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Can Amputation Save the Hospital? The Impact of the Medicare Rural Flexibility Program on Demand and Welfare / Gautam Gowrisankaran, Claudio Lucarelli, Philip Schmidt-Dengler, Robert Town.

NBER Working papers Available online

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Format:
Book
Author/Creator:
Gowrisankaran, Gautam.
Contributor:
National Bureau of Economic Research.
Lucarelli, Claudio.
Schmidt-Dengler, Philip.
Town, Robert.
Series:
Working Paper Series (National Bureau of Economic Research) no. w18894.
NBER working paper series no. w18894
Language:
English
Physical Description:
1 online resource: illustrations (black and white);
Place of Publication:
Cambridge, Mass. National Bureau of Economic Research 2013.
Summary:
This paper seeks to understand the impact of the Medicare Rural Hospital Flexibility (Flex) Program on hospital choice and consumer welfare for rural residents. The Flex Program created a new class of hospital, the Critical Access Hospital (CAH), which receives more generous Medicare reimbursements in return for limits on capacity and length of stay. We find that conversion to CAH status resulted in a 4.7 percent drop in inpatient admissions to participating hospitals, almost all of which was driven by factors other than capacity constraints. The Flex Program increased consumer welfare if it prevented the exit of at least 6.5 percent of randomly selected converting hospitals.
Notes:
Print version record
March 2013.

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