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Essays on the Economics of Health Ca...

Lite, Samuel Justin Vo.

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Essays on the Economics of Health Care, Productivity, and Market Structure.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Essays on the Economics of Health Care, Productivity, and Market Structure./
作者:	Lite, Samuel Justin Vo.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
面頁冊數:	115 p.
附註:	Source: Dissertations Abstracts International, Volume: 83-02, Section: A.
Contained By:	Dissertations Abstracts International83-02A.
標題:	Consolidation. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28492880
ISBN:	9798534680263

Essays on the Economics of Health Care, Productivity, and Market Structure.
Lite, Samuel Justin Vo.

Essays on the Economics of Health Care, Productivity, and Market Structure. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 115 p.

Source: Dissertations Abstracts International, Volume: 83-02, Section: A.

Thesis (Ph.D.)--Harvard University, 2021.

The first essay studies how private-equity driven consolidation in health care affects real outcomes. By matching insurance claims data with information on private equity acquisitions of dental clinics, we show that private equity ownership increases both clinic revenue from reimbursements and the volume of procedures clinicians perform, and that these increases overwhelmingly come from the extensive margin. Further, we show heterogeneity in these effects across the types of procedures clinicians perform, with particular effect on X-rays and other diagnostic procedures. The second essay analyzes the relationship between the HITECH Act and very early-stage venture capital activity in the health care information technology industry. We first document increases in entrepreneurial capital in both general health care IT companies and in specifically EHR-related companies. Second, we show that the increase in the proportion of seed-stage funding within health care IT in the years following the HITECH Act is likely not attributable to the Act itself, as IT companies unrelated to health care, as well as health care IT in Europe, both experienced similar shifts in the distribution of venture capital financing.The third essay studies the empirical relationship between the rise of health care information technology and health system consolidation. Motivated by a theoretical model of concentration and technology adoption, we demonstrate that hospital mergers cause significant acceleration in investment in IT capabilities at acquired hospitals. We show that this effect is driven by acquisitions of low-capability hospitals by high-capability systems. Finally, we provide suggestive evidence that a hospital's relative level of IT adoption is predictive of future acquisition activity.

ISBN: 9798534680263Subjects--Topical Terms:

3686696
Consolidation.
Subjects--Index Terms:

Health care

Essays on the Economics of Health Care, Productivity, and Market Structure.
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300 $a 115 p.
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500 $a Advisor: Stern, Ariel D.
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520 $a The first essay studies how private-equity driven consolidation in health care affects real outcomes. By matching insurance claims data with information on private equity acquisitions of dental clinics, we show that private equity ownership increases both clinic revenue from reimbursements and the volume of procedures clinicians perform, and that these increases overwhelmingly come from the extensive margin. Further, we show heterogeneity in these effects across the types of procedures clinicians perform, with particular effect on X-rays and other diagnostic procedures. The second essay analyzes the relationship between the HITECH Act and very early-stage venture capital activity in the health care information technology industry. We first document increases in entrepreneurial capital in both general health care IT companies and in specifically EHR-related companies. Second, we show that the increase in the proportion of seed-stage funding within health care IT in the years following the HITECH Act is likely not attributable to the Act itself, as IT companies unrelated to health care, as well as health care IT in Europe, both experienced similar shifts in the distribution of venture capital financing.The third essay studies the empirical relationship between the rise of health care information technology and health system consolidation. Motivated by a theoretical model of concentration and technology adoption, we demonstrate that hospital mergers cause significant acceleration in investment in IT capabilities at acquired hospitals. We show that this effect is driven by acquisitions of low-capability hospitals by high-capability systems. Finally, we provide suggestive evidence that a hospital's relative level of IT adoption is predictive of future acquisition activity.
590 $a School code: 0084.
650 4 $a Consolidation. $3 3686696
650 4 $a Competition. $3 537031
653 $a Health care
653 $a HITECH act
653 $a Private equity
653 $a Dental clinics
653 $a Entrepreneurial capital
690 $a 0501
710 2 $a Harvard University. $b Economics. $3 2049893
773 0 $t Dissertations Abstracts International $g 83-02A.
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793 $a English
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