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Strategic behaviour and decision making in competitive hospital markets: an experimental investigation Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2024-03-15 Johann Han, Nadja Kairies-Schwarz, Markus Vomhof
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Has pharmaceutical innovation reduced the average cost of U.S. health care episodes? Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-11-08 Frank R. Lichtenberg
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Out-of-pocket expenditure, need, utilisation, and private health insurance in the Australian healthcare system Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-10-11 Timothy Ludlow, Jonas Fooken, Christiern Rose, Kam Ki Tang
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Income-related inequality in obesity and its determinants in Spain: What happens beyond the obesity threshold? Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-08-03 Athina Raftopoulou, Joan Gil Trasfi
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Matching patients with therapists in culturally diverse rehabilitation services during civil unrest Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-06-28 Stuart B. Kamenetsky, Vanessa Chen, Eyal Heled
A primary consideration in rehabilitation is the compatibility between clinicians and patients, where cultural diversity is a defining feature for both. The intricacies of cultural considerations in patient-clinician matching are heightened in areas of conflict and civil unrest. This paper presents three perspectives of the significance of cultural considerations in such assignments: patient-centred
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Medicaid physician fees and the use of primary care services: evidence from before and after the ACA fee bump Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-06-16 Anuj Gangopadhyaya, Robert Kaestner, Cuiping Schiman
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Finding fraud: enforcement, detection, and recoveries after the ACA Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-05-15 Victoria Perez, Julio A. Ramos Pastrana
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Priority setting in the German healthcare system: results from a discrete choice experiment Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-05-15 V. Meusel, E. Mentzakis, P. Baji, G. Fiorentini, F. Paolucci
Worldwide, social healthcare systems must face the challenges of a growing scarcity of resources and of its inevitable distributional effects. Explicit criteria are needed to define the boundaries of public reimbursement decisions. As Germany stands at the beginning of such a discussion, more formalised priority setting procedures seem in order. Recent research identified multi-criteria decision analysis
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How does the quality of care for type 2 diabetic patients benefit from GPs-nurses’ teamwork? A staggered difference-in-differences design based on a French pilot program Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-04-27 Julie Gilles de la Londe, Anissa Afrite, Julien Mousquès
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The effectiveness of vaccination, testing, and lockdown strategies against COVID-19 Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-04-27 Marlon Fritz, Thomas Gries, Margarete Redlin
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Are women breaking the glass ceiling? A gendered analysis of the duration of sick leave in Spain Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-04-24 Ángel L. Martín-Román, Alfonso Moral, Sara Pinillos-Franco
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Intensification or diversification: responses by anti health-pass entrepreneurs to French government announcements Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-04-20 Christophe Lévêque, Haris Megzari
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Do budget constraints limit access to health care? Evidence from PCI treatments in Hungary Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-04-19 András Kiss, Norbert Kiss, Balázs Váradi
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National or local infodemic? The demand for news in Italy during COVID-19 Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-04-17 Stefano Castriota, Marco Delmastro, Mirco Tonin
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Hospital cost efficiency: an examination of US acute care inpatient hospitals Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-04-17 Sebastian Linde
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Total expenditure elasticity of spending on self-treatment and professional healthcare: a case of Russia Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-04-06 Evguenii Zazdravnykh, Andrey Aistov, Ekaterina Aleksandrova
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The effect of health facility births on newborn mortality in Malawi Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-04-03 Dawoon Jung, Booyuel Kim
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Impact of COVID-19 on hospital screening, diagnosis and treatment activities among prostate and colorectal cancer patients in Canada Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-04-02 Shin-Haw Lee, Andrew Toye Ojo, Matthew Halat, Nataly Bleibdrey, Steven Zhang, Rob Chalmers, Dan Zimskind
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Improving diagnosis-based cost groups in the Dutch risk equalization model: the effects of a new clustering method and allowing for multimorbidity Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-03-02 Michel Oskam, Richard C. van Kleef, René C. J. A. van Vliet
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The short-term effects of fixed copayment policy on elderly health spending and service utilization: evidence from South Korea’s age-based policy using exact date of birth Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-02-28 SeungHoon Han, Hosung Sohn
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Children, vaccines, and financial incentives Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2023-02-28 Orhan Erdem, Sukran Erdem, Kelly Monson
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The effect of performance pay incentives on market frictions: evidence from medicare Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-12-22 Atul Gupta, Guy David, Lucy Kim
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Does the market reward quality? Evidence from India Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-12-07 Zachary Wagner, Somalee Banerjee, Manoj Mohanan, Neeraj Sood
