Table 4.
Instrumental Variables (IV) Analysis | ||||
---|---|---|---|---|
Dependent Variable | Estimate (Robust Standard Error) | |||
Dosage adjustment | ||||
Log (Frequency of dosage-adjusted drug claims) | −0.06(0.03)** | |||
Log (Drug spending per dosage-adjusted claim) | 0.23(0.04)*** | |||
Changes in drug composition among lung cancer patients | ||||
Use of high-cost drugs | 0.14(0.05)*** | |||
By practice size | Size <= 2 | 2 < Size <= 6 | Size > 6 | |
Log(Chemotherapy drug spending per claim) | 0.35(0.11)*** | 0.27(0.08)*** | 0.19(0.14)† | |
By type of acquiring hospitals | Teaching | Non-teaching | 340B | Non-340B |
Log(Chemotherapy drug spending per claim) | 0.27(0.07)*** | 0.33(0.08)*** | 0.32(0.07)*** | 0.28(0.07)*** |
Notes: Oncologist fixed effects are included; Covariates controlled for in all models are year dummies, patient demographic characteristics, chronic condition indicators, cancer type, metastasis indicator, and ZIP-level socio-economic variables; Standard errors account for clustering within practices; Spending measures are adjusted to 2013 dollars;
p=0.1
p < 0.10,
p < 0.05,
p < 0.01.