Effects of competition on the cost and quality of inpatient rehabilitation care under prospective payment

Health Services Research

Volumn 45, Issue 6 PART 2, 2010, Pages 1981-2006

  Colla, Carrie Hoverman ^a,b   Escarce, José J ^c   Buntin, Melinda Beeuwkes ^d   Sood, Neeraj ^e  

^a DARTMOUTH INSTITUTE FOR HEALTH POLICY AND CLINICAL PRACTICE   (United States)

^b DARTMOUTH MEDICAL SCHOOL   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d RAND CORPORATION   (United States)

^e UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

Author keywords

Competition; costs; Medicare; outcomes; prospective payment

Indexed keywords

AGED; ARTICLE; CONTROLLED STUDY; FEMALE; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH CARE QUALITY; HIP FRACTURE; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICARE; OUTCOME ASSESSMENT; PATIENT CARE; REHABILITATION CARE; STROKE;

AGE FACTORS; AGED; AGED, 80 AND OVER; ECONOMIC COMPETITION; FEMALE; HIP FRACTURES; HOSPITAL ADMINISTRATION; HOSPITAL CHARGES; HUMANS; INPATIENTS; LENGTH OF STAY; MALE; MEDICARE; PHYSICIAN'S PRACTICE PATTERNS; PROSPECTIVE PAYMENT SYSTEM; QUALITY OF HEALTH CARE; SEX FACTORS; SOCIOECONOMIC FACTORS; STROKE; TREATMENT OUTCOME; UNITED STATES;

EID: 78449270932     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/j.1475-6773.2010.01190.x     Document Type: Article

References (46)

