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DTSTART;TZID=America/Los_Angeles:20200304T120000
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SUMMARY:Jonathan Skinner\, Dartmouth University
DESCRIPTION:Hospital Productivity and the Misallocation of Healthcare Inputs \nAbstract: There is growing evidence for wide variation in total factor productivity across hospitals\, with large differences in risk-adjusted health outcomes as well as expenditures. In this paper\, we consider the additional contribution of misallocation in input choices – the underuse of effective inputs and overuse of ineffective ones — to explain why some hospitals get better outcomes at lower cost. The sample is of 1.7 million patients in the Medicare fee-for-service population with acute myocardial infarction (AMI)\, or heart attacks\, during 2007-17.  The problem of confounding health factors is addressed in several ways\, including the use of tourists\, whose assignment to hospitals resembles random assignment (Doyle\, 2011)\, and ZIP-code fixed effects.  Briefly\, we find strong evidence for input misallocation across hospitals; greater use of highly effective inputs\, such as beta blocker\, statin\, and ACE/ARB drug treatments\, primary care support\, and stenting are predictive of highly-productive hospitals\, while an excess of multiple physicians\, scans\, and potentially fraudulent excess home health care billings are predictive of low-productivity hospitals. \nCo-Sponsored with the Dept. of Economics \nView Presentation \nFind out more about Prof. Skinner
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CATEGORIES:CCPR Seminar,Divisional Publish
ATTACH;FMTTYPE=image/jpeg:https://ccpr.ucla.edu/wp-content/uploads/2019/10/Jonathan-Skinner.jpg
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