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- W1503691036 abstract "I examine whether or not capacity planning decisions are influenced by a 100-bed threshold used by U.S. Medicare to classify hospitals as “large” or “small” for payment purposes. I also examine the role of the institutional environment in directing hospital actions in this setting. In summary, I find that the 100-bed threshold drives a significant discontinuity in the distribution of U.S. urban hospital bed capacities. I find that the magnitude of the discontinuity is greatest in hospitals that are highly incentivized to be classified as large, and I demonstrate that not-for-profit and government hospitals are more likely than for-profit hospitals to decrease bed capacities and lose large hospital classifications. I argue from an institutional perspective that Medicare’s threshold-based classification practices act as institutional pressures for hospitals to take on similar structures in terms of bed capacity, but that not-for-profit and government hospitals attach less importance to the increased revenues and profits associated with meeting the threshold. As a result, not-for-profit and government hospitals are more likely to challenge the validity of the threshold for capacity planning purposes." @default.
- W1503691036 created "2016-06-24" @default.
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- W1503691036 date "2013-01-01" @default.
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- W1503691036 title "Medicare Hospital Classifications and the Effect on Bed Capacity Decisions in U.S. Hospitals" @default.
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- W1503691036 doi "https://doi.org/10.2139/ssrn.2258695" @default.
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