This paper examines the relationship between how hospital ownership is organized and the intensity of competition in the health care market. I study the question using an empirical entry model. These models typically exhibit multiple equilibria. To resolve this problem, a novel algorithm that computes all the equilibria of the game is developed. This paper uses the algorithm togetherwith two di...

BACKGROUND There is growing concern certain not-for-profit hospitals are not providing enough uncompensated care to justify their tax exempt status. Our objective was to compare the amount of uncompensated care provided by not-for-profit (NFP), for-profit (FP) and government owned hospitals. METHODS We used 2005 state inpatient data (SID) for 10 states to identify patients hospitalized for th...

We examine the adoption of patient care IT systems by US short-term acute care hospitals and the resulting impact these systems have in the productivity of hospitals. Of particular interest is the extent to which forprofit and non-profit hospitals obtain different results from the adoption of IT systems. We find that the marginal effect of IT on for-profit hospital productivity is to reduce the...

The German hospital market has been subject over the past two decades to a variety of healthcare reforms. Particularly the introduction of diagnosis-related groups (DRGs) in 2004 aimed to increase efficiency of hospitals. The objective of the paper is to review recent studies comparing the efficiency of German public, private non-profit and private for-profit hospitals. The results of the studi...

The relationship of hospital ownership and service composition to hospital charges was examined for 456 general acute hospitals in California. Ancillary services had higher profit margins, both gross and net profits, than daily hospital services. Ancillary services accounted for 55.3 percent of total patient revenue. Charges per day were 23 percent higher for ancillary services than for daily h...

In recent years, there has been considerable controversy over whether not-for-profit (NFP) and for-profit (FP) hospitals really differ from each other in meaningful ways. Specifically, the ongoing debate has concerned whether NFP hospitals pursue objectives that differ from the objectives of FP hospitals and, if so, whether these different objectives get translated into different sorts of behav...

This article addresses the effect of hospital ownership on the delivery of service to uninsured patients. It compares the volume of uninsured patients treated in for-profit and nonprofit hospitals by regarding hospital ownership and service as endogenous. Instrumental variable estimates are used to predict the percentage of patients who are uninsured, controlling for hospital ownership and serv...

OBJECTIVE To estimate the effects of changes in Medicare inpatient hospital prices on hospitals' overall revenues, operating expenses, profits, assets, and staffing. PRIMARY DATA SOURCE Medicare hospital cost reports (1996-2009). STUDY DESIGN For each hospital, we quantify the year-to-year price impacts from changes in the Medicare payment formula. We use cumulative simulated price impacts ...

How the behavior of non-profit organizations differs from that of for-profit organizations has been the topic of a wide body of research. The motivational and behavioral differences resulting from the two organizational forms are particularly important in the U.S. health-care sector – an industry dominated by non-profit enterprise. This paper outlines some of the theories of non-profit hospital...