NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH
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Arvind K. Jain

Concordia University

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Institutional Affiliation: Concordia University

NBER Working Papers and Publications

June 2006Hospital Competition, Managed Care and Mortality After Hospitalization for Medical Conditions: Evidence From Three States
with José J. Escarce, Jeannette Rogowski: w12335
This study assessed the effect of hospital competition and HMO penetration on mortality after hospitalization for six medical conditions in California, New York, and Wisconsin. We used linked hospital discharge and vital statistics data to study adults hospitalized for myocardial infarction, hip fracture, stroke, gastrointestinal hemorrhage, congestive heart failure, or diabetes. We estimated logistic regression models with death within 30 days of admission as the dependent variable and hospital competition, HMO penetration, and hospital and patient characteristics as explanatory variables. Higher hospital competition was associated with lower mortality in California and New York, but not Wisconsin. In addition, higher HMO penetration was associated with lower mortality in California, but ...

Published: Escarce, Jose J., Arvind K. Jain, and Jeannette Rogowski. "Hospital Competition, Managed Care and Mortality After Hospitalization for Medical Conditions: Evidence From Three States." Medical Care Research and Review 63, 6 suppl (2006): 112S-140S.

 
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