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The impact of early discharge laws on the health of newborns

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  • Evans, William N.
  • Garthwaite, Craig
  • Wei, Heng

Abstract

Using an interrupted time series design and a census of births in California over a 6-year period, we show that state and federal laws passed in the late 1990s designed to increase the length of postpartum hospital stays reduced considerably the fraction of newborns that were discharged early. The law had little impact on re-admission rates for privately insured, vaginally delivered newborns, but reduced re-admission rates for privately insured c-section-delivered and Medicaid-insured vaginally delivered newborns by statistically significant amounts. Our calculations suggest the program was not cost saving.

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Bibliographic Info

Article provided by Elsevier in its journal Journal of Health Economics.

Volume (Year): 27 (2008)
Issue (Month): 4 (July)
Pages: 843-870

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Handle: RePEc:eee:jhecon:v:27:y:2008:i:4:p:843-870

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Web page: http://www.elsevier.com/locate/inca/505560

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  1. Eugene M. Lewit & Alan C. Monheit, 1992. "Expenditures on Health Care for Children and Pregnant Women," NBER Working Papers 4221, National Bureau of Economic Research, Inc.
  2. Mark Duggan, 2002. "Does Contracting Out Increase the Efficiency of Government Programs? Evidence from Medicaid HMOs," NBER Working Papers 9091, National Bureau of Economic Research, Inc.
  3. Joshua Angrist, 1999. "Estimation of Limited-Dependent Variable Models with Dummy Endogenous Regressors: Simple Strategies for Empirical Practice," Working papers 99-31, Massachusetts Institute of Technology (MIT), Department of Economics.
  4. William N. Evans & Matthew C. Farrelly & Edward Montgomery, 1996. "Do Workplace Smoking Bans Reduce Smoking?," NBER Working Papers 5567, National Bureau of Economic Research, Inc.
  5. Angrist, Joshua D, 2001. "Estimations of Limited Dependent Variable Models with Dummy Endogenous Regressors: Simple Strategies for Empirical Practice: Reply," Journal of Business & Economic Statistics, American Statistical Association, vol. 19(1), pages 27-28, January.
  6. Anna Alberini & Alan Krupnick, 2000. "Cost-of-Illness and Willingness-to-Pay Estimates of the Benefits of Improved Air Quality: Evidence from Taiwan," Land Economics, University of Wisconsin Press, vol. 76(1), pages 37-53.
  7. Liu, Zhimei & Dow, William H. & Norton, Edward C., 2004. "Effect of drive-through delivery laws on postpartum length of stay and hospital charges," Journal of Health Economics, Elsevier, vol. 23(1), pages 129-155, January.
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Cited by:
  1. Attila Cseh & Brandon Koford, 2010. "The Impact of Maternity Minimum Stay Mandates on Hospitalizations: An Extension," International Advances in Economic Research, Springer, vol. 16(4), pages 395-409, November.
  2. Asuka Imaizumi & Kaori Ito & Tetsuji Okazaki, 2008. "Impact of Natural Disasters on Industrial Agglomeration: A Case of the 1923 Great Kanto Earthquake," CIRJE F-Series CIRJE-F-602, CIRJE, Faculty of Economics, University of Tokyo.
  3. Laudicella, M & Smith, PC, 2012. "Hospital readmission rates: signal of failure or success?," Working Papers 9224, Imperial College, London, Imperial College Business School.
  4. Guccio, Calogero & Lisi, Domenico & Pignataro, Giacomo, 2014. "Readmission and Hospital Quality under Prospective Payment System," MPRA Paper 56490, University Library of Munich, Germany.
  5. Douglas Almond & Joseph J. Doyle, Jr., 2008. "After Midnight: A Regression Discontinuity Design in Length of Postpartum Hospital Stays," NBER Working Papers 13877, National Bureau of Economic Research, Inc.

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