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@techreport{NBERw11707,
 title = "The Effects of Cardiac Specialty Hospitals on the Cost and Quality of Medical Care",
 author = "Barro, Jason R and Huckman, Robert S and Kessler, Daniel P",
 institution = "National Bureau of Economic Research",
 type = "Working Paper",
 series = "Working Paper Series",
 number = "11707",
 year = "2005",
 month = "October",
 doi = {10.3386/w11707},
 URL = "http://www.nber.org/papers/w11707",
 abstract = {The recent rise of specialty hospitals -- typically for-profit firms that are at least partially owned by physicians -- has led to substantial debate about their effects on the cost and quality of care. Advocates of specialty hospitals claim they improve quality and lower cost; critics contend they concentrate on providing profitable procedures and attracting relatively healthy patients, leaving (predominantly nonprofit) general hospitals with a less-remunerative, sicker patient population. We find support for both sides of this debate. Markets experiencing entry by a cardiac specialty hospital have lower spending for cardiac care without significantly worse clinical outcomes. In markets with a specialty hospital, however, specialty hospitals tend to attract healthier patients and provide higher levels of intensive procedures than general hospitals.},
}