Do Bad Report Cards Have Consequences? Impacts of Publicly Reported Provider Quality Information on the Cabg Market in Pennsylvania

50 Pages Posted: 26 Jul 2010 Last revised: 31 Jul 2010

See all articles by Justin Wang

Justin Wang

Worcester Polytechnic Institute (WPI)

Jason Hockenberry

Emory University

Shin-Yi Chou

Lehigh University - Department of Economics; National Bureau of Economic Research (NBER)

Muzhe Yang

Lehigh University - Department of Economics

Date Written: July 2010

Abstract

Since 1992, the Pennsylvania Health Care Cost Containment Council (PHC4) has published cardiac care report cards for coronary artery bypass graft (CABG) surgery providers. We examine the impact of CABG report cards on a provider's aggregate volume and volume by patient severity and then employ a mixed logit model to investigate the matching between patients and providers. We find a reduction in volume of poor performing and unrated surgeons' volume but no effect on more highly rated surgeons or hospitals of any rating. We also find that the probability that patients, regardless of severity of illness, receive CABG surgery from low-performing surgeons is significantly lower.

Suggested Citation

Wang, Justin and Hockenberry, Jason and Chou, Shin-Yi and Yang, Muzhe, Do Bad Report Cards Have Consequences? Impacts of Publicly Reported Provider Quality Information on the Cabg Market in Pennsylvania (July 2010). NBER Working Paper No. w16225. Available at SSRN: https://ssrn.com/abstract=1648025

Justin Wang

Worcester Polytechnic Institute (WPI) ( email )

100 Institute Road
Worcester, MA 01609
United States

Jason Hockenberry

Emory University ( email )

201 Dowman Drive
Atlanta, GA 30322
United States

Shin-Yi Chou

Lehigh University - Department of Economics ( email )

620 Taylor Street
Bethlehem, PA 18015
United States

National Bureau of Economic Research (NBER) ( email )

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

Muzhe Yang

Lehigh University - Department of Economics ( email )

621 Taylor Street
Bethlehem, PA 18015
United States

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