We study whether the quality of managers can affect public service provision in the context of public health. Using novel data from public hospitals in Chile, we show how the introduction of a competitive recruitment system and better pay for public hospital CEOs reduced hospital mortality by...

Patient selection remains a major challenge in evaluating hospital performance. We exploit the quasi-random assignment of patients to hospitals, based on a rotation schedule between hospitals in the Upper Austrian capital of Linz. In the instrumental variable (IV) framework, we use high-quality...

Background Medicare Advantage (MA) penetration rates have shown an increase in rural areas in the past decade, increasing the bargaining power of MA plans relative to rural hospitals. We study the effect that this increase has had in the revenue of rural hospitals through reductions in the...

Background Morocco is engaged in a health system reform aimed at generalizing health insurance across the whole population by 2025. This study aims to build a national database of costs at all levels of public hospitals in Morocco and craft this database as a resource for further use in a...

(1) Background: The aim of the paper is to identify and assess if there are differences concerning the cash conversion cycle (CCC) according to different types of ownership authority of hospitals. The main research hypothesis developed for the purpose of this study assumes that the ownership...

Background In this paper, we propose a novel model that allows us to understand the effect of hospital readmis- sions on technology and costs. To do this, we consider that hospitals may experience heterogeneous discharges: on the one hand, discharges corresponding to patients who have completed...

We investigate the factors that influence the variance in hospital charges and inpatient care for kidney transplant cases in the US. Using the AHRQ's (Agency for Healthcare Research and Quality) HCUP's (Hospital Cost and Utilization Project) NIS (National Inpatient Sample) database, we find that...

Deutschland leistet sich nach internationalen Maßstäben überdimensionierte Bettenkapazitäten, die sich auf zu viele und häufig zu kleine Krankenhäuser verteilen. Aufgabe der Länder wäre es, die Struktur anzupassen. Sie scheuen aber den politischen Widerstand der unmittelbar Betroffenen....

This paper aims to characterise a dynamic, incentive-compatible contract for the provision of health services, allowing for both moral hazard and adverse selection. Patients' severity changes over time following a stochastic process and is private information of the provider. We characterise the...

Hospitals have faced diverse and serious challenges during the COVID-19 pandemic. This policy note attempts to provide a review of hospital experiences and response during this period, together with lessons to support hospitals in preparing and responding to future pandemics. The note highlights...

Healthcare payment systems influence to a great extent the hospitals' investment decision and thereby, their ability to treat patients. A payment system is optimal provided it incentivises hospitals to undertake an investment level that is appropriate, when considering treatment costs, patients'...

Health institutions in developing countries need to be transparent and accountable to attain universal health coverage and effective institutions as mandated by Sustainable Development Goals (SDG) 3 (target 3.8) and SDG 16 (target 16.6), respectively. This study seeks to achieve two objectives:...

Excessive turnover can signicantly impair an organization's performance. Using high-quality administrative data and staggered dierence-in-dierences strategies, we evaluate the impact of a programme that encouraged public hospitals to increase staff retention by providing data and guidelines on...

Information technology (IT) can enhance firms' long-run performance but is also a risky investment, with high fixed costs and uncertain returns. Whether market events influence this tradeoff has received limited attention. We leverage the healthcare context to empirically examine hospitals' IT...

"This text blends accounting and finance topics related to healthcare. It covers billing, coding, financial statements, as well as the general principles of financial planning, analysis, insurance, and accounting. It melds the best of current financial theory with the tools needed in the...

Recent policy proposals seek to regulate out-of-network hospital prices. We study how such regulation affects equilibrium prices, network formation, and hospital exit. We estimate a structural model of insurer-hospital bargaining that allows for out-of-network transactions between...

Between 2000 and 2020, the share of US bed capacity at independent hospitals dropped from 42% to 19% – a rapid corporatization of care. We study whether this restructuring of the industry in favor of larger firms improved hospital profitability and quality. We combine novel, patient-level data...

There has been significant financial integration between hospitals and physicians since the early 2000s; however, there is limited research on the advantages and disadvantages to integration. This paper shows how hospital finances, hospital service lines, and quality-of-care change when...

Hospitals account for 40 % of all healthcare expenditures and play a central role in healthcare provision. Therefore, the way hospitals are payed has major implications for the care they provide. Yet the knowledge about system wide effects of payment reforms is surprisingly thin. This study...

In this article, I describe my approach to dealing with the challenges and opportunities of synchronous online teaching during the Fall semester of 2020 in the specific context of a 90-student graduate course in healthcare finance at the MIT Sloan School of Management

A literature has found that medical providers inflate bills and report more conditions given financial incentives. We evaluate whether Medicare reimbursement incentives are driven more by bill inflation or coding costs. Medicare reformed its payment mechanism for inpatient hospitalizations in...

The hospital market is served by firms that are private for-profit, private not-for-profit, and government-owned and operated. I use a plausibly exogenous change in hospital financing that was intended to improve medical care for the poor to test three theories of organizational behavior. My...

Increasing healthcare spending and lacking of efficiency in the healthcare market have spurred government and insurers interest in hospital price and quality transparency tools. This systematic review synthesized literature examing the impact of hospital price and quality transparency tools on...

This paper examines the investment decisions of not-for-profit hospitals. More than 20% of U.S. firms are not-for-profit, yet this organizational form has received little attention in corporate finance. This paper takes a step towards closing this gap. Our goal is to examine the role of...

This study aims to investigate the levels of emotional intelligence for managers in public and private hospitals in Jordan for the purpose of identifying the relative practice of emotional intelligence dimensions by managers in each sector. The research will also look into the differences (gaps)...

Hospitals face large and variable costs from treating indigent care patients. Two methods of "reinsuring" hospitals against these costs are providing these patients with insurance and directly providing hospitals with supplemental payments to cover the expected costs of treating the indigent....

Excessive turnover reduces the stock of an organization's human capital. In the public sector, where wage increases are often constrained, managers need to leverage non-monetary working conditions to retain their workers. We investigate whether workers are responsive to improvements in non-wage...