1. Angelelli, J., D. Gifford, O. Intrator, P. Gozalo, L. Laliberte, and, V. Mor,. 2002. "Access to Postacute Nursing Home Care before and after the Balanced Budget Act. Health Affairs (Millwood) 21 (5): 254-64.
2. Angrist, J. D., and, G. W. Imbens,. 1995. "Two-Stage Least Squares Estimation of Average Causal Effects in Models with Variable Treatment Intensity. Journal of the American Statistical Association 90 (430): 431-42.
3. Bundorf, M. K., K. A. Schulman, J. A. Stafford, D. Gaskin, J. G. Jollis, and, J. J. Escarce,. 2004. "Impact of Managed Care on the Treatment, Costs, and Outcomes of Fee-For-Service Medicare Patients with Acute Myocardial Infarction. Health Services Research 39 (1): 131-52.
4. Buntin, M. B., C. H. Colla, and, J. J. Escarce,. 2009. "Effects of Payment Changes on Trends in Access to Post-Acute Care. Health Services Research 44 (4): 1188-210.
5. Buntin, M. B., A. D. Garten, S. Paddock, D. Saliba, M. Totten, and, J. J. Escarce,. 2005. "How Much Is Postacute Care Use Affected by Its Availability? Health Services Research 40 (2): 413-34.
6. Carter, G. M., M. B. Buntin, O. Hayden, S. M. Paddock, D. A. Relles, G. Ridgeway, M. E. Totten, and, B. O. Wynn,. 2002. Analyses for the Initial Implementation of the Inpatient Rehabilitation Facility Prospective Payment System. MR-1500. Santa Monica, CA: RAND.
7. Castle, N. G., J. Engberg, and, D. Liu,. 2007. "Have Nursing Home Compare Quality Measure Scores Changed over Time in Response to Competition? Quality and Safety in Health Care 16 (3): 185-91.
8. Castle, N. G., D. Liu, and, J. Engberg,. 2008. "The Association of Nursing Home Compare Quality Measures with Market Competition and Occupancy Rates. Journal of Healthcare Quality 30 (2): 4-14.
9. Centers for Medicare and Medicaid Services. 2009."Nursing Home Compare" [accessed September 9, 2009]. Available at http://www.medicare. gov/NHCompare/
10. Chudyk, A. M., J. W. Jutai, R. J. Petrella, and, M. Speechley,. 2009. "Systematic Review of Hip Fracture Rehabilitation Practices in the Elderly. Archives of Physical Medicine and Rehabilitation 90 (2): 246-62.
11. DeJong, G., W. Tian, R. J. Smout, S. D. Horn, K. Putman, P. Smith, J. Gassaway, and, J. E. DaVanzo,. 2009. "Use of Rehabilitation and Other Health Care Services by Patients with Joint Replacement after Discharge from Skilled Nursing and Inpatient Rehabilitation Facilities. Archives of Physical Medicine and Rehabilitation 90 (8): 1297-305.
12. Dewey, H. M., L. J. Sherry, and, J. M. Collier,. 2007. "Stroke Rehabilitation 2007: What Should It Be? International Journal of Stroke 2 (3): 191-200.
13. Escarce, J. J., A. K. Jain, and, J. Rogowski,. 2006. "Hospital Competition, Managed Care and Mortality after Hospitalization for Medical Conditions: Evidence from Three States. Medical Care Research and Review 63 (6): 112S
14. Gage, B., 1999. "Impact of the BBA on Post-Acute Utilization. Health Care Financing Review 20 (4): 103-26.
15. Gaynor, M., 2006. "What Do We Know about Competition and Quality in Health Care Markets? National Bureau of Economic Review, Working Paper 12301.
16. Goldman, D., and, J. A. Romley,. 2008. Hospitals as Hotels: The Role of Patient Amenities in Hospital Demand. NBER Working Paper No. 14619.
17. Heruti, R., A. Lusky, V. Barell, A. Ohry, and, A. Adunsky,. 1999. "Cognitive Status at Admission: Does It Affect the Rehabilitation Outcome of Elderly Patients with Hip Fracture? Archives of Physical Medicine and Rehabilitation 80 (4): 432-6.
18. Intrator, O., and, K. Berg,. 1998. "Benefits of Home Health Care after Inpatient Rehabilitation for Hip Fracture: Health Service Use by Medicare Beneficiaries, 1987-1992. Archives of Physical Medicine and Rehabilitation 79 (10): 1195-9.
19. Keeler, E. B., G. Melnick, and, J. Zwanziger,. 1999. "The Changing Effects of Competition on Non-Profit and For-Profit Hospital Pricing Behavior. Journal of Health Economics 18 (1): 69-86.
20. Kessler, D. P., and, M. B. McClellan,. 2000. "Is Hospital Competition Socially Wasteful? Quarterly Journal of Economics 115 (2): 577-615.
21. Krinsky, I., and, A. L. Robb,. 1986. "On Approximating the Statistical Properties of Elasticities. Review of Economics and Statistics 68: 715-9.
22. Krinsky, I., and, A. L. Robb,. 1990. "On Approximating the Statistical Properties of Elasticities: A Correction. Review of Economics and Statistics 72: 189-90.
