ArticleJournal of health economics2014
Do hospitals cross-subsidize?
Article in Journal of health economics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed.
- Financial Impacts of Receiving Combat Casualties during a Large-Scale Combat Operation on Civilian Hospitals in the NDMS Pilot Study.Disaster medicine and public health preparedness · 2026Article
- Hospital Mergers, Hospital Choice, and Care Quality for Pregnant Enrollees in Medicaid.JAMA health forum · 2025Article
- The Passion Tax: Valuation Disparity among Academic and Nonacademic Surgery Subspecialty.Journal of the American College of Surgeons · 2025Article
- Medical research and health care finance: Evidence from Academic Medical Centers.Research policy · 2025Article
- Article
- US Hospital Service Availability and New 340B Program Participation.JAMA health forum · 2024Article
- Understanding the relationship between nonprofit hospital community benefit spending and system membership: An analysis of independent hospital acquisitions.Journal of health economics · 2022Article
- 340B Drug Pricing Program and hospital provision of uncompensated care.The American journal of managed care · 2021Article
- Hospital Ownership and Hospital Institutional Change: A Qualitative Study in Guizhou Province, China.International journal of environmental research and public health · 2019Article
- Do hospitals cross-subsidize?Journal of health economics · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Despite its salience as a regulatory tool to ensure the delivery of unprofitable medical services, cross-subsidization of services within hospital systems has been notoriously difficult to detect and quantify. We use repeated shocks to a profitable service in the market for hospital-based medical care to test for cross-subsidization of unprofitable services. Using patient-level data from general short-term hospitals in Arizona and Colorado before and after entry by cardiac specialty hospitals, we study how incumbent hospitals adjusted their provision of three uncontested services that are widely considered to be unprofitable. We estimate that the hospitals most exposed to entry reduced their provision of psychiatric, substance-abuse, and trauma care services at a rate of about one uncontested-service admission for every four cardiac admissions they stood to lose. Although entry by single-specialty hospitals may adversely affect the provision of unprofitable uncontested services, these findings warrant further evaluation of service-line cross-subsidization as a means to finance them.
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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.