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Market Size and Trade in Medical Services / Jonathan I. Dingel, Joshua D. Gottlieb, Maya Lozinski, Pauline Mourot.
- Format:
- Book
- Author/Creator:
- Dingel, Jonathan I.
- Series:
- Working Paper Series (National Bureau of Economic Research) no. w31030.
- NBER working paper series no. w31030
- Language:
- English
- Physical Description:
- 1 online resource: illustrations (black and white);
- Place of Publication:
- Cambridge, Mass. National Bureau of Economic Research 2023.
- Summary:
- We measure the importance of increasing returns to scale and trade in medical services. Using Medicare claims data, we document that "imported" medical care -- services produced by a medical provider in a different region -- constitute about one-fifth of US healthcare consumption. Larger regions specialize in producing less common procedures, which are traded more. These patterns reflect economies of scale: larger regions produce higher-quality services because they serve more patients. Because of increasing returns and trade costs, policies to improve access to care face a proximity-concentration tradeoff. Production subsidies and travel subsidies can impose contrasting spillovers on neighboring regions.
- Notes:
- Print version record
- March 2023.
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