The Economic Consequences of Hospital Admissions

We use an event study approach to examine the economic consequences of hospital admissions for adults in two datasets: survey data from the Health and Retirement Study, and hospitalization data linked to credit reports. For non-elderly adults with health insurance, hospital admissions increase out-o...

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Bibliographic Details
Main Authors: Dobkin, Carlos, Notowidigdo, Matthew J., Finkelstein, Amy, Kluender, Raymond Peter
Other Authors: Massachusetts Institute of Technology. Department of Economics
Format: Article
Published: American Economic Association 2018
Online Access:http://hdl.handle.net/1721.1/114039
https://orcid.org/0000-0002-9941-6684
https://orcid.org/0000-0002-0551-169X
Description
Summary:We use an event study approach to examine the economic consequences of hospital admissions for adults in two datasets: survey data from the Health and Retirement Study, and hospitalization data linked to credit reports. For non-elderly adults with health insurance, hospital admissions increase out-of-pocket medical spending, unpaid medical bills, and bankruptcy, and reduce earnings, income, access to credit, and consumer borrowing. The earnings decline is substantial compared to the out-of-pocket spending increase, and is minimally insured prior to age-eligibility for Social Security Retirement Income. Relative to the insured non-elderly, the uninsured non-elderly experience much larger increases in unpaid medical bills and bankruptcy rates following a hospital admission. Hospital admissions trigger fewer than 5 percent of all bankruptcies in our sample.