We estimate doctor value-added (VA) combining population-wide patient-doctor register data with exogenous variation in the assignment of patients to GPs. We find substantial variation in the quality of GPs as measured by patients' post-assignment mortality. Certain doctor characteristics and...

Eine stärkere Ambulantisierung der Versorgung wird politisch angestrebt. In der Konsequenz werden Leistungsbereiche zukünftig zunehmend "sektorenübergreifend" sowohl von Krankenhäusern als auch von Vertragsärzten und medizinischen Versorgungszentren (MVZ) erbracht. Damit stellt sich die...

Die ungleiche Verteilung von Bildungschancen wird nicht erst seit Beginn der Covid-19-Pandemie diskutiert. Doch haben die langen Phasen von Homeschooling während der Lockdowns deutlicher offengelegt, mit welch unterschiedlichen Voraussetzungen die gut acht Millionen Schülerinnen und Schüler...

The organizational structure of U.S. health care has changed dramatically in recent years, with nearly half of physicians now employed by hospitals. This trend toward increasing vertical alignment between physicians and hospitals may alter physician behavior relative to physicians remaining in...

Treatment intensity varies remarkably across physicians, yet the key drivers are not well understood. Meanwhile, the organization of healthcare is undergoing a secular transformation as physicians increasingly work in groups. This paper tests whether physicians' group affiliation matters for...

We examine how health insurance expansions affect the entry and location decisions of health care clinics. Exploiting county-level changes in insurance coverage following the Affordable Care Act and 1,721 retail clinic entries and exits, we find that local increases in insurance coverage do not...

US healthcare is undergoing a period of substantial change, with many hospitals vertically integrating with physician practices. Such integration could improve quality by promoting care coordination, but could also worsen it by impacting care delivery. Evidence on how physicians alter their...

Spatial inequalities in access to physicians is a long-standing problem in the US, and it may be an important underlying cause of SES-related and racial/ethnic disparities in health outcomes. One important factor underlying spatial inequalities may be the enactment of state-level malpractice...

We examine the variation across emergency department (ED) physicians in their resource use and health outcomes, and the relationship between ED resource use and future healthcare costs and outcomes. Our data record the initial treating hospital, ED physician, ED billed expenditures, and all...

In markets for health services, vertical integration – common ownership of producers of complementary services – may have both pro- and anti-competitive effects. Despite this, no empirical research has examined the consequences of multispecialty physician practice – a common and increasing...

We examine the variation across emergency department (ED) physicians in their resource use and health outcomes, and the relationship between ED resource use and future healthcare costs and outcomes. Our data record the initial treating hospital, ED physician, ED billed expenditures, and all...

We conducted a randomized controlled trial, enrolling low-income uninsured adults in Virginia (United States), to determine whether cash incentives are effective at encouraging a primary care provider (PCP) visit, and at lowering utilization and costs. Subjects were randomized to four groups:...

In markets for health services, vertical integration - common ownership of producers of complementary services - may have both pro- and anti-competitive effects. Despite this, no empirical research has examined the consequences of multispecialty physician practice - a common and increasing form...

We conducted a randomized controlled trial, enrolling low-income uninsured adults in Virginia (United States), to determine whether cash incentives are effective at encouraging a primary care provider (PCP) visit, and at lowering utilization and costs. Subjects were randomized to four groups:...

Gesundheitsreformen, Fachkräftemangel sowie der demographische Wandel stellen Arztpraxen vor zahlreiche Herausforderungen. Der steigende Kostendruck, insbesondere durch Honoraranpassungen und Budgetierungen, verschärft diese Situation. Dennoch können sich Arztpraxen erfolgreich behaupten,...

Zwei Drittel der Medizin-Studienanfänger sind inzwischen Frauen. Auch bei Praxisgründungen schlägt sich dieser Trend nieder: Die Medizin wird mehr und mehr weiblich. Gleichzeitig wachsen die Anforderungen an Praxisinhaberinnen und Praxismanagerinnen. Digitalisierung, Generationenwandel,...

This study analyzes the effect of DTCA expenditures for anti-hyperlipidemia drugs on patient behaviors. The key findings are: (a) DTCA expenditures have a positive and long-term effect on the number of visits to physicians by newly-diagnosed hyperlipidemia patients. (b) The effectiveness of DTCA...

When physicians own complementary medical service facilities such as clinical laboratories and imaging centers, they gain financially by referring patients to these service entities. This situation creates an incentive for the physician to exploit the consumers' trust by recommending more...

When physicians own complementary medical service facilities such as clinical laboratories and imaging centers, they gain financially by referring patients to these service entities. This situation creates an incentive for the physician to exploit the consumers' trust by recommending more...

Close to five per cent of older Europeans forwent a visit to the doctor in the previous year due to its cost. More than six per cent did without such visits because of lengthy waiting time. Forgone healthcare is related to one's sociodemographic background, social networks, health and financial...

Der Beitrag ist eine Fortführung des IBES Diskussionsbeitrags Nr. 191 "Standardisierung der Einnahmen einer Arztpraxis, Methoden der Honorarumrechnung auf Einnahmen einer "Normpraxis", die ausschließlich EBM-Leistungen (für GKV Patienten) in Vollzeit erbringt". Dort wurde eine...