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The Role of Hospital Networks in Individual Mortality

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dc.creatorBuitrago, Giancarlo
dc.creatorRodríguez Lesmes, Paul Andrés
dc.creatorSerna, Natalia
dc.creatorVera-Hernández, Marcos
dc.date.accessioned2023-11-21T20:21:54Z
dc.date.available2023-11-21T20:21:54Z
dc.date.created2023-11-01
dc.date.issued2023-11-21
dc.descriptionLas redes hospitalarias estrechas han proliferado en los sistemas sanitarios con competencia de asistencia gestionada. En este trabajo investigamos el efecto causal de la amplitud de la red hospitalaria en la mortalidad de los pacientes. Para identificar este efecto, aprovechamos las cancelaciones de aseguradoras y las posteriores cancelaciones de hospitales integrados verticalmente. Utilizamos datos del sistema sanitario colombiano, donde la mayor aseguradora de salud (Saludcoop) y sus hospitales fueron dados de baja a finales de 2015. Los resultados muestran que las aseguradoras de red amplia reducen la mortalidad de los pacientes porque incluyen hospitales de alta calidad y pueden tratar más condiciones de salud. Nuestros resultados sugieren que, en un entorno sin competencia de precios, el acceso a la atención sanitaria a través de unas pocas aseguradoras con redes amplias es mejor para la salud de los pacientes que el acceso a la atención sanitaria a través de muchas aseguradoras con redes estrechas.
dc.description.abstractNarrow hospital networks have proliferated in health systems with managed care competition. In this paper, we investigate the causal effect of hospital network breadth on patient mortality. We leverage insurer terminations and subsequent hospital terminations for vertically integrated hospitals to identify this effect. We use data from the Colombian healthcare system where the largest health insurer (Saludcoop) and its hospitals were terminated by the end of 2015. Findings show that broad-network insurers reduce patient mortality because they include high-quality hospitals and can treat more health conditions. Our results suggest that in a setting without price competition, access to health care through a few insurers with broad networks is better for patient health than access to health care through many insurers with narrow networks.
dc.format.extent54 pp
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.48713/10336_41745
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/41745
dc.language.isospa
dc.publisherUniversidad del Rosario
dc.publisher.departmentFacultad de Economía
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
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dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectMortalidad
dc.subjectRedes hospitalarias
dc.subjectSeguro de enfermedad
dc.subjectCoste sanitario
dc.subjectSaludcoop
dc.subject.jelI10, I11, I13, I18
dc.subject.keywordMortality
dc.subject.keywordHospital networks
dc.subject.keywordHealth Insurance
dc.subject.keywordHealthcare cost
dc.titleThe Role of Hospital Networks in Individual Mortality
dc.typeworkingPaper
dc.type.hasVersioninfo:eu-repo/semantics/draft
dc.type.spaDocumento de Trabajo
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