TY  - JOUR
AU  - Sloan, Frank A
AU  - Picone, Gabriel A
AU  - Taylor, Donald H, Jr.
AU  - Chou, Shin-Yi
TI  - Does Where You Are Admitted Make a Difference? An Analysis of Medicare Data
JF  - National Bureau of Economic Research Working Paper Series
VL  - No. 6896
PY  - 1999
Y2  - January 1999
DO  - 10.3386/w6896
UR  - http://www.nber.org/papers/w6896
L1  - http://www.nber.org/papers/w6896.pdf
N1  - Author contact info:
Frank A. Sloan
Department of Economics
Social Sciences Rm 236
Duke University
Box 90097
Durham, NC 27708-1111
Tel: 919/613-9358
Fax: 919/684-6246
E-Mail: fsloan@duke.edu

Gabriel Picone
University of South Florida
Department of Economics
4202 East Fowler Ave. CMC 342
Tampa, FL 33620
E-Mail: gpicone@coba.usf.edu

Shin-Yi Chou
Department of Economics
College of Business and Economics
Lehigh University
621 Taylor Street
Bethlehem, PA  18015-3117
Tel:  610/758-3444
Fax: NA
E-Mail: syc2@lehigh.edu
M1  - published as Frank A. Sloan, Gabriel A. Picone, Donald H. Taylor, Jr., Shin-Yi Chou. "Does Where You Are Admitted Make a Difference? An Analysis of Medicare Data," in Alan M. Garber, editor, "Frontiers in Health Policy Research, volume 2" MIT Press (1999)

AB  - This study investigated whether the type of hospital in which a Medicare beneficiary is admitted for hip fracture, stroke, coronary heart disease, or congestive heart failure matters in terms of amount and timing of Medicare payments and survival.  In total, government hospitals were the least expensive for Medicare, with major teaching hospitals being most expensive within 6 months of admission after the index even.  Survival was best in major teaching hospitals. When considering payments subsequent to those for the initial hospitalization, Medicare spent more for patients admitted to for-profit hospitals than for those admitted to other non-teaching facilities survival.  Payments on behalf of patients treated in for-profit hospitals were higher for Medicare Part B and home health, especially during the first two months following discharge from the initial hospital.  Results of our research suggest that Medicare has a definite financial interest in where Medicare beneficiaries are admitted for their hospital care.
ER  -