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The Effect of Health Care Entrepreneurship on Local Health: The Case of MedExpress in Appalachia


  • Amir B. Ferreira Neto

    (West Virginia University, Department of Economics)

  • Joshua Hall

    (West Virginia University, Department of Economics)


We test the hypothesis that the opening of an Urgent Care Center (UCC) has positive impacts on the local community. There are several mechanisms through which a UCC can have an impact: lower health care costs, emergency room decongestion, and improved access to medical information. We examine the entry of MedExpress into Appalachian counties between 2001 and 2013. Employing data from Health Resources Files, which provides information for all counties for specific years, we use Propensity Score Matching to create a year 2000 control group for the counties “treated†by MedExpress entry beginning in 2001. We then employ a standard difference-in-difference model on an unbalanced panel between 2001 and 2013. Our results suggest that MedExpress has a positive impact on different health outcome variables.

Suggested Citation

  • Amir B. Ferreira Neto & Joshua Hall, 2017. "The Effect of Health Care Entrepreneurship on Local Health: The Case of MedExpress in Appalachia," Working Papers 17-15, Department of Economics, West Virginia University.
  • Handle: RePEc:wvu:wpaper:17-15

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    References listed on IDEAS

    1. Timothy M. Komarek & Scott Loveridge, 2014. "Too Big? Too Small? Just Right? An Empirical Perspective on Local Firm Size Distribution and Economic Growth in U.S. Counties and High-Poverty Rural Regions," Economic Development Quarterly, , vol. 28(1), pages 28-41, February.
    2. Hartley, D., 2004. "Rural health disparities, population health, and rural culture," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1675-1678.
    3. Eberhardt, M.S. & Pamuk, E.R., 2004. "The importance of place of residence: Examining health in rural and nonrural areas," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1682-1686.
    4. Blazer, D.G. & Landerman, L.R. & Fillenbaum, G. & Horner, R., 1995. "Health services access and use among older adults in north carolina: Urban vs rural residents," American Journal of Public Health, American Public Health Association, vol. 85(10), pages 1384-1390.
    5. Heather M. Stephens & Mark D. Partridge & Alessandra Faggian, 2013. "Innovation, Entrepreneurship And Economic Growth In Lagging Regions," Journal of Regional Science, Wiley Blackwell, vol. 53(5), pages 778-812, December.
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    More about this item


    Appalachia; Health; MedExpress; Urgent Care Center;

    JEL classification:

    • R5 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Regional Government Analysis

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