Teamwork and Moral Hazard: Evidence from the Emergency Department
In: Journal of political economy, Band 124, Heft 3, S. 734-770
ISSN: 1537-534X
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In: Journal of political economy, Band 124, Heft 3, S. 734-770
ISSN: 1537-534X
In: American economic review, Band 113, Heft 11, S. 3003-3043
ISSN: 1944-7981
We study public versus private provision of health care for veterans aged 65 and older who may receive care provided by the US Department of Veterans Affairs (VA) and in private hospitals financed by Medicare. Utilizing the ambulance design of Doyle et al. (2015), we find that the VA reduces 28-day mortality by 46 percent (4.5 per centage points) and that these survival gains are persistent. The VA also reduces 28-day spending by 21 percent and delivers strikingly different reported services relative to private hospitals. We find suggestive evidence of complementarities between continuity of care, health IT, and integrated care. (JEL H51, I11, I12, I18, J14)