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| 001 | w16859 | ||
| 003 | NBER | ||
| 005 | 20211020110936.0 | ||
| 006 | m o d | ||
| 007 | cr cnu|||||||| | ||
| 008 | 210910s2011 mau fo 000 0 eng d | ||
| 100 | 1 | _aWu, Vivian Y. | |
| 245 | 1 | 4 |
_aThe Long-term Impact of Medicare Payment Reductions on Patient Outcomes / _cVivian Y. Wu, Yu-Chu Shen. |
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_aCambridge, Mass. _bNational Bureau of Economic Research _c2011. |
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_a1 online resource: _billustrations (black and white); |
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| 490 | 1 |
_aNBER working paper series _vno. w16859 |
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| 500 | _aMarch 2011. | ||
| 520 | 3 | _aThis study examines the long term impact of Medicare payment reductions on patient outcomes using a natural experiment - the Balance Budget Act (BBA) of 1997. We use predicted Medicare revenue changes due to BBA, with simulated BBA payment cuts as an instrument, to categorize hospitals by degrees of payment cuts (small, moderate, or large), and follow Medicare patient outcomes in these hospitals over a 11 year panel: 1995-1997 pre-BBA, 1998-2000 initial years of BBA, and 2001-2005 post-BBA years. We find that Medicare AMI mortality trends stay similar across hospitals when comparing between pre-BBA and initial-BBA periods. However, the trends began to diverge in 2001-2005: hospitals facing large payment cuts saw increased mortality rates relative to that of hospitals facing small cuts in the post-BBA period (2001-2005) after controlling for their pre-BBA trends. We find support that part of the higher AMI mortalities among large-cut hospitals are explained by reductions in staffing level and operating cost following the payment cuts. | |
| 530 | _aHardcopy version available to institutional subscribers | ||
| 538 | _aSystem requirements: Adobe [Acrobat] Reader required for PDF files. | ||
| 538 | _aMode of access: World Wide Web. | ||
| 588 | 0 | _aPrint version record | |
| 690 | 7 |
_aI1 - Health _2Journal of Economic Literature class. |
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| 700 | 1 |
_aShen, Yu-Chu. _929514 |
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| 710 | 2 | _aNational Bureau of Economic Research. | |
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_aWorking Paper Series (National Bureau of Economic Research) _vno. w16859. |
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| 856 | 4 | 0 | _uhttps://www.nber.org/papers/w16859 |
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_yAcceso en línea al DOI _uhttp://dx.doi.org/10.3386/w16859 |
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_2ddc _cW-PAPER |
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_c331264 _d289826 |
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