Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Competition, payers, and hospital quality.

Gautam Gozvrisankaran, Robert J Town

    Health Services Research
    |January 20, 2004
    PubMed
    Summary

    Increased competition for Health Maintenance Organization (HMO) patients lowers hospital mortality rates, suggesting improved quality. However, increased competition for Medicare patients is linked to higher mortality, potentially reducing welfare.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Reducing Medicare Advantage Benchmarks Will Decrease Plan Generosity, But Those Effects Will Likely Be Modest.

    Health affairs (Project Hope)·2023
    Same author

    The Effect of Physician and Hospital Market Structure on Medical Technology Diffusion.

    Health services research·2016
    Same author

    For Third Enrollment Period, Marketplaces Expand Decision Support Tools To Assist Consumers.

    Health affairs (Project Hope)·2016
    Same author

    Increased risk of respiratory illness associated with kerosene fuel use among women and children in urban Bangalore, India.

    Occupational and environmental medicine·2014
    Same author

    Scope-of-practice laws for nurse practitioners limit cost savings that can be achieved in retail clinics.

    Health affairs (Project Hope)·2013
    Same author

    Trends underlying employer-sponsored health insurance growth for Americans younger than age sixty-five.

    Health affairs (Project Hope)·2013

    Area of Science:

    • Health Economics
    • Hospital Quality
    • Market Competition

    Background:

    • Hospital competition influences strategic decisions, including quality of care.
    • Understanding payer-specific competition effects is crucial for healthcare policy.

    Purpose of the Study:

    • To assess how competition for Medicare and Health Maintenance Organization (HMO) patients impacts hospital quality in Southern California.
    • To differentiate the effects of competition based on patient payer type.

    Main Methods:

    • Utilized secondary discharge data from California (1989-1993).
    • Analyzed risk-adjusted hospital mortality rates for pneumonia and acute myocardial infarction (AMI).
    • Developed competition measures to address endogeneity and employed ordinary least squares regression.

    Main Results:

    • Greater competition for HMO patients correlated with decreased risk-adjusted hospital mortality.
    • Increased competition for Medicare enrollees correlated with increased risk-adjusted hospital mortality.

    Conclusions:

    • Competition for HMO patients may reduce prices, save lives, and improve welfare.
    • Competition for Medicare patients may decrease quality and potentially reduce welfare.
    • Overall net effect of increased competition on hospital quality in the study sample was minimal.

    Related Experiment Videos