Shock, but no shift: Hospitals' responses to changes in patient insurance mix

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• 作者：Kathryn L. Wagner ; ^{kathryn.l.wagner@marquette.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：I11 ; I13
• 刊名：Journal of Health Economics
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：49
• 期：Complete
• 页码：46-58
• 全文大小：623 K

文摘

Medicaid reimburses healthcare providers for services at a lower rate than any other type of insurance coverage. To account for the burden of treating Medicaid patients, providers claim that they must cost-shift by raising the rates of individuals covered by private insurance. Previous investigations of cost-shifting has produced mixed results. In this paper, I exploit a disabled Medicaid expansion where crowd-out was complete to investigate cost-shifting. I find that hospitals reduce the charge rates of the privately insured. Given that Medicaid is expanding in several states under the Affordable Care Act, these results may alleviate cost-shifting concerns of the reform.