Hospital competition, spillovers and provision of uncompensated care

C-Tier
Journal: Applied Economics
Year: 2019
Volume: 51
Issue: 31
Pages: 3401-3412

Authors (2)

Luciana D. Costa (not in RePEc) Teresa D. Harrison (Drexel University)

Score contribution per author:

0.503 = (α=2.01 / 2 authors) × 0.5x C-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

Using data for California from 2005 until 2010, we investigate to what extent market competition and the presence of non-profits in the area may play a role in equilibrium uncompensated care (UC) levels, allowing those effects to differ according to the hospital’s ownership type. Previous studies have not explored the potential spillover effects from non-profit hospitals into the hospital decision of UC provision. We find evidence that regions with more non-profits experienced larger increases in UC levels, and even more in less concentrated markets. Our results also indicate that UC provision by for-profit hospitals decreases the larger the presence of non-profits in the region, and this effect is magnified when competition is more intense. We, therefore, find no positive spillover effects of non-profits into the hospital decision of UC provision, which may help us to understand the recent trends in UC levels.

Technical Details

RePEc Handle
repec:taf:applec:v:51:y:2019:i:31:p:3401-3412
Journal Field
General
Author Count
2
Added to Database
2026-01-25