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	Provedor de dados AgEcon (5) Autor Fannin, James Matthew (5) Nedelea, I. Cristian (5) Barnes, James N. (2) Palavra-chave Health Economics and Policy (5) I18 (4) Bootstrap (3) Community/Rural/Urban Development (3) Efficiency (3) Two-stage approach (3) Critical Access Hospitals (2) Production Economics (2) Cost efficiency (1) Cost inefficiency (1) Critical access hospital (1) Data envelopment analysis (1) I12 (1) Productivity Analysis (1) Public Economics (1) Research Methods/ Statistical Methods (1) Rural hospital (1) Rural hospitals (1) SFA (1) Semi-parametric (1) Mais... Tipo do documento Conference Paper or Presentation (4) Presentation (1) Ano 2012 (1) 2011 (2) 2010 (2) País United States (5) Idioma Inglês (5)		Ordenar por:  Relevância Autor Título Ano Registros recuperados: 5 Primeira ... 1 ... Última Efficiency Analysis of Rural Hospitals: Parametric and Semi-parametric Approaches AgEcon Nedelea, I. Cristian; Fannin, James Matthew. This paper examined cost efficiency differences between rural hospitals participating in the Critical Access Hospital (CAH) Program and a group of non-converting, prospectively paid rural hospitals using both a two-stage semi-parametric approach as well as stochastic frontier analysis (SFA). CAHs receive Medicare cost-based reimbursement, in contrast with the rest of the hospitals reimbursed under Medicare prospective payment system (PPS). However, cost-based reimbursement has been associated with inefficiency in hospital operations and, consequently, concerns have been raised about the efficiency of CAHs. Results showed a positive and significant effect of CAH status on cost inefficiency under both model specifications suggesting that CAHs were less... Tipo: Presentation Palavras-chave: Rural hospitals; Efficiency; SFA; Two-stage approach; Community/Rural/Urban Development; Health Economics and Policy; Production Economics; Productivity Analysis; Public Economics; Research Methods/ Statistical Methods; I18. Ano: 2012 URL: http://purl.umn.edu/119725 Determinants of Cost Inefficiency of Critical Access Hospitals: A Two-stage, Semi-parametric Approach AgEcon Nedelea, I. Cristian; Fannin, James Matthew. This study examines, post-conversion, cost inefficiency of Critical Access Hospitals (CAH) using a two-stage approach. While the results suggest that Medicare cost-based reimbursement and longer participation in the CAH program may increase the cost inefficiency of CAHs, the extent of this inefficiency increase is lower than what previous literature showed. Tipo: Conference Paper or Presentation Palavras-chave: Critical Access Hospitals; Cost inefficiency; Two-stage approach; Bootstrap; Community/Rural/Urban Development; Health Economics and Policy; Production Economics; I18. Ano: 2011 URL: http://purl.umn.edu/98643 An application of the two-stage, semi-parametric approach with double bootstrap to analyze technical efficiency of Critical Access Hospitals AgEcon Nedelea, I. Cristian; Fannin, James Matthew. This study examines technical efficiency of Critical Access Hospitals (CAH) using a two-stage approach and bootstrap procedures for making valid inference about the impact of environmental variables on CAH efficiency. In the first stage, a data envelopment analysis (DEA) efficiency estimator is used to estimate technical efficiency of each hospital in the sample. In the second stage, efficiency scores are regressed on environmental variables using a truncated regression with bootstrap. Alternatively, a double bootstrap procedure is used, where bias-corrected DEA efficiency scores, obtained by means of bootstrap in the first stage, are used in the second stage bootstrapped truncated regression. While both procedures provide valid inference in the second... Tipo: Conference Paper or Presentation Palavras-chave: Critical Access Hospitals; Efficiency; Two-stage approach; Bootstrap; Health Economics and Policy. Ano: 2011 URL: http://purl.umn.edu/103606 Analyzing Differences in Rural Hospital Efficiency: A Data Envelopment Analysis Approach AgEcon Nedelea, I. Cristian; Fannin, James Matthew; Barnes, James N.. This study analyzes difference in efficiency among the U.S. rural hospitals using a two-stage, semi-parametric approach. Data Envelopment Analysis is used in the first stage to calculate cost, technical and allocative efficiencies of Critical Access Hospitals (CAH) and non-CAH rural hospitals. Following Simar and Wilson (2007), bootstrapped truncated regressions are used in the second stage to infer on relationship between the cost, technical and allocative inefficiencies of hospitals and some environmental variables. The estimated results show that CAHs are less cost, technical and allocative efficient than non-CAH rural hospitals. The results also show that Medicare cost-based reimbursement for CAHs has a negative effect on the efficiency of these... Tipo: Conference Paper or Presentation Palavras-chave: Efficiency; Two-stage; Semi-parametric; Bootstrap; Data envelopment analysis; Health Economics and Policy; I12; I18. Ano: 2010 URL: http://purl.umn.edu/61391 Cost Efficiency of Critical Access Hospitals AgEcon Nedelea, I. Cristian; Fannin, James Matthew; Barnes, James N.. This study used a stochastic frontier cost model to analyze whether the policy changes that created Critical Access Hospitals (CAHs) caused an increase in the cost inefficiency of these hospitals or their cost inefficiency was brought about by other factors that were similar to all rural hospitals. The estimated mean cost inefficiency of CAH was 25 percent while that of non-CAH rural hospitals was 17.6 percent. However, the estimated results did not provide sufficient evidence to conclude that Medicare cost-based reimbursement was the main cause of higher cost inefficiency of CAHs. There might be other causes that can explain the higher cost inefficiency of CAHs such as the larger number of Medicaid and uninsured patients and the higher levels of... Tipo: Conference Paper or Presentation Palavras-chave: Critical access hospital; Rural hospital; Cost efficiency; Stochastic frontier model; Community/Rural/Urban Development; Health Economics and Policy; I18. Ano: 2010 URL: http://purl.umn.edu/56228 Registros recuperados: 5 Primeira ... 1 ... Última

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