How do Hospitals Respond to Negative Financial Shocks? The Impact of the 2008 Stock Market Crash
The theory of cost-shifting posits that nonprofit hospitals respond to negative financial shocks by raising prices for privately insured patients. We examine how hospitals responded to the sharp reductions in their endowments caused by the 2008 stock market collapse. We find that the average hospital did not engage in cost-shifting, but average hospitals that likely have substantial market power did cost-shift. Investigating further how hospitals responded to the financial setback, we found no evidence of reductions in treatment costs. However, hospitals with large endowment losses delayed purchases of health information technology and curtailed the offering of unprofitable services.
|Date of creation:||Feb 2013|
|Date of revision:|
|Note:||HC HE IO PE|
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- David Dranove & Christopher Forman & Avi Goldfarb & Shane Greenstein, 2012.
"The Trillion Dollar Conundrum: Complementarities and Health Information Technology,"
NBER Working Papers
18281, National Bureau of Economic Research, Inc.
- David Dranove & Chris Forman & Avi Goldfarb & Shane Greenstein, 2014. "The Trillion Dollar Conundrum: Complementarities and Health Information Technology," American Economic Journal: Economic Policy, American Economic Association, vol. 6(4), pages 239-70, November.
- Zuckerman, Stephen, 1987. "Commercial insurers and all-payer regulation : Evidence on hospitals' responses to financial need," Journal of Health Economics, Elsevier, vol. 6(3), pages 165-187, September.
- Jeffrey Brown & Stephen G. Dimmock & Jun-Koo Kang & Scott Weisbenner, 2010.
"How University Endowments Respond to Financial Market Shocks: Evidence and Implications,"
NBER Working Papers
15861, National Bureau of Economic Research, Inc.
- Jeffrey R. Brown & Stephen G. Dimmock & Jun-Koo Kang & Scott J. Weisbenner, 2014. "How University Endowments Respond to Financial Market Shocks: Evidence and Implications," American Economic Review, American Economic Association, vol. 104(3), pages 931-62, March.
- Stein, Jeremy C, 1997.
" Internal Capital Markets and the Competition for Corporate Resources,"
Journal of Finance,
American Finance Association, vol. 52(1), pages 111-33, March.
- Jeremy C. Stein, 1995. "Internal Capital Markets and the Competition for Corporate Resources," NBER Working Papers 5101, National Bureau of Economic Research, Inc.
- Martin Gaynor & Robert J. Town, 2011.
"Competition in Health Care Markets,"
NBER Working Papers
17208, National Bureau of Economic Research, Inc.
- Ballou, Jeffrey P. & Weisbrod, Burton A., 2003. "Managerial rewards and the behavior of for-profit, governmental, and nonprofit organizations: evidence from the hospital industry," Journal of Public Economics, Elsevier, vol. 87(9-10), pages 1895-1920, September.
- Dranove, David, 1988. "Pricing by non-profit institutions : The case of hospital cost-shifting," Journal of Health Economics, Elsevier, vol. 7(1), pages 47-57, March.
- Gautam Gowrisankaran & Robert J. Town, 1997. "Dynamic Equilibrium in the Hospital Industry," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 6(1), pages 45-74, 03.
- Cone, Kenneth R & Dranove, David, 1986. "Why Did States Enact Hospital Rate-Setting Laws?," Journal of Law and Economics, University of Chicago Press, vol. 29(2), pages 287-302, October.
- Leemore Dafny, 2009. "Estimation and Identification of Merger Effects: An Application to Hospital Mergers," Journal of Law and Economics, University of Chicago Press, vol. 52(3), pages 523-550, 08.
- Joseph Farrell & Severin Borenstein, 2000. "Is Cost-Cutting Evidence of X-Inefficiency?," American Economic Review, American Economic Association, vol. 90(2), pages 224-227, May.
- Jack Zwanziger & Glenn A. Melnick & Anil Bamezai, 2000. "Can cost shifting continue in a price competitive environment?," Health Economics, John Wiley & Sons, Ltd., vol. 9(3), pages 211-226.
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