Market segmentation by profit status: evidence from hospice

作者：David A Rosenkranz, Lindsay White, Chuxuan Sun, Katherine Miller, Norma B. Coe · 发表于：Health Affairs Scholar · 年份：2024 · DOI：10.1093/haschl/qxae160 · 被引用次数：3 · 研究领域：Healthcare Policy and Management、Names, Identity, and Discrimination Research、Insurance and Financial Risk Management

How do referral networks and medical conditions determine where patients get care? We study this question in the US Hospice Industry, where for-profit hospice programs enroll more long-term care patients and more patients with Alzheimer's disease and related dementia. We find that for-profit hospice enrollees have 23% longer lifetime lengths-of-stay in hospice care than not for-profit hospice enrollees with the same medical conditions, institutional referral source, county of residence, and enrollment year. This and other differences in their end-of-life health care utilization suggest that hospice market segmentation is the result of a patient-specific selection mechanism that is partially independent of institutional barriers to hospice care.