Sources of Geographic Variation in Health Care: Evidence From Patient Migration
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Williams_Sources of geographic.pdf
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Author(s) • • • •
Finkelstein, Amy
Gentzkow, Matthew
Williams, Heidi
Gentzkow, Matthew A.
Williams, Heidi L
Date Issued
July 2016
Journal
The Quarterly Journal of Economics
Publisher
Oxford University Press
Citation
Finkelstein, Amy, Matthew Gentzkow, and Heidi Williams. “Sources of Geographic Variation in Health Care: Evidence From Patient Migration.” The Quarterly Journal of Economics (July 19, 2016): qjw023.
Version
Author's final manuscript
Abstract
We study the drivers of geographic variation in U.S. health care utilization, using an empirical strategy that exploits migration of Medicare patients to separate the role of demand and supply factors. Our approach allows us to account for demand differences driven by both observable and unobservable patient characteristics. Within our sample of over-65 Medicare beneficiaries, we find that 40–50% of geographic variation in utilization is attributable to demand-side factors, including health and preferences, with the remainder due to place-specific supply factors.
MIT Department
Massachusetts Institute of Technology. Department of Economics
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Creative Commons Attribution-Noncommercial-Share Alike
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DOI of Published Version
https://doi.org/10.1093/qje/qjw023