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Minimum wages and health: evidence from European countries Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-11-22 Laetitia Lebihan
This study investigates the effects of minimum wage on health, well-being, and income security in European countries. The empirical strategy consists of exploiting variations in the minimum wage across European countries over time. We show that minimum wage increases improve individuals’ self-reported health and income security. Minimum wage increases also improve life satisfaction and happiness. The
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Determinants of life expectancy at birth: a longitudinal study on OECD countries Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-11-11 Paolo Roffia, Alessandro Bucciol, Sara Hashlamoun
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Exploring the effectiveness of demand-side retail pharmaceutical expenditure reforms Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-09-21 Michael Berger, Markus Pock, Miriam Reiss, Gerald Röhrling, Thomas Czypionka
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The influence of strong and weak ties in physician peer networks on new drug adoption Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-07-24 Yong Cai, Mohamed Abouzahra
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The union advantage: union membership, access to care, and the Affordable Care Act Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-07-06 Luke Petach, David K. Wyant
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Pricing behavior in long term care markets: evidence from provider-level data for home help services Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-05-27 Remco van Eijkel, Mark Kattenberg, Ab van der Torre
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Disability specific equivalence scales: a case–control approach applied to the cost of acquired brain injuries Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-05-24 Eleftherios Giovanis, Martina Menon, Federico Perali
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Private equity and its effect on patients: a window into the future. Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-05-23 Sajith Matthews,Renato Roxas
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Discontinuation of performance-based financing in primary health care: impact on family planning and maternal and child health Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-05-18 Amira El-Shal, Patricia Cubi-Molla, Mireia Jofre-Bonet
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Adverse health shocks, social insurance and household consumption: evidence from Indonesia’s Askeskin program Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-04-20 Kalyan Kolukuluri
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Trends in out-of-pocket expenditure on facility-based delivery and financial protection of health insurance: findings from Vietnam’s Household Living Standard Survey 2006–2018 Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-04-13 Phuong Hung Vu, Ardeshir Sepehri, Linh Thi Thuy Tran
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Eliciting relative preferences for the attributes of health insurance schemes among rural consumers in India Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-04-08 Mohd Zuhair, Ram Babu Roy
There is a limited understanding of the preferences of rural consumers in India for health insurance schemes. In this article, we investigate the preferences of the rural population for the attributes of a health insurance scheme by implementing a discrete choice experiment (DCE). We identified six attributes through qualitative and quantitative study: enrollment, management, benefit package, coverage
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The heterogeneous effects of the great recession on informal care to the elderly Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-03-07 Jesús M. Carro, Elizaveta Pronkina
This paper studies the role of unobserved factors to measure the impact of the economic downturn on informal care availability to the elderly in Europe. We use the Survey of Health, Ageing and Retirement in Europe (SHARE), which allows controlling for socio-demographic variables. Our results show that the impact of the Great Recession on care receipt depends not only on observed, but also on unobserved
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The impact of the repeal of the federal individual insurance mandate on uninsurance Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-03-01 Aparna Soni
The federal individual mandate of the Affordable Care Act, which required people to pay a tax penalty if they did not have health insurance, was repealed in 2019. However, some states implemented state-level insurance mandates which essentially replaced the federal mandate. I use nationally representative survey data from the 2015–19 Annual Social and Economic Supplement to the Current Population Survey
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Catastrophic health expenditure and its determinants among Nigerian households Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-02-14 Ryoko Sato
Health expenditure can be substantial, especially in countries without national health insurance schemes, and it can negatively affect people’s welfare. This study uses recent data to evaluate the extent to which Nigerian households suffer from catastrophic health expenditure (CHE) and evaluates its determinants. We used the Living Standards Survey 2018–2019 to estimate the headcount of Nigerian households
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Provider responses to discontinuous tariffs: evidence from Dutch rehabilitation care Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-02-01 Katalin Gaspar, Xander Koolman
Abrupt jumps in reimbursement tariffs have been shown to lead to unintended effects in physicians’ behavior. A sudden change in tariffs at a pre-defined point in the treatment can incentivize health care providers to prolong treatment to reach the higher tariff, and then to discharge patients once the higher tariff is reached. The Dutch reimbursement schedule in hospital rehabilitation care follows
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The impact of state capacity on the cross-country variations in COVID-19 vaccination rates Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-01-29 Dragan Tevdovski, Petar Jolakoski, Viktor Stojkoski
