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Public vs. private provision of charity care? Evidence from the expiration of Hill–Burton requirements in Florida
| Content Provider | PubMed Central |
|---|---|
| Author | Almond, Douglas Currie, Janet Simeonova, Emilia |
| Copyright Year | 2010 |
| Abstract | This paper explores the consequences of the expiration of charity care requirements imposed on private hospitals by the Hill–Burton Act. We examine delivery care and the health of newborns using the universe of Florida births from 1989 to 2003 combined with hospital data from the American Hospital Association. We find that charity care requirements were binding on hospitals, but that private hospitals under obligation “cream skimmed” the least risky maternity patients. Conditional on patient characteristics, they provided less intensive maternity services but without compromising patient health. When obligations expired, private hospitals quickly reduced their charity caseloads, shifting maternity patients to public hospitals. The results in this paper suggest, perhaps surprisingly, that requiring private providers to serve the underinsured can be effective. |
| Related Links | http://dx.doi.org/10.1016/j.jhealeco.2010.11.004 |
| File Format | |
| ISSN | 01676296 |
| e-ISSN | 18791646 |
| Journal | Journal of health economics |
| Issue Number | 1 |
| Volume Number | 30 |
| Language | English |
| Publisher Date | 2011-01-01 |
| Access Restriction | Open |
| Subject Keyword | Public Health, Environmental and Occupational Health Health Policy Research in Higher Education |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health Health Policy |
