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NBER Working Papers and Publications
|September 2006||A Comparison of the Quality of Health Care in the United States and Japan |
with Haruko Noguchi, Yuichiro Masuda, Masafumi Kuzuya, Akihiko Iguchi, Mark McClellan
in Health Care Issues in the United States and Japan, David A. Wise and Naohiro Yashiro, editors
|August 2005||Characterizing the Experiences of High-Cost Users in Medicare|
with Thomas E. MaCurdy
in Analyses in the Economics of Aging, David A. Wise, editor
|March 2005||The Effects of Competition on Variation in the Quality and Cost of Medical Care|
with Daniel P. Kessler: w11226
We estimate the effects of hospital competition on the level of and the variation in quality of care and hospital expenditures for elderly Medicare beneficiaries with heart attack. We compare competition's effects on more-severely ill patients, whom we assume value quality more highly, to the effects on less-severely ill, low-valuation patients. We find that low-valuation patients in less-competitive markets receive more intensive treatment than in more-competitive markets, but have statistically similar health outcomes. In contrast, high-valuation patients in less-competitive markets receive less intensive treatment than in more-competitive markets, and have significantly worse health outcomes. Since this competition-induced increase in variation in expenditures is, on net, expenditure-de...
Published: Kessler, Daniel P.and Jeffrey J. Geppert. "The Effects of Competition on Variation in the Quality and Cost of Medical Care." Journal of Economics and Management Strategy 14, 3 (Fall 2005): 575-89.
|January 2001||Trends in Medicare Spending Near the End of Life|
with Mark B. McClellan
in Themes in the Economics of Aging, David A. Wise, editor