Evidence map›Paper›PMID 42603013›Full record

ArticleResearch policy2025

Medical research and health care finance: Evidence from Academic Medical Centers.

Pierre Azoulay, Misty Heggeness, Jennifer Kao

Abstract read
In one paragraph

Article in Research policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Pierre AzoulayMIT Sloan School of Management and NBER, 100 Main Street, E62-487, Cambridge, MA 02142, United States of America.
Misty HeggenessUniversity of Kansas School of Public Affairs and Administration, REGN 370K Edwards 12600 Quivira Road, Overland Park, KS 66213, United States of America.
Jennifer KaoUCLA Anderson School of Management, 100 Westwood Plaza, D510, Los Angeles, CA 90095, United States of America.

Funding

Women's Alzheimer's Risk Reduction in MidlifeP20GM152280 · NIGMS · UNIVERSITY OF KANSAS LAWRENCE · PI HEATHER R DESAIRE · 2024 to 2026
$10.0M
International Research Network on Valuing Health ResearchR24AG048059 · NIA · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI CUTLER, DAVID M · 2014 to 2018
$720k
NIA NIH HHS R24 AG048059NIGMS NIH HHS P20 GM152280
6 · The paper itself

Abstract

Academic Medical Centers (AMCs) - comprising medical schools, teaching hospitals, and research laboratories - play an important role in US biomedical innovation. The Balanced Budget Act of 1997 changed reimbursements for Medicare inpatient claims and subsidies for medical residents. We compare AMCs' relative exposure to the reform, how these differences affect their researchers' ability to attract NIH grant funding, and the quantity, impact, and content of their publications. We find that in response to the reform, research activity increased by approximately 6%. Changes in research composition suggest that hospitals responded to Medicare funding cuts by encouraging incumbent investigators to increase their research activities and by redirecting hiring efforts towards individuals attracted to AMCs (e.g., translational researchers). We find little effect on clinical outcomes.

Indexed as

Biomedical workforceGovernment policyMedical innovationResearch institutionsTranslational medicine

Identifiers

PMID42603013
PMCPMC13475792

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.