Does private health insurance reduce public hospital procedure wait times?

In countries that have universal health insurance, but limited patient out-of-pocket costs for public hospital services, non-urgent hospital treatment often has a waiting list in public hospitals. To address this issue, some countries (e.g., UK, Canada) use strategies such as setting maximum wait targets, monitoring provider performance, or adding public funding; other countries (e.g., Australia,…

Are hospital quality metrics causal?

That is the question asked by a recent NBER working paper by Chandra et al. (2023). This question is important for a variety of reasons. First, quality measure data collection is expensive. Saraswathula et al. 2023 found that Johns Hopkins Hospital had to report 162 unique quality metrics, and the cost for collecting these data…

Kaiser to buy Geisinger?

Yes, this appears to be the case. Medscape reports: In one of the largest healthcare deals to date, Kaiser Permanente is acquiring Pennsylvania-based Geisinger Health and investing $5 billion to fold it into a new nonprofit subsidiary called Risant Health, which is set to purchase additional medical groups in coming years.While regulators still must review…

The hospital travels to you

In Bangladesh, seasonal floods occur due to snow melt from the Himalayas as well seasonal monsoons. How can villages in Bangladesh get health care if they don’t have a boat to transport them to regional health care centers? The answer–according to a recent article in The Economist–is that the hospital comes to them. Three hours’…

Quality Measurement of German Hospitals

Public reporting of hospital quality of care could improve the care patients receive through at least two pathways. First, patients (or their physicians) could send patients to higher quality hospitals (i.e., the selection pathway). Alternatively, hospitals themselves could have behavioral responses to the metrics and may improve quality of care in response to public reporting…

Hospital finances in 2022: Outlook is grim

Based on some recent reports, hospital finances in 2022 look poor. Government cash infusions from COVID-19 were helpful during the pandemic but have largely disappeared. At the same time, costs for labor and supplies have risen. Adding on to these financial pressures is the recent rise in the number of RSV cases. According to a…

Impact of hospital closures on rural economies

Not surprisingly, the impact is significant. That is according to a study by Malone et al. (2022), estimated using a difference-in-difference design with data between 2001 and 2018. Specifically, they find: Of the 1759 nonmetro counties in our study sample, 109 experienced a hospital closure during the study period. Relative to the nonclosure counterfactual, closures…