Table 2.
Association of a Change in Vertical Integration Status on Nurse Practitioner (NP) Employment by Practice Specialty Type Using Linear Probability Models and Event Studies: 2008–2015.
| Primary care | Nonprimary care | Multispecialty | ||||
|---|---|---|---|---|---|---|
| (1) | (2) | (3) | (4) | (5) | (6) | |
| Vertical | 0.013** (0.003) | — | 0.013*** (0.002) | — | 0.0003 (0.004) | — |
| Vertical (t – 3+) | −0.011** (0.004) | −0.013*** (0.003) | −0.010 (0.006) | |||
| Vertical (t – 2) | — | −0.005 (0.003) | — | −0.004 (0.002) | — | −0.004 (0.004) |
| Vertical (t + 0) | — | 0.004 (0.003) | — | 0.005* (0.002) | — | 0.001 (0.005) |
| Vertical (t + 1) | — | 0.007 (0.004) | — | 0.012*** (0.003) | — | 0.001 (0.006) |
| Vertical (t + 2) | — | 0.008 (0.005) | — | 0.009* (0.004) | — | −0.007 (0.007) |
| Vertical (t + 3+) | — | 0.027*** (0.006) | — | 0.021*** (0.005) | — | −0.005 (0.009) |
| Year FEs | Yes | Yes | Yes | Yes | Yes | Yes |
| Practice FEs | Yes | Yes | Yes | Yes | Yes | Yes |
| Covariates | Yes | Yes | Yes | Yes | Yes | Yes |
| Observations | 405,060 | 405,060 | 614,184 | 614,176 | 135,048 | 135,048 |
| Unique practices | 50,635 | 50,635 | 76,773 | 76,772 | 16,881 | 16,881 |
| Sample mean | 0.22 | 0.22 | 0.14 | 0.14 | 0.31 | 031 |
Note. Data are from SK&A and include practices present for all eight years. “Vertical” practices report hospital/health system ownership (i.e., hospital–physician integration). Outcome is binary indicator for employing at least one NP. Event study reference category is the year prior to vertical integration (i.e., t − 1). Covariates include the following: number of physicians in the practice, a dummy for full independence for NP scope of practice, and county-level demographics. Standard errors clustered at the practice level. FEs = fixed effects.
p < .05.
p < .01.
p < .001.