Competitive Spillovers and Regulatory Exploitation by Skilled Nursing Facilities
Document Type
Article
Publication Date
6-2016
Publication Title
Forum for Health Economics & Policy
DOI
10.1515/fhep-2014-0006
Abstract
Typically, research on the effect of ownership has considered health care providers in isolation of competitive interaction from other firms. This analysis considers how the selection of Medicare reimbursement codes for skilled nursing facilities varies by ownership and is influenced by the competitive spillovers from market dominance of for-profit institutions. We find evidence that not-for-profits are less likely to code patients into the highest reimbursement categories. Further, as the market becomes dominated by for-profits, both for-profit and not-for-profits increase the share of patients in these high reimbursement categories.
Recommended Citation
Bowblis, John R., Christopher Brunt, David C. Grabowski.
2016.
"Competitive Spillovers and Regulatory Exploitation by Skilled Nursing Facilities."
Forum for Health Economics & Policy, 19 (1): 45-70.
doi: 10.1515/fhep-2014-0006
https://digitalcommons.georgiasouthern.edu/econ-facpubs/92