The DOI matches its Crossref record.
Is Hospital Competition Socially Wasteful?
Abstract
We study the consequences of hospital competition for Medicare beneficiaries' heart attack care from 1985 to 1994. We examine how relatively exogenous determinants of hospital choice such as travel distances influence the competitiveness of hospital markets, and how hospital competition interacts with the influence of managed-care organizations to affect the key determinants of social welfare—expenditures on treatment and patient health outcomes. In the 1980s the welfare effects of competition were ambiguous; but in the 1990s competition unambiguously improves social welfare. Increasing HMO enrollment over the sample period partially explains the dramatic change in the impact of hospital competition.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cited by
Fisher, E. S., Wennberg, D. E., Stukel, T. A., Gottlieb, D. J., Lucas, F. L., & Pinder, É. L. (2003) · Annals of Internal Medicine · doi:10.7326/0003-4819-138-4-200302180-00006 · Cited by 1,539
Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms
Cooper, Z., Gibbons, S., Jones, S., & McGuire, A. (2011) · The Economic Journal · doi:10.1111/j.1468-0297.2011.02449.x · Cited by 490
(2003) · OECD Health Working Papers · doi:10.1787/230112362071 · Cited by 381
Is Technological Change In Medicine Worth It?
Cutler, D. M., & McClellan, M. (2001) · Health Affairs · doi:10.1377/hlthaff.20.5.11 · Cited by 377
Self-citationThe Industrial Organization of Health-Care Markets
Gaynor, M., Ho, K., & Town, R. J. (2015) · Journal of Economic Literature · doi:10.1257/jel.53.2.235 · Cited by 349
Metadata
- Authors
- Kessler, D. P., & McClellan, M. B.
- Venue
- The Quarterly Journal of Economics
- Publisher
- Oxford University Press (OUP)
- Published
- 2000-05-01
- Volume
- 115
- Issue
- 2
- Pages
- 577-615
- ISSN
- 0033-5533 (ISSN-L)
- 1531-4650
- OpenAlex
- W2890847024
- Cited by
- 664
- References
- 0
- FWCI
- 44.99
- Type
- journal article
- Language
- en
- Open access
- closed
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
How to cite
Cite CoChat for the checks on this page, and the paper for its own findings.
- This page
- CoChat. (2026). Citation check: Is Hospital Competition Socially Wasteful? https://app.cochat.ai/papers/10.1162/003355300554863
- The paper
- Kessler, D. P., & McClellan, M. B. (2000). Is Hospital Competition Socially Wasteful? The Quarterly Journal of Economics. https://doi.org/10.1162/003355300554863
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