The initial period of vaccination shows strong heterogeneity between countries’ vaccinations rollout, both in the terms of the start of the vaccination process and in the dynamics of the number of people that are vaccinated. A predominant thesis for this observation is that a key determinant of the swift and extensive vaccine rollout is state capacity. Here, we utilize two measures that quantify different
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Impact evaluation of subsidized health insurance programs on utilization of healthcare facilities: evidence from Indonesia Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2022-01-14 Astuti, Riska Dwi, Nugrohowati, Rindang Nuri Isnaini
Despite subsidized health insurance has long been proclaimed by many countries including Indonesia, the variety of evaluation results showing that the optimization of benefits obtained by recipients is still questionable. The objective of this study is to analyze the impact of subsidized health insurance programs (ASKESKIN and JAMKESMAS) on the utilization of healthcare facilities in Indonesia. Data
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Competition and physician-induced demand in a healthcare market with regulated price: evidence from Ghana Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-12-17 Dzampe, Adolf Kwadzo, Takahashi, Shingo
Using panel data of administrative claims spanning 36 months (2017–2019) and an instrumental variable method, this study examines whether physician-induced demand for hypertension disease care exists in Ghana’s healthcare system where price is regulated, and there is no co-payment. We find that an increase in competition—measured as a high doctor-to-population ratio at the district level—leads to an
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Temporary and persistent overweight and long-term labor market outcomes Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-11-09 Laine, Liisa T., Hyytinen, Ari
We study how the duration of being overweight earlier in life is related to subsequent long-term labor market outcomes. Our data on fraternal and identical twins born and raised in the same household contain weight measurements of the twins during their early adulthood measured in 1975, 1981, and 1990 and is linked to register-based administrative data on the earnings and employment from 1990 to 2009
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The weekend effect in stroke mortality: evidence from Austrian acute care hospitals Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-11-03 Bachner, Florian, Zuba, Martin
Many studies provide evidence for the so-called weekend effect by demonstrating that patients admitted to hospital during weekends show less favourable outcomes such as increased mortality, compared with similar patients admitted during weekdays. The underlying causes for this phenomenon are still discussed controversially. We analysed factors influencing weekend effects in inpatient care for acute
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Predicting diagnostic coding in hospitals: individual level effects of price incentives Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-10-06 Anthun, Kjartan Sarheim
The purpose of this paper is to test if implicit price incentives influence the diagnostic coding of hospital discharges. We estimate if the probability of being coded as a complicated patient was related to a specific price incentive. This paper tests empirically if upcoding can be linked to shifts in patient composition through proxy measures such as age composition, length of stay, readmission rates
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State minimum wages and health insurance coverage in the United States: 2008–2018 Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-09-08 Kuroki, Masanori
This study examines the effect of minimum wage hikes on the shares of uninsured people during the period 2008–2018. Despite some concern that higher minimum wages would lead to higher uninsured rates by (1) reducing employment, (2) inducing employers to stop offering health insurance to their employees, and (3) making minimum wage workers ineligible for Medicaid by increasing their earnings, the findings
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The sensitivity of hospital coding to prices: evidence from Indonesia Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-09-07 Chalkley, Martin, Hidayat, Budi, Ramadani, Royasia Viki, Aragón, María José
This study examines a newly introduced DRG system in Indonesia. We use secondary data for 2015 and 2017 from Jaminan Kesehatan Nasional (JKN), a patient level dataset for Indonesia created in 2014 to record public and private hospitals’ claims to the national health insurance system to investigate whether there is an association between changes in tariffs paid and the severity of inpatient activity
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Racial disparities in health care utilization, the affordable care act and racial concordance preference Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-08-24 Ma, Alyson, Sanchez, Alison, Ma, Mindy
The Affordable Care Act was implemented with the aim of increasing coverage and affordable access with hopes of improving health outcomes and reducing costs. Yet, disparities persist. Coverage and affordable access alone cannot explain the health care gap between racial/ethnic minorities and white patients. Instead, the focus has turned to other factors affecting utilization rates such as the patient-provider
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Impact of implementation of the Dependency Act on the Spanish economy: an analysis after the 2008 financial crisis Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-08-04 Del Pozo-Rubio, Raúl, Bermejo-Patón, Fernando, Moya-Martínez, Pablo
The aim of this paper is to assess the industry-wide impact of Long-Term Care (LTC) spending on the Spanish economy. LTC spending includes beneficiaries’ copayment and the impact is quantified in terms of output, employment and value added. To this purpose, we use an input–output model of the Spanish economy that allows us to further describe how the value added generated is distributed throughout
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Willingness to give amid pandemics: a contingent valuation of anticipated nongovernmental immunization programs Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-06-11 William F. Vásquez, Jennifer M. Trudeau
Given that altruism is crucial in assisting impoverished households to cope with health and economic crises, it is important to improve our understanding of how preferences and motives for giving differ during a pandemic. We implemented a web-based, contingent valuation survey to estimate Americans’ willingness to give for nongovernmental immunization programs in the context of the COVID-19 pandemic
