【Job talk 】How Do Hospital Markets Respond to Universal Health Insurance?

  • 研討會日期 : 2022-01-04
  • 時間 : 10:00
  • 主講人 : Dr. Chia-Lun Liu
  • 主持人 : Professor Tzu-Ting Yang
  • 地點 : Online or Conference Room B110
  • 演講者簡介 : Dr. Liu received his Ph.D. in Economics from Lehigh University in 2020. He is currently the Postdoctoral Researcher at University of Pennsylvania. His research interests are Health Economics, Applied Econometrics, Public Policy Evaluation, and Application of Genetic Data in Economics. He is applying for a position of the Institute of Economics, Academia Sinica now.
  • 演講摘要 : This paper studies the effects of universal health insurance reform on health care supply by examining how the implementation of National Health Insurance (NHI) in Taiwan affected the structure of the hospital sector. The massive increase in insurance coverage increased demand but also greatly reduced price differentials among hospitals. We use regional differences in the proportion of uninsured elderly before the reform to identify how these consequences of the NHI affected hospitals. We find the reform resulted in a significant number of hospitals exiting, and that most of those exiting were small hospitals that offered fewer services and employed fewer doctors. Examination of the input choices and utilization rates of individual hospitals shows that large hospitals increased staffing levels and other inputs, and experienced higher utilization rates, while small hospitals did not. The results suggest that the introduction of universal insurance caused large hospitals to expand and prosper while small hospitals remained the same size or exited.