Affiliation:
1. Duke University and National Bureau of Economic Research (email: )
2. Massachusetts Institute of Technology and National Bureau of Economic Research (email: )
3. Headquarters, United States Army (email: )
Abstract
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. (JEL H51, H56, I11, I18, J13, L33)
Publisher
American Economic Association
Subject
General Economics, Econometrics and Finance
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