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Volpp K, Williams S, Waldfogel J, Silber J, Schwartz J and Pauly M, (2003)
‘Market Reform in New Jersey and the Effect on Mortality from Acute
Myocardial Infarction’
Health Services Research, 38: 509-527
- Empirical analysis of the effect of the introduction of price competition
in New Jersey on AMI mortality.
- Examines the period before & after implementation
of the Health Care Reform Act (1994), which reduced subsidies for hospital
care for the uninsured
and changed hospital payment to price competition from a rate-setting system
based on hospital cost.
Key results:
- The introduction of hospital price competition and reductions in
subsidies for hospital care of the uninsured were associated with
an increase in AMI mortality from 41 to 57 percent among uninsured
New Jersey patients.
- A relative decrease in the use of cardiac procedures
in New Jersey may partly explain this finding.
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