TY - JOUR AU - Ho, Kate AU - Pakes, Ariel TI - Hospital Choices, Hospital Prices and Financial Incentives to Physicians JF - National Bureau of Economic Research Working Paper Series VL - No. 19333 PY - 2013 Y2 - August 2013 DO - 10.3386/w19333 UR - http://www.nber.org/papers/w19333 L1 - http://www.nber.org/papers/w19333.pdf N1 - Author contact info: Kate Ho Princeton University Department of Economics 237 Julis Romo Rabinowitz Building Princeton, NJ 08544 E-Mail: kate.ho@princeton.edu Ariel Pakes Department of Economics Harvard University Littauer Room 117 Cambridge, MA 02138 Tel: 617/495-5320 Fax: 617/496-7352 E-Mail: apakes@fas.harvard.edu M1 - published as Kate Ho, Ariel Pakes. "Hospital Choices, Hospital Prices and Financial Incentives to Physicians," in Amitabh Chandra, David M. Cutler, Robert S. Huckman, and Elizabeth Martinez, organizers, "Hospital Organization and Productivity" Health Affairs, vol. 33 issue 5, and vol. 33, issue 7 (May and July 2014) (2014) AB - We estimate an insurer-specific preference function which rationalizes hospital referrals for privately-insured births in California. The function is additively separable in: a hospital price paid by the insurer, the distance traveled, and plan and severity-specific hospital fixed effects (capturing hospital quality). We use an inequality estimator that allows for errors in price and detailed hospital-severity interactions and obtain markedly different results than those from a logit. The estimates indicate that insurers with more capitated physicians are more responsive to price. Capitated plans send patients further to utilize similar-quality lower-priced hospitals; but the cost-quality trade-off does not vary with capitation rates. ER -