Hospitals as Insurers of Last Resort
Hospitals as Insurers of Last Resort
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医院作为最后的保险公司
DOI：
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Matthew J. Notowidigdo
中科院分区：
文献类型：
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作者：
Craig L. Garthwaite;Tal Gross;Matthew J. Notowidigdo
美国医院被要求为没有保险的人提供紧急医疗服务。我们使用以前保密的医院财务数据来研究由此产生的无偿护理，即没有收到付款的医疗护理。我们使用面板数据方法和来自全州医疗补助计划退出的案例研究，发现医院的无偿护理成本随着未投保人口的规模而增加。结果表明，每增加一个没有保险的人，当地医院每年就需要支付900美元的无偿医疗费用。同样，附近一家医院的关闭增加了其余医院的无偿护理费用。未参保人口的增加也降低了医院的利润率，这表明医院不能简单地将所有增加的成本转嫁给私人参保的患者。营利性医院受这些因素的影响较小，这表明非营利医院作为社会保险体系的一部分发挥着独特的作用。
American hospitals are required to provide emergency medical care to the uninsured. We use previously confidential hospital financial data to study the resulting uncompensated care, medical care for which no payment is received. We use both panel-data methods and case studies from state-wide Medicaid disenrollments and find that the uncompensated care costs of hospitals increase in response to the size of the uninsured population. The results suggest that each additional uninsured person costs local hospitals $900 each year in uncompensated care. Similarly, the closure of a nearby hospital increases the uncompensated care costs of remaining hospitals. Increases in the uninsured population also lower hospital profit margins, which suggests that hospitals cannot simply pass along all increased costs onto privately insured patients. For-profit hospitals are less affected by these factors, suggesting that non-profit hospitals serve a unique role as part of the social insurance system.
DOI：
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发表时间：
2010
期刊：
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影响因子：
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通讯作者：
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未参保者获得慈善护理对私人健康保险需求的影响。
影响因子：
3.5
作者：
Herring,Bradley
通讯作者：
Herring,Bradley
影响因子：
3.5
作者：
Rask, KN;Rask, KJ
通讯作者：
Rask, KJ