23. Kwakkel, G., 2006. "Impact of Intensity of Practice after Stroke: Issues for Consideration. Disability Rehabilitation 28 (13-14): 823-30.
24. Magasi, S., E. Durkin, M. S. Wolf, and, A. Deutsch,. 2009. "Rehabilitation Consumers' Use and Understanding of Quality Information: A Health Literacy Perspective. Archives of Physical Medicine and Rehabilitation 90 (2): 206-12.
25. McCall, N., J. Korb, A. Petersons, and, S. Moore,. 2003. "Reforming Medicare Payment: Early Effects of the 1997 Balanced Budget Act on Postacute Care. Milbank Quarterly 81 (2): 277-303, 172-273.
26. McCue, M. J., and, J. M. Thompson,. 2006. "Early Effects of the Prospective Payment System on Inpatient Rehabilitation Hospital Performance. Archives of Physical Medicine and Rehabilitation 87 (2): 198-202.
27. McFadden, D., 1973. "Conditional Logit Analysis of Qualitative Choice Behavior." In Frontiers in Econometrics, edited by, P. Zarembka,. New York: Academic.
28. Medicare Payment Advisory Commission (MedPAC). 2003. Report to the Congress: Variation and Innovation in Medicare. Washington, DC: MedPAC.
29. Medicare Payment Advisory Commission (MedPAC). 2006. Report to the Congress: Increasing the Value of Medicare. Washington, DC: MedPAC.
30. Medicare Payment and Advisory Commission (MedPAC). 2009. A Data Book: Health Care Spending and the Medicare Program. Washington, DC: MedPAC.
31. Mukamel, D. B., J. Zwanziger, and, K. J. Tomaszewski,. 2001. "HMO Penetration, Competition, and Risk-Adjusted Hospital Mortality. Health Services Research 36 (6, part 1): 1019-35.
32. Munin, M. C., K. Seligman, M. A. Dew, T. Quear, E. R. Skidmore, G. Gruen, C. F. Reynolds, and, E. J. Lenze,. 2005. "Effect of Rehabilitation Site on Functional Recovery after Hip Fracture. Archives of Physical Medicine and Rehabilitation 86 (3): 367-72.
33. Murray, P. K., T. E. Love, N. V. Dawson, C. L. Thomas, and, R. D. Cebul,. 2005. "Rehabilitation Services after the Implementation of the Nursing Home Prospective Payment System: Differences Related to Patient and Nursing Home Characteristics. Medical Care 43 (11): 1109-15.
34. Pauly, M. V., and, M. A. Satterthwaite,. 1981. "The Pricing of Primary Care Physician's Services: A Test of the Role of Consumer Information. Bell Journal of Economics 12 (2): 488-506.
35. Robinson, J. C., and, H. S. Luft,. 1985. "The Impact of Hospital Market Structure on Patient Volume, Average Length of Stay, and the Cost of Care. Journal of Health Economics 4 (4): 333-56.
36. Rogowski, J., A. K. Jain, and, J. J. Escarce,. 2007. "Hospital Competition, Managed Care, and Mortality after Hospitalization for Medical Conditions in California. Health Services Research 42 (2): 682-705.
37. Romley, J. A., and, D. Goldman,. 2008. How Costly Is Hospital Quality? A Revealed-Preference Approach. NBER Working Paper No. 13730.
38. Sood, N., M. B. Buntin, and, J. J. Escarce,. 2008. "Does How Much and How You Pay Matter? Evidence from the Inpatient Rehabilitation Care Prospective Payment System. Journal of Health Economics 27 (4): 1046-59.
39. Starkey, K. B., R. Weech-Maldonado, and, V. Mor,. 2005. "Market Competition and Quality of Care in the Nursing Home Industry. Journal of Health Care Finance 32 (1): 67-81.
40. White, C., 2003. "Rehabilitation Therapy in Skilled Nursing Facilities: Effects of Medicare's New Prospective Payment System. Health Affairs (Millwood) 22 (3): 214-23.
41. White, C., 2005. "Medicare's Prospective Payment System for Skilled Nursing Facilities: Effects on Staffing and Quality of Care. Inquiry 42 (4): 351-66.
42. Wodchis, W. P., B. E. Fries, and, R. A. Hirth,. 2004. "The Effect of Medicare's Prospective Payment System on Discharge Outcomes of Skilled Nursing Facility Residents. Inquiry 41 (4): 418-34.
43. Yip, J. Y., K. H. Wilber, and, R. C. Myrtle,. 2002. "The Impact of the 1997 Balanced Budget Amendment's Prospective Payment System on Patient Case Mix and Rehabilitation Utilization in Skilled Nursing. Gerontologist 42 (5): 653-60.
44. Zinn, J. S., 1994. "Market Competition and the Quality of Nursing Home Care. Journal of Health Politics, Policy and Law 19 (3): 555-82.
45. Zinn, J. S., R. J. Weech, and, D. Brannon,. 1998. "Resource Dependence and Institutional Elements in Nursing Home TQM Adoption. Health Services Research 33 (2, part 1): 261-73.
46. Zwanziger, J., and, G. A. Melnick,. 1988. "The Effects of Hospital Competition and the Medicare PPS Program on Hospital Cost Behavior in California. Journal of Health Economics 7 (4): 301-20.