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State Regulation and Hospital Costs

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  • Antel, John J
  • Ohsfeldt, Robert L
  • Becker, Edmund R

Abstract

The effects of various regulations on hospital costs are estimated using a two decade long panel data set which spans the initiation, and in some instances the repeal, of various forms of hospital regulation. The long panel fosters two improvements over previous research. First, as state hospital cost levels may affect states' incentive to regulate, fixed effect estimators alleviate omitted variable bias derived from the states' regulatory discretion. Second, the long panel permits the estimation of many different regulatory program effects, but also facilitates the analysis of potential regulatory program interaction. The empirical results suggest that previous studies have exaggerated regulatory cost savings: although some interaction effects are indicated, hospital costs appear unresponsive to most regulatory programs. Copyright 1995 by MIT Press.

Suggested Citation

  • Antel, John J & Ohsfeldt, Robert L & Becker, Edmund R, 1995. "State Regulation and Hospital Costs," The Review of Economics and Statistics, MIT Press, vol. 77(3), pages 416-422, August.
    • Handle: RePEc:tpr:restat:v:77:y:1995:i:3:p:416-22
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    Cited by:

    1. Robert L. Ohsfeldt & Pengxiang Li, 2018. "State entry regulation and home health agency quality ratings," Journal of Regulatory Economics, Springer, vol. 53(1), pages 1-19, February.
    2. Fumitoshi Mizutani & Eri Nakamura, 2017. "How do governance factors affect inefficiency? Stochastic frontier analysis of public utility firms in Japan," Economia e Politica Industriale: Journal of Industrial and Business Economics, Springer;Associazione Amici di Economia e Politica Industriale, vol. 44(3), pages 267-289, September.
    3. Edward Alan Miller, 2005. "State health policy making determinants, theory, and methods: A synthesis," Social Science & Medicine, Elsevier, vol. 61(12), pages 2639-2657, December.
    4. Fumitoshi Mizutani & Eri Nakamura, 2014. "Managerial incentive, organizational slack, and performance: empirical analysis of Japanese firms’ behavior," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 18(1), pages 245-284, February.
    5. Jill R. Horwitz & Daniel Polsky, 2014. "Cross Border Effects of State Health Technology Regulation," NBER Working Papers 19801, National Bureau of Economic Research, Inc.
    6. Fumitoshi Mizutani & Eri Nakamura, 2016. "Factors Affecting Inefficiency Level: Stochastic Frontier Analysis of Public Utility Firms in Japan," Discussion Papers 2016-02, Kobe University, Graduate School of Business Administration.
    7. Fumitoshi Mizutani & Eri Nakamura, 2013. "Regulation, Competition, Diversification, Governance and Costs: An Empirical Analysis of Public Utility and Manufacturing Firms in Japan," Discussion Papers 2013-25, Kobe University, Graduate School of Business Administration.
    8. Fumitoshi Mizutani & Eri Nakamura, 2014. "What Most Affects A Firm' s Costs: Internal or External Factors, or Both?," Discussion Papers 2014-22, Kobe University, Graduate School of Business Administration.
    9. Moffett, Maurice L. & Morgan, Robert O. & Ashton, Carol M., 2005. "Strategic opportunities in the oversight of the U.S. hospital accreditation system," Health Policy, Elsevier, vol. 75(1), pages 109-115, December.

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