Medical Research and Health Care Finance: Evidence from Academic Medical Centers / Pierre Azoulay, Misty L. Heggeness, Jennifer L. Kao.

By:

Azoulay, Pierre

Contributor(s):

Material type: Text

TextSeries: Working Paper Series (National Bureau of Economic Research) ; no. w27943.Publication details: Cambridge, Mass. National Bureau of Economic Research 2020.Description: 1 online resource: illustrations (black and white)Subject(s):

Online resources:

Available additional physical forms:

Hardcopy version available to institutional subscribers

Abstract: Academic Medical Centers (AMCs)--comprising medical schools, teaching hospitals, and research laboratories)--play an important role in US biomedical innovation. The Balanced Budget Act of 1997 (BBA) changed the formula used to reimburse Medicare inpatient claims and subsidies for medical residents. We study the effect of changes in the generosity of clinical care reimbursements on the rate and direction of research performed within these institutions. We compare AMCs' relative exposure to the reform and how these differences affect their researchers' ability to attract NIH grant funding, as well as the quantity, impact, and content of their publications. We find that in response to the BBA, research activity increased by 10% among the average teaching hospital and 20% among major teaching hospitals, with larger effects observed for "translational" and clinical research. We find little evidence of concurrent changes in clinical outcomes.

Tags from this library: No tags from this library for this title. Log in to add tags.

Average rating: 0.0 (0 votes)

Holdings
Item type	Home library	Collection	Call number	Status	Date due	Barcode	Item holds
Working Paper	Biblioteca Digital	Colección NBER	nber w27943 (Browse shelf(Opens below))	Not For Loan

Total holds: 0

Collection: Colección NBER Close shelf browser (Hides shelf browser)

Previous	No cover image available	No cover image available	No cover image available	No cover image available	No cover image available	No cover image available	No cover image available	Next
Previous	nber w27940 Who Benefits From the Child Tax Credit? /	nber w27941 A Theory of Voluntary Testing and Self-isolation in an Ongoing Pandemic /	nber w27942 Have Exchange-Listed Firms Become Less Important for the Economy? /	nber w27943 Medical Research and Health Care Finance: Evidence from Academic Medical Centers /	nber w27944 Temptation and Commitment: Understanding Hand-to-Mouth Behavior /	nber w27945 Bank Liquidity Provision Across the Firm Size Distribution /	nber w27946 Estimating the Costs of Filing Tax Returns and the Potential Savings from Policies Aimed at Reducing These Costs /	Next

October 2020.

Academic Medical Centers (AMCs)--comprising medical schools, teaching hospitals, and research laboratories)--play an important role in US biomedical innovation. The Balanced Budget Act of 1997 (BBA) changed the formula used to reimburse Medicare inpatient claims and subsidies for medical residents. We study the effect of changes in the generosity of clinical care reimbursements on the rate and direction of research performed within these institutions. We compare AMCs' relative exposure to the reform and how these differences affect their researchers' ability to attract NIH grant funding, as well as the quantity, impact, and content of their publications. We find that in response to the BBA, research activity increased by 10% among the average teaching hospital and 20% among major teaching hospitals, with larger effects observed for "translational" and clinical research. We find little evidence of concurrent changes in clinical outcomes.