Table 3.
90D Inpatient Spending
|
90D Non-Inpatient Spending
|
||||
---|---|---|---|---|---|
(1) | (2) | (3) | (4) | ||
Panel A. First Stage | |||||
Ambulance Average 90D Inpatient Spending | 0.250 (0.0052) |
0.251 (0.0052) |
|||
Ambulance Average 90D Non-Inpatient Spending | 0.136 (0.0045) |
0.137 (0.0045) |
|||
Panel B. OLS | |||||
90D Inpatient Spending | −0.017 (0.0021) |
−0.010 (0.0019) |
|||
90D Non-Inpatient Spending | 0.002 (0.0023) |
−0.001 (0.0022) |
|||
Panel C. 2SLS | |||||
90D Inpatient Spending | −0.047 (0.0096) |
−0.043 (0.0087) |
|||
90D Non-Inpatient Spending | 0.055 (0.0142) |
0.046 (0.0127) |
|||
Sample Size | 1,575,273 | ||||
Outcome Mean | 0.426 | ||||
Patient Controls | No | Yes | No | Yes |
Notes: Each column reports model results based on hospital measures of total spending over 90 days after the index admission. All spending measures are trimmed of outliers and then risk-standardized by age, race and gender. Risk-standardized spending measures have been demeaned and scaled by 2 standard deviations. Thus, the reported coefficients reflect a difference of ±1 standard deviations from the mean (i.e., “low” vs. “high” spending). Means (SDs) for spending variables: 90D Inpatient Total = $15,876 (3,113); 90D Non-Inpatient Total = $10,557 (1,585). Models without patient controls include ZIP × patient origin fixed effects, as well as year and principal diagnosis controls (see Table A1 for a full list); models with patient controls adds all patient and ambulance controls as listed in Table 1, with age controls in 5-year bins. Standard errors, clustered at the Health Service Area (HSA) level, are reported in parentheses.
Source: 2002–2012 Medicare Part A and B Data