Is There a VA Advantage? Evidence from Dually Eligible Veterans
研究65岁以上退伍军人在退伍军人事务部(VA)与私人医院(由Medicare资助)接受医疗的效果差异,发现VA将28天死亡率降低46%,支出降低21%,且生存获益持久。
We study public versus private provision of health care for veterans aged 65 and older who may receive care provided by the US Department of Veterans Affairs (VA) and in private hospitals financed by Medicare. Utilizing the ambulance design of Doyle et al. (2015), we find that the VA reduces 28-day mortality by 46 percent (4.5 per centage points) and that these survival gains are persistent. The VA also reduces 28-day spending by 21 percent and delivers strikingly different reported services relative to private hospitals. We find suggestive evidence of complementarities between continuity of care, health IT, and integrated care.