Table 3.
Selected Parameter Estimates Relevant to Testing Cost Convergence between Public and FP Hospitals for the Case Payment Diagnoses under High Competition
| Public | Co-Morbidities | ||||||
|---|---|---|---|---|---|---|---|
| Diagnosis-Variable | Comp. Level | MC** | RH** | Percent Crossover | 1 | 2 | 3+ |
| Cesarean section (CS)* | HC | 3,809 | 3,084 | 3,244 | 482 | 1,260 | 4,066 |
| LC | 6,027 | 2,372 | −2,663 | −632 | 325 | 1,301 | |
| Vaginal delivery (VD)* | HC | 1,886 | 1,188 | 781 | 122 | 665 | 2,104 |
| LC | 1,129 | −148 | −6,070 | −1,298 | −584 | 792 | |
| Prostatectomy | HC | 1,739 | 2,400 | 8,012 | 1,698 | 3,683 | 10,676 |
| LC | 5,487 | −5,732 | 16,880 | 3,992 | 7,749 | 16,635 | |
| Thyroidectomy | HC | 7,401 | 6,481 | 3,612 | 3,449 | 5,619 | 9,193 |
| LC | 26,832 | 15,057 | 7,358 | 5,649 | 6,342 | 7,033 | |
| Bronchial asthma | HC | 25,843 | 17,728 | 1,876 | −663 | 433 | 18,704 |
| LC | 26,648 | 19,341 | 1,876 | −663 | 433 | 18,704 | |
| Cholelithiasis | HC | 38,209 | 27,246 | −5,785 | 1,840 | 5,115 | 22,907 |
| LC | 39,499 | 20,957 | 3,184 | −3,879 | −1,484 | 9,592 | |
HC=highest competition quartile (lowest HHI quartile); LC=lowest competition quartile (highest HHI quartile).
Estimates for clinic beds (applicable only to CS and vaginal delivery): CS: HC=0.82; LC: 2.2; and VD: HC=0.75; LC=0.88.
Sum of public and MC/RH estimates in Table 2. These estimates represent the differences between public MC/RH and FP district hospitals.
Italics indicate cost difference patterns that are explicitly consistent with the study hypothesis: High competition is associated with cost convergence for case payment (the first four diagnoses), but not so for cost-based items (the last two diagnoses).