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Public vs. private provision of charity care?: Evidence from the expiration of Hill-Burton requirements in Florida
Stockholm University, Faculty of Social Sciences, Institute for International Economic Studies.
2011 (English)In: Journal of Health Economics, ISSN 0167-6296, Vol. 30, no 1, 189-199 p.Article in journal (Refereed) Published
Abstract [en]

This paper explores the consequences of the expiration of charity care requirements imposed on private hospitals by the Hill-Burton Act. We examine delivery care and the health of newborns using the universe of Florida births from 1989 to 2003 combined with hospital data from the American Hospital Association. We find that charity care requirements were binding on hospitals, but that private hospitals under obligation cream skimmed the least risky maternity patients. Conditional on patient characteristics, they provided less intensive maternity services but without compromising patient health. When obligations expired, private hospitals quickly reduced their charity caseloads, shifting maternity patients to public hospitals. The results in this paper suggest, perhaps surprisingly, that requiring private providers to serve the underinsured can be effective.

Place, publisher, year, edition, pages
2011. Vol. 30, no 1, 189-199 p.
Keyword [en]
Infant health, Charity care, Cesarean section, Prematurity, Hill-Burton
National Category
Economics Health Sciences
URN: urn:nbn:se:su:diva-68655DOI: 10.1016/j.jhealeco.2010.11.004ISI: 000288641300015OAI: diva2:473648
authorCount :3Available from: 2012-01-06 Created: 2012-01-04 Last updated: 2012-01-06Bibliographically approved

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Simeonova, Emilia
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