Date of this Version
International Journal of Industrial Organization
This paper seeks to understand the impact of the Medicare Rural Hospital Flexibility (Flex) Program on rural resident hospital choice. The program created a new class of hospital, the Critical Access Hospital (CAH), which receives more generous reimbursement in return for limiting its beds and services. The program's goal is to maintain access to hospital care. Estimates from a patient choice model show that patient utility from visiting a hospital was negatively aected by conversion. While the lower bed capacity appears to play a minor role, the reduction in services results in a 28 percent drop in admission rates.
© . This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
hospital choice, patient welfare, medicare
Gowrisankaran, G., Lucarelli, C., Schmidt-Dengler, P., & Town, R. (2011). The Impact of the Medicare Rural Hospital Flexibility Program on Patient Choice. International Journal of Industrial Organization, 29 (3), 342-344. http://dx.doi.org/10.1016/j.ijindorg.2011.01.003
Date Posted: 27 November 2017
This document has been peer reviewed.