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Providers preferences towards greater patient health benefit is associated with higher quality of care Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-06-04 Seema Kacker, Tin Aung, Dominic Montagu, David Bishai
Standard theories of health provider behavior suggest that providers are motivated by both profit and an altruistic interest in patient health benefit. Detailed empirical data are seldom available to measure relative preferences between profit and patient health outcomes. Furthermore, it is difficult to empirically assess how these relative preferences affect quality of care. This study uses a unique
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Opioid and non-opioid analgesic prescribing before and after the CDC’s 2016 opioid guideline Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-05-08 William Encinosa, Didem Bernard, Thomas M. Selden
The U.S. has addressed the opioid crisis using a two-front approach: state regulations limiting opioid prescriptions for acute pain patients, and voluntary federal CDC guidelines on shifting chronic pain patients to lower opioid doses and non-opioids. No opioid policy research to date has accounted for this two-pronged approach in their research design. We develop a theory of physician prescribing
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The incidence of the healthcare costs of chronic conditions Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-05-04 Kyung Min Lee, Chanup Jeung
Who pays for the costs of chronic conditions? In this paper, we examine whether 50–64-year old workers covered by employer-sponsored insurance bear healthcare costs of chronic conditions in the form of lower wages. Using a difference-in-differences approach with data from the Health and Retirement Study, we find that workers with chronic diseases receive significantly lower wages than healthy workers
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Impacts of insurance expansion on health cost, health access, and health behaviors: evidence from the medicaid expansion in the US Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-05-02 Prabal K. De
Expansion of subsidized health insurance may result in both safer and riskier health behavior and outcomes. While having insurance lowers cost barriers to receive both usual and preventive care, the lower potential cost from adverse health events may also promote risky behavior. In this paper, I exploit expansion in the Medicaid program under the Affordable Care Act to estimate the impact of insurance
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An economic analysis of a wearable patient sensor for preventing hospital-acquired pressure injuries among the acutely ill patients Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-04-09 Leo Nherera, Barrett Larson, Annemari Cooley, Patrick Reinhard
More than 2.5 million people in the United States develop pressure injuries annually, which are one of the most common complications occurring in hospitals. Despite being common, hospital-acquired pressure injuries (HAPIs) are largely considered preventable by regular patient turning. Although current methodologies to prompt on-time repositioning have limited efficacy, a wearable patient sensor has
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Non-profit hospital mergers: the effect on healthcare costs and utilization Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-04-05 Maysam Rabbani
I use a 2010 non-profit hospital merger in Ohio to study the effect of market concentration on market outcomes. Using the Synthetic Control Method and Truven MarketScan data, I document three findings. First, courts are lenient to non-profit mergers, and I cast doubt on this practice by showing that the studied merger led to a 123% increase in the payments for inpatient childbirth services. Second
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The impact of the non-essential business closure policy on Covid-19 infection rates Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-04-01 Hummy Song, Ryan McKenna, Angela T. Chen, Guy David, Aaron Smith-McLallen
In response to the Covid-19 pandemic, many localities instituted non-essential business closure orders, keeping individuals categorized as essential workers at the frontlines while sending their non-essential counterparts home. We examine the extent to which being designated as an essential or non-essential worker impacts one’s risk of being Covid-positive following the non-essential business closure
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Determinants of prepaid systems of healthcare financing: a worldwide country-level perspective Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-03-31 Andrea M. Leiter, Engelbert Theurl
In this paper we examine determinants of prepaid modes of health care financing in a worldwide cross-country perspective. We use three different indicators to capture the role of prepaid modes in health care financing: (i) the share of total prepaid financing as percent of total current health expenditures, (ii) the share of voluntary prepaid financing as percent of total prepaid financing, and (iii)
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Wealth and the utilization of long-term care services: evidence from the United States Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-03-30 Jing Dong, Daifeng He, John A. Nyman, R. Tamara Konetzka
Long-term care (LTC) provision and financing has become a major challenge for policymakers in the United States and worldwide. To inform associated policies and more efficiently allocate LTC resources, it is important to understand how demand for different types of LTC services responds to increased wealth. We use data from the United States Health and Retirement Study to examine the use of LTC services
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Geographic variation in Part B reimbursement and physician offsetting behavior: a physician matching approach Int. J. Health Econ. Manag. (IF 1.837) Pub Date : 2021-03-18 Christopher S. Brunt, Joshua R. Hendrickson
Historically, Medicare has operated under the assumption that providers respond to reductions in reimbursement through increased provision of services in an effort to offset declining practice revenue; however, some recent empirical work examining fee reductions has found evidence of either small offsetting effects or reductions in the quantity supplied. Using a distance matching approach that matches