| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w29047 |
| 来源ID | Working Paper 29047 |
| Do Urgent Care Centers Reduce Medicare Spending? | |
| Janet Currie; Anastasia Karpova; Dan Zeltzer | |
| 发表日期 | 2021-07-19 |
| 出版年 | 2021 |
| 语种 | 英语 |
| 摘要 | We examine the impact of the opening of a new urgent care center (UCC) on health care costs and the utilization of care among nearby Medicare beneficiaries. We focus on 2006–2016, a period of rapid UCC expansion. We find that total Medicare spending rises when residents of a zip code are first served by a UCC, relative to spending in yet-to-be-served zip codes, while mortality remains flat. We explore mechanisms by looking at categories of spending and by examining utilization. Increases in inpatient visits are the largest contributor to the overall increase in spending, rising by 6.65 percent within six years after UCC entry. The number of emergency room visits that result in a hospital admission also increases by 3.7 percent. In contrast, there is no change in the number of ER visits that do not result in admission to hospital, in visits to physicians outside a UCC, or in imaging and tests. Overall, these results provide little evidence that UCCs replace costly ER visits or that they crowd out visits to patients' regular doctors. Instead, the evidence is consistent with the possibility that UCCs—which are increasingly owned by or contract with hospital systems—induce greater spending on hospital care. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w29047 |
| 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/586721 |
| 推荐引用方式 GB/T 7714 | Janet Currie,Anastasia Karpova,Dan Zeltzer. Do Urgent Care Centers Reduce Medicare Spending?. 2021. |
| 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 | ||
| w29047.pdf（403KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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