@techreport{NBERw17300, title = "Do Hospitals Cross Subsidize?", author = "Guy David and Richard Lindrooth and Lorens A. Helmchen and Lawton R. Burns", institution = "National Bureau of Economic Research", type = "Working Paper", series = "Working Paper Series", number = "17300", year = "2011", month = "August", URL = "http://www.nber.org/papers/w17300", abstract = {Cross-subsidies are often considered the principal mechanism through which hospitals provide unprofitable care. Yet, hospitals’ reliance on and extent of cross-subsidization are difficult to establish. We exploit entry by cardiac specialty hospitals as an exogenous shock to incumbent hospitals’ profitability and in turn to their ability to cross-subsidize unprofitable services. Using patient-level data from general short-term hospitals in Arizona and Colorado before and after entry, we find that the hospitals most exposed to entry reduced their provision of services considered to be unprofitable (psychiatric, substance- abuse, and trauma care) and expanded their admissions for neurosurgery, a highly profitable service.}, }