Table 2.
A Vertical integration and length of stay: home health (HHA) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Dep. var: ΔLOS | (1) | (2) | (3) | (4-I) | (4-II) | (5) | (6) | |||||||
OLS | OLS Controls |
Matched (CEM) |
1st stage IV (logit) |
2nd stage 2SRI |
OLS Interaction 1 |
OLS Interaction 2 |
||||||||
Hosp. vertically int. into home health | −0.12 (0.05) | ** | −0.07 (0.05) | −0.09 (0.05) | ** | −0.20 (0.15) | ||||||||
Other hosp. vert. int. into home health | 0.30 (0.04) | *** | ||||||||||||
Residual from 1st stage | 0.06 (0.06) | |||||||||||||
Within firm transfer (VI_HOSP_TX) | −0.10 (0.04) | ** | −0.09 (0.04) | ** | ||||||||||
VI_HOSP to other HHA (VI_HOSP_EXT) | −0.04 (0.05) | |||||||||||||
VI_HOSP to non-VI_HHA (VI_EXT_NON) | −0.04 (0.05) | |||||||||||||
VI_HOSP to other VI_HHA (VI_EXT_VI) | −0.02 (0.07) | |||||||||||||
Non-VI_HOSP to VI_HHA (VI_HHA_IN) | 0.09 (0.06) | |||||||||||||
Patient controls | N | Y | Y | Y | Y | Y | Y | |||||||
Hospital controls | N | Y | Y | Y | Y | Y | Y | |||||||
Market controls | N | Y | Y | Y | Y | Y | Y | |||||||
Constant | Y | Y | Y | Y | Y | Y | Y | |||||||
R2/Adj.-R2/Pseudo-R2 | 0.00 | 0.04 | 0.04 | 0.16 | 0.04 | 0.05 | 0.05 | |||||||
F-test on IV | 60 | |||||||||||||
N | 399,616 | 399,616 | 344,384 | 2,571 | 399,616 | 399,616 | 399,616 |
B Vertical integration and length of stay: skilled nursing facility (SNF) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Dep. var: ΔLOS | (1) | (2) | (3) | (4-I) | (4-II) | (5) | (6) | |||||||
OLS | OLS Controls |
Matched (CEM) |
1st stage IV (logit) |
2nd stage 2SRI |
OLS Interaction 1 |
OLS Interaction 2 |
||||||||
Hosp. vertically int. into SNF | −0.27 (0.08) | *** | −0.22 (0.06) | *** | −0.20 (0.07) | *** | −0.64 (0.02) | ** | ||||||
Other hosp. vert. int. into home health | 0.34 (0.04) | *** | ||||||||||||
Residual from 1st stage | 0.20 (0.13) | |||||||||||||
Within firm transfer (VI_HOSP_TX) | −0.37 (0.08) | *** | −0.38 (0.08) | *** | ||||||||||
VI_HOSP to other SNF (VI_HOSP_EXT) | −0.04 (0.08) | |||||||||||||
VI_HOSP to non-VI_SNF (VI_EXT_NON) | −0.03 (0.08) | |||||||||||||
VI_HOSP to oth. VI_SNF (VI_EXT_VI) | −0.52 (0.20) | *** | ||||||||||||
Non-VI_HOSP to VI_SNF (VI_SNF_IN) | −0.07 (0.11) | |||||||||||||
Patient controls | N | Y | Y | Y | Y | Y | Y | |||||||
Hospital controls | N | Y | Y | Y | Y | Y | Y | |||||||
Market controls | N | Y | Y | Y | Y | Y | Y | |||||||
Constant | Y | Y | Y | Y | Y | Y | Y | |||||||
R2/Adj.-R2/Pseudo-R2 | 0.00 | 0.06 | 0.06 | 0.08 | 0.06 | 0.06 | 0.06 | |||||||
F-test on IV | 72 | |||||||||||||
N | 460,761 | 460,761 | 397,038 | 2,571 | 460,761 | 460,761 | 460,761 |
Standard errors are robust and clustered at the market level.
Significant at 1%,
Significant at 5%,
Significant at 10%
Patient controls include: age, gender, race, 28 controls for patient health characteristics upon admission to the hospital (Elixhauser comorbidities). Hospital controls include: co-location dummy (with home health), ownership form dummies {for-profit, government, not-for-profit}, number of beds, and a dummy for teaching hospital. Market controls include: hospital, home health, and SNF concentration; avg. educational attainment, median household income, % of population over 65 year old, a dummy for metropolitan area, population density, number of hospital beds, number of long-term care hospital beds, number of skilled nursing facilities beds, the percentage of women of child bearing age (% of population that is female aged 15–44), and the HMO enrollment rate.
Standard errors are robust and clustered at the market level.
Significant at 1%,
Significant at 5%,
Significant at 10%
Patient controls include: age, gender, race, 28 controls for patient health characteristics upon admission to the hospital (Elixhauser comorbidities). Hospital controls include: co-location dummy (with SNF), ownership form dummies {for-profit, government, not-for-profit}, number of beds, and a dummy for teaching hospital. Market controls include: hospital, home health, and SNF concentration; avg. educational attainment, median household income, % of population over 65 year old, a dummy for metropolitan area, population density, number of hospital beds, number of long-term care hospital beds, number of skilled nursing facilities beds, the percentage of women of child bearing age (% of population that is female aged 15–44), and the HMO enrollment rate.