Public and Private Options in Practice: The Military Health System
利用军事卫生系统(MHS)的生育理赔数据,研究在军事基地内外部接受产科护理对资源使用和健康结果的影响,发现外部护理资源消耗略高但效果更好,为医疗私有化效率提供证据。
Recent debates over health care reform, including in the context of the Military Health System (MHS) and Veterans Administration, highlight the dispute between public and private provision of health care services. Using novel data on childbirth claims from the MHS and drawing on the combination of plausibly exogenous patient moves and heterogeneity across bases in the availability of base hospitals, we identify the impact of receiving obstetrical care on versus off military bases. We find evidence that off-base care is associated with slightly greater resource intensity, but also notably better outcomes, suggesting marginal efficiency gains from care privatization.