Can Amputation Save the Hospital? The Impact of the Medicare Rural Flexibility Program on Demand and Welfare

Author(s)
Gautam Gowrisankaran, Claudio Lucarelli, Philipp Schmidt-Dengler, Robert Town
Abstract

This paper seeks to understand the impact of the Medicare Rural Hospital Flexibility (Flex) Program on rural resident hospital choice and welfare. The Flex program created a new class of hospital, the Critical Access Hospital (CAH), which receives more generous reimbursement in return for limits on capacity and length of stay. A hospital that converted to CAH status would see its inpatient admissions drop by a mean of 5.4%, of which almost all was driven by factors other than capacity. The program increased consumer welfare if it reduced the closure rate by at least 4 percentage points.

Organisation(s)
Department of Economics
No. of pages
36
DOI
https://doi.org/10.3386/w18894
Publication date
03-2013
Austrian Fields of Science 2012
303010 Health economics, 502039 Structural policy
Portal url
https://ucrisportal.univie.ac.at/en/publications/5d60d2a9-4693-4acd-b6bb-3acd432e9228