997-2013, comparing counties impacted by hurricanes to nearby unaffected counties. We find that the average hurricane reduces elective services by about 7% in the month it makes landfall. For the most severe hurricanes, we estimate a reduction of more than 20%. Services return to baseline fairly rapidly, but for severe hurricanes it takes a year or more to make up lost revenues. Projections based on variation in hurricane severity suggest that it will take over 3 years for providers to make up the lost revenue from COVID-19.
主题Public Economics ; Health, Education, and Welfare ; Health ; Environmental and Resource Economics ; Environment ; COVID-19
URLhttps://www.nber.org/papers/w27505
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/585179
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Tatyana Deryugina,Jonathan Gruber,Adrienne Sabety. Natural Disasters and Elective Medical Services: How Big is the Bounce-Back?. 2020.
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