Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector | Zendy

Amitabh Chandra | Zendy; Amy Finkelstein | Zendy; Adam Sacarny | Zendy; Chad Syverson | Zendy

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Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector

Author(s) -

Amitabh Chandra,

Amy Finkelstein,

Adam Sacarny,

Chad Syverson

Publication year - 2016

Publication title -

american economic review

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 16.936

H-Index - 297

eISSN - 1944-7981

pISSN - 0002-8282

DOI - 10.1257/aer.20151080

Subject(s) - scope (computer science) , health care , quality (philosophy) , public economics , business , health sector , exceptionalism , economics , industrial organization , health services , medicine , environmental health , economic growth , political science , population , philosophy , epistemology , politics , computer science , law , programming language

The conventional wisdom for the healthcare sector is that idiosyncratic features leave little scope for market forces to allocate consumers to higher performance producers. However, we find robust evidence - across several different conditions and performance measures - that higher quality hospitals have higher market shares and grow more over time. The relationship between performance and allocation is stronger among patients who have greater scope for hospital choice, suggesting that patient demand plays an important role in allocation. Our findings suggest that healthcare may have more in common with "traditional" sectors subject to market forces than often assumed.

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