From: Medicare Advantage penetration and the financial distress of rural hospitals
(1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | |
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VARIABLES | Log (Medicare Discharges) | Log (Medicare Discharges) | Log (Medicare Discharges) | Medicare Average Length of Stay | Medicare Average Length of Stay | Medicare Average Length of Stay | Log (Inpatient Revenue) | Log (Inpatient Revenue) | Log (Inpatient Revenue) |
Log (MA) | 0.086*** | 0.088*** | 0.091*** | −2.543 | −2.567 | −2.513 | 0.118*** | 0.116*** | 0.112*** |
(0.023) | (0.023) | (0.023) | (3.892) | (3.919) | (3.894) | (0.024) | (0.024) | (0.024) | |
Rural in 2014 × Log (MA) | −0.195*** | −0.191*** | −0.189*** | 0.176 | 0.129 | 0.232 | −0.206*** | −0.196*** | −0.192*** |
(0.024) | (0.024) | (0.024) | (1.786) | (1.759) | (1.690) | (0.027) | (0.027) | (0.027) | |
FY2015 | 0.016*** | 0.013*** | 0.009 | 0.857*** | 0.883*** | 0.787*** | 0.041*** | 0.038*** | 0.034*** |
(0.005) | (0.005) | (0.006) | (0.263) | (0.285) | (0.295) | (0.004) | (0.004) | (0.005) | |
FY2016 | 0.003 | −0.001 | −0.006 | 1.010** | 1.057** | 0.830** | 0.073*** | 0.069*** | 0.063*** |
(0.006) | (0.007) | (0.008) | (0.397) | (0.443) | (0.358) | (0.005) | (0.005) | (0.007) | |
FY2017 | 0.013* | 0.007 | 0.003 | 1.805 | 1.869 | 1.646 | 0.104*** | 0.098*** | 0.089*** |
(0.007) | (0.007) | (0.009) | (1.530) | (1.601) | (1.579) | (0.006) | (0.007) | (0.008) | |
FY2018 | 0.013 | 0.006 | 0.001 | 1.959 | 2.034 | 1.701 | 0.136*** | 0.128*** | 0.118*** |
(0.008) | (0.008) | (0.011) | (1.665) | (1.748) | (1.762) | (0.007) | (0.008) | (0.010) | |
FY2019 | 0.004 | −0.004 | −0.017 | 1.887 | 1.971 | 1.485 | 0.150*** | 0.141*** | 0.129*** |
(0.009) | (0.009) | (0.015) | (1.844) | (1.938) | (2.005) | (0.009) | (0.009) | (0.013) | |
FY2020 | −0.105*** | −0.113*** | −0.120*** | 2.528 | 2.620 | 1.506 | 0.180*** | 0.170*** | 0.157*** |
(0.011) | (0.011) | (0.017) | (2.030) | (2.134) | (2.132) | (0.010) | (0.011) | (0.016) | |
Density (Population per Square Mile) | 0.000 | 0.000 | −0.000 | −0.000 | 0.000 | 0.000 | |||
(0.000) | (0.000) | (0.000) | (0.000) | (0.000) | (0.000) | ||||
Population | 0.000*** | 0.000*** | −0.000 | −0.000 | 0.000*** | 0.000*** | |||
(0.000) | (0.000) | (0.000) | (0.000) | (0.000) | (0.000) | ||||
%Medicare Insurance | −0.038 | 52.343* | 0.174 | ||||||
(0.383) | (30.994) | (0.306) | |||||||
Age | 0.006 | 0.169 | 0.005 | ||||||
(0.004) | (0.132) | (0.004) | |||||||
%Female | −0.116 | −2.654 | 0.227 | ||||||
(0.227) | (26.818) | (0.157) | |||||||
%Married, Spouse Present | −0.097 | 5.398 | 0.114 | ||||||
(0.107) | (4.234) | (0.088) | |||||||
%Black | 0.087 | −3.298 | −0.376 | ||||||
(0.180) | (4.818) | (0.332) | |||||||
%Hispanic | 0.315 | −12.779 | 0.204 | ||||||
(0.232) | (15.884) | (0.226) | |||||||
%Other | −0.104 | 40.383 | 0.419* | ||||||
(0.294) | (30.626) | (0.223) | |||||||
%High School or Above | −0.378** | −26.457 | −0.071 | ||||||
(0.162) | (21.397) | (0.134) | |||||||
%Employed | 0.096 | −0.973 | 0.292*** | ||||||
(0.091) | (4.254) | (0.086) | |||||||
%In Labor Force | 0.029 | 19.610 | 0.215* | ||||||
(0.129) | (17.159) | (0.117) | |||||||
%Federal Poverty Level | 0.001* | 0.006 | −0.000 | ||||||
(0.000) | (0.026) | (0.000) | |||||||
Household Income | 0.000* | −0.000 | 0.000*** | ||||||
(0.000) | (0.000) | (0.000) | |||||||
Constant | 6.957*** | 6.714*** | 6.425*** | 4.073 | 6.798** | 5.153 | 17.934*** | 17.664*** | 16.862*** |
(0.027) | (0.074) | (0.280) | (5.535) | (2.898) | (12.145) | (0.026) | (0.086) | (0.311) | |
Observations | 37,663 | 37,663 | 37,663 | 37,663 | 37,663 | 37,663 | 31,000 | 31,000 | 31,000 |
R-squared | 0.024 | 0.025 | 0.025 | 0.000 | 0.000 | 0.001 | 0.074 | 0.077 | 0.079 |
Hospital FE | Y | Y | Y | Y | Y | Y | Y | Y | Y |
FY FE | Y | Y | Y | Y | Y | Y | Y | Y | Y |