Does the Profitability of an Outpatient Surgery Influence Where it is Performed? A Look at Ambulatory Surgery Centers and Hospitals
34 Pages Posted: 26 Nov 2008 Last revised: 26 Feb 2010
Date Written: March 6, 2009
Abstract
Ambulatory Surgery Centers (ASCs) are small (typically physician owned) healthcare facilities that specialize in performing outpatient surgeries and therefore compete against hospitals for patients. Physicians who own ASCs could potentially treat their most profitable patients at their ASCs and less profitable patients at hospitals, reducing hospitals' profit. This paper asks if the profitability of an outpatient surgery impacts where a physician performs the surgery. Using data from the National Survey of Ambulatory Surgery, we find that higher profit surgeries do have a higher probability of receiving treatment at an ASC compared to a hospital. After controlling for the type of surgery performed, we find that a 10% increase in a surgery's profitability is associated with a 1 to 2 percentage point increase in the probability the surgery is performed at an ASC.
Keywords: Ambulatory Surgery Center, Ambulatory Surgical Center, ASC, Physician Ownership, Outpatient Surgery, Profit
JEL Classification: I11
Suggested Citation: Suggested Citation
Do you have negative results from your research you’d like to share?
Recommended Papers
-
Competition in Health Care Markets
By Martin Gaynor and Robert J. Town
-
Antitrust and Competition in Health Care Markets
By Martin Gaynor and William B. Vogt
-
Antitrust and Competition in Health Care Markets
By Martin Gaynor and William B. Vogt
-
Change, Consolidation, and Competition in Health Care Markets
By Martin Gaynor and Deborah Haas-wilson
-
Change, Consolidation, and Competition in Health Care Markets
By Martin Gaynor and Deborah Haas-wilson
-
Are Invisible Hands Good Hands? Moral Hazard, Competition, and the 2nd Best in Health Care Markets
By Martin Gaynor, Deborah Haas-wilson, ...
-
By Martin Gaynor, Deborah Haas-wilson, ...
-
By Martin Gaynor and William B. Vogt
-
By Martin Gaynor and William B. Vogt