Table 3.
Fixed Effects Regression Models†
Core Safety Net Hospital | Voluntary Safety Net Hospital | Nonsafety Net Hospital | ||||
---|---|---|---|---|---|---|
Variable | Log(UC) | % Expense UC | Log(UC) | % Expense UC | Log(UC) | % Expense UC |
Policy variables | ||||||
Medicare pressure, 1998 year | −0.791 | −0.228 | −0.641 | −0.051 | −0.272 | −0.009 |
Medicare pressure, 1999 year | −0.797 | −0.206* | 0.055 | −0.016 | 0.147 | 0.003 |
Medicare pressure, 2000 year | −0.344 | −0.209 | 0.129 | 0.292 | 0.188 | 0.016 |
Medicaid pressure, 1998 year | −0.306 | −0.028 | −0.119 | 0.072 | 0.029 | −0.008 |
Medicaid pressure, 1999 year | −0.878*** | −0.165** | −0.586 | 0.031 | 0.476 | 0.010 |
Medicaid pressure, 2000 year | −1.341*** | −0.283*** | −0.993 | 0.111 | −0.107 | −0.025 |
Hospital characteristics | ||||||
Hospital beds size (in 00s) | 0.052*** | 0.003 | 0.079*** | −0.005 | 0.063*** | −0.001 |
Number of hi-tech services | −0.029 | −0.008 | 0.021 | −0.002 | 0.006 | −0.0000 |
Public or religious owner | 0.259** | 0.028* | 0.051 | 0.010 | 0.039 | 0.007 |
System member | −0.059 | −0.003 | 0.120 | 0.007 | 0.001 | 0.001 |
Network member | −0.057 | −0.010 | −0.067 | −0.003 | 0.001 | 0.001 |
Facility has skilled nursing unit | −0.071 | −0.019* | 0.019 | −0.0001 | −0.008 | |
Market measures | ||||||
Hirschman–Herfindahl index | 0.004 | −0.028 | −0.547 | −0.079 | 0.345* | 0.043** |
HMO market share | −0.221 | −0.075* | −0.436*** | −0.051* | 0.085 | 0.007 |
Proportion of Medicaid population in HMOs | 0.159 | 0.010 | 0.273 | 0.007 | 0.101 | 0.010 |
Number of core safety net hospital beds | 20.635** | 3.480* | 0.407 | −0.274 | −0.573 | −0.019 |
Ratio of FQHC visits to population | 2.941 | 0.343 | 1.488 | −0.704 | −2.120*** | −0.087 |
Proportion of population 65+ | 3.199 | 0.951 | 2.655 | 7.347 | −2.256 | −0.456 |
Proportion of population under age 65 who are uninsured | 0.902 | 0.155 | −0.013 | 0.138 | 0.090 | 0.028 |
Proportion of population less than age 17 who are Medicaid eligible | −0.043 | −0.006 | −0.167* | −0.004 | −0.037 | −0.002 |
Year variables | ||||||
1997 | 0.0004 | −019 | 0.082*** | 0.002 | 0.062*** | 0.002* |
1998 | −0.059 | 0.003 | 0.115*** | 0.001 | 0.095*** | 0.001 |
1999 | 0.088 | −0.017 | 0.178*** | 0.009 | 0.162*** | 0.002 |
2000 | 0.111 | −0.001 | 0.237*** | 0.045 | 0.232*** | 0.001 |
Constant | 16.049*** | 0.027 | 15.038*** | −0.769 | 14.579*** | 0.084*** |
Reported results are from robust regression that accounts for nonindependent distribution of errors in hospital clusters.
p ≤ .10
p ≤ .05
p ≤ .01.
HMO, health maintenance organization; FQHC, Federally Qualified Community Health Center.