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You are here: Home / Anderson On Health Insurance / Data hunt bleg

Data hunt bleg

by David Anderson|  March 1, 20169:07 am| 13 Comments

This post is in: Anderson On Health Insurance

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This is a research information bleg.

Martin Gaynor linked to a very interesting study from 1998.

 

not a dime’s worth of difference between for- & non-profits in terms of cost & outcomes https://t.co/NwIj8NymFJ https://t.co/eZ8brBASbT

— Martin Gaynor (@MartinSGaynor) February 29, 2016

 

It was an examination of Medicare data and how prices varied or not varied between ownership structures.

For a set of Medicare medical shock events, there was no statistically significant difference on costs for patients for six months at either private, for profit hospitals and non-profit hospitals.

This was very interesting to me as I have the same thoughts on insurance company ownership and surplus distribution structures.

My biggest problem with using this study to confirm my priors is that the data is old and the US hospital landscape has changed dramatically.

Does anyone know if there are similar types of studies with much more recent data?

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13Comments

  1. 1.

    Cheap Jim, formerly Cheap Jim

    March 1, 2016 at 9:32 am

    A quick look at Medline suggests this from 2008: researchgate.net/publication/26784702_Chapter_7_The_Impact_of_Ownership_on_the_Cost-Efficiency_of_US…
    But it’s not my subject, so i don’t know if it’s helpful to you.

  2. 2.

    Catherine D.

    March 1, 2016 at 9:50 am

    researchgate.net/search.Search.html?type=publication&query=hospital+ownership+and+cost+and+qual…

    This should catch publications on the topic and publications that cite the original.

  3. 3.

    Eric U.

    March 1, 2016 at 9:56 am

    my cynical take on this subject is that the so-called “non-profits” are just spending money on executive compensation, hookers and blow. The NFL is a non-profit

  4. 4.

    Keith

    March 1, 2016 at 10:02 am

    @Catherine D.: An alternative tactic is to stroll through the list of cites below the article presented on researchgate.net.

  5. 5.

    Catherine D.

    March 1, 2016 at 10:08 am

    @Keith:

    Or dive into Pubmed, since I bet most of those studies had some NIH funding.

  6. 6.

    Doctor Science

    March 1, 2016 at 10:09 am

    @Keith: Or do this in scholar.google.com, which is usually more complete.

    Start here, then filter for date. The right column links to publicly-accessible versions of a given paper.

  7. 7.

    Doctor Science

    March 1, 2016 at 10:17 am

    A systematic review and meta-analysis of studies comparing mortality rates of private for-profit and private not-for-profit hospitals says “private for-profit hospitals were associated with a statistically significant increase in the risk of death”. Their follow-up study says

    private for-profit hospitals employed less highly skilled health professionals, and there is a demonstrable association between health professionals’ skill level and patient mortality. Therefore, even if the private for-profit hospitals do not pressure their health professionals to balance their clinical judgement against the return to shareholders, the lower skill level provides one explanation for the largely consistent higher mortality rates in private for-profit hospitals.

  8. 8.

    elm

    March 1, 2016 at 11:54 am

    I hate to break it to you, Richard, but you’re the best-informed and most sane person here.

  9. 9.

    Richard Mayhew

    March 1, 2016 at 12:26 pm

    @Doctor Science: this is why I wanted more info !

  10. 10.

    Richard Mayhew

    March 1, 2016 at 12:27 pm

    @elm: one element is not true and the other if true is quite scary

  11. 11.

    jl

    March 1, 2016 at 1:00 pm

    California yanked the non-profit status of the Blues recently, or whatever it is named now. The state concluded that its behavior was indistinguishable from a for-profit enterprise. Probably some public analysis on that decision.

  12. 12.

    jl

    March 1, 2016 at 1:01 pm

    @jl: Edit button disappeared. I meant to type:

    ” California yanked the non-profit status of ONE of the Blues recently, “

  13. 13.

    Shakezula

    March 1, 2016 at 8:59 pm

    Have you checked through CMS’ data?

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