ArticleHealth economics2014
Competition and quality in home health care markets.
Article in Health economics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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Who cites it
8 citing papers in PubMed.
- Corporate Ownership, Health System Affiliation, and Market Concentration of Home Health Agencies.JAMA network open · 2025Article
- Change of Ownership and Quality of Home Health Agency Care.JAMA health forum · 2024Article
- Measuring Nursing Home Performance Using Administrative Data.Medical care research and review : MCRR · 2023Article
- Pricing behavior in long term care markets: evidence from provider-level data for home help services.International journal of health economics and management · 2023Article
- Characteristics of Home-Visit Nursing Agencies That Closed after the 2012 Fee Revision for Home-Visit Nursing Services: A Nationwide Panel Data Analysis in Japan.International journal of environmental research and public health · 2021Observational
- The Effect of Interdependences of Referral Behaviors on the Quality of Ambulatory Care: Evidence from Taiwan.Risk management and healthcare policy · 2021Article
- Entry regulation and the effect of public reporting: Evidence from Home Health Compare.Health economics · 2019Article
- Market Competition and Health Outcomes in Hemodialysis.Health services research · 2018Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Market-based solutions are often proposed to improve health care quality; yet evidence on the role of competition in quality in non-hospital settings is sparse. We examine the relationship between competition and quality in home health care. This market is different from other markets in that service delivery takes place in patients' homes, which implies low costs of market entry and exit for agencies. We use 6 years of panel data for Medicare beneficiaries during the early 2000s. We identify the competition effect from within-market variation in competition over time. We analyze three quality measures: functional improvements, the number of home health visits, and discharges without hospitalization. We find that the relationship between competition and home health quality is nonlinear and its pattern differs by quality measure. Competition has positive effects on functional improvements and the number of visits in most ranges, but in the most competitive markets, functional outcomes and the number of visits slightly drop. Competition has a negative effect on discharges without hospitalization that is strongest in the most competitive markets. This finding is different from prior research on hospital markets and suggests that market-specific environments should be considered in developing polices to promote competition.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.