Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector

The conventional wisdom for the health care sector is that idiosyncratic features leave little scope for market forces to allocate consumers to higher performance producers. However, we find robust evidence across several different conditions and performance measures that higher quality hospitals ha...

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Main Authors: Chandra, Amitabh, Finkelstein, Amy, Sacarny, Adam, Syverson, Chad
Other Authors: Massachusetts Institute of Technology. Department of Economics
Format: Article
Published: American Economic Association 2018
Online Access:http://hdl.handle.net/1721.1/114040
https://orcid.org/0000-0002-9941-6684
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author Chandra, Amitabh
Finkelstein, Amy
Sacarny, Adam
Syverson, Chad
author2 Massachusetts Institute of Technology. Department of Economics
author_facet Massachusetts Institute of Technology. Department of Economics
Chandra, Amitabh
Finkelstein, Amy
Sacarny, Adam
Syverson, Chad
author_sort Chandra, Amitabh
collection MIT
description The conventional wisdom for the health care sector is that idiosyncratic features leave little scope for market forces to allocate consumers to higher performance producers. However, we find robust evidence across several different conditions and performance measures that higher quality hospitals have higher market shares and grow more over time. The relationship between performance and allocation is stronger among patients who have greater scope for hospital choice, suggesting that patient demand plays an important role in allocation. Our findings suggest that health care may have more in common with "traditional" sectors subject to market forces than often assumed.
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spelling mit-1721.1/1140402022-09-29T21:55:48Z Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector Chandra, Amitabh Finkelstein, Amy Sacarny, Adam Syverson, Chad Massachusetts Institute of Technology. Department of Economics Finkelstein, Amy The conventional wisdom for the health care sector is that idiosyncratic features leave little scope for market forces to allocate consumers to higher performance producers. However, we find robust evidence across several different conditions and performance measures that higher quality hospitals have higher market shares and grow more over time. The relationship between performance and allocation is stronger among patients who have greater scope for hospital choice, suggesting that patient demand plays an important role in allocation. Our findings suggest that health care may have more in common with "traditional" sectors subject to market forces than often assumed. National Institute on Aging (P01 AG005842) National Institute on Aging (P01 AG019783) National Institute on Aging (T32-AG000186) 2018-03-09T19:59:38Z 2018-03-09T19:59:38Z 2016-08 2018-02-21T18:39:23Z Article http://purl.org/eprint/type/JournalArticle 0002-8282 http://hdl.handle.net/1721.1/114040 Chandra, Amitabh, Amy Finkelstein, Adam Sacarny, and Chad Syverson. “Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector.” American Economic Review 106, no. 8 (August 2016): 2110–2144. © 2016 American Economic Association https://orcid.org/0000-0002-9941-6684 http://dx.doi.org/10.1257/AER.20151080 American Economic Review Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use. application/pdf American Economic Association American Economic Association
spellingShingle Chandra, Amitabh
Finkelstein, Amy
Sacarny, Adam
Syverson, Chad
Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector
title Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector
title_full Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector
title_fullStr Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector
title_full_unstemmed Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector
title_short Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector
title_sort health care exceptionalism performance and allocation in the us health care sector
url http://hdl.handle.net/1721.1/114040
https://orcid.org/0000-0002-9941-6684
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