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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
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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
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