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Fiscal Shenanigans, Targeted Federal Health Care Funds, and Patient Mortality

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Author Info
Katherine Baicker
Douglas Staiger
Abstract

We explore the effectiveness of matching grants when lower levels of government can expropriate some of the funds for other uses. Using data on the Medicaid Disproportionate Share program, we identify states that were most able to expropriate funds. Payments to public hospitals in these states were systematically diverted and had no significant impact on patient mortality. Payments that were not expropriated were associated with significant declines in patient mortality. Overall, subsidies were an effective mechanism for improving outcomes for the poor, but the impact was limited by the ability of state and local governments to divert the targeted funds. © 2005 MIT Press

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Publisher Info
Article provided by MIT Press in its journal The Quarterly Journal of Economics.

Volume (Year): 120 (2005)
Issue (Month): 1 (January)
Pages: 345-386
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Handle: RePEc:tpr:qjecon:v:120:y:2005:i:1:p:345-386

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  1. Daron Acemoglu & Amy Finkelstein, 2006. "Input and Technology Choices in Regulated Industries: Evidence From the Health Care Sector," NBER Working Papers 12254, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  2. Ginger Zhe Jin & Alex Whalley, 2007. "The Power of Attention: Do Rankings Affeect the Financial Resources of Public Colleges?," NBER Working Papers 12941, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  3. Yu-Chu Shen & Karen Eggleston, 2008. "The Effect of Soft Budget Constraints on Access and Quality in Hospital Care," NBER Working Papers 14256, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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