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Health Care Reform and Workers' Compensation

Evidence from Massachusetts

Bibliographic Data

ID4961007
AuthorsErin Todd Bronchetti (0000-0002-3542-9347, Erin Todd Bronchetti is an Associate Professor in the Department of Economics at Swarthmore College), Melissa P Mcinerney (Melissa P. McInerney is an Associate Professor in the Department of Economics at Tufts University), Melissa Mcinerney (0000-0002-3064-8313, Swarthmore College, corresponding author)
Year2021
Volume74
Issue2
Pages388-418
Publication date2021-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueIndustrial and Labor Relations Review (JOURNAL)
Journal identifiersISSN: 0019-7939 • E-ISSN: 2162-271X
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/0019793919891425
OpenAlexW2991933653
ISBN9793919891425
LanguageEN
References cited21

The authors provide evidence of important spillover effects of comprehensive health care reform on workers' compensation (WC) that are likely to reduce WC costs. Using data on more than 20 million emergency room (ER) discharges in Massachusetts and three comparison states, they find that Massachusetts health care reform caused a 6.2 to 8.2% decrease in the per capita number of ER discharges billed to WC. The authors document heterogeneity in the impacts of the reform, shedding light on the mechanisms generating the overall decline in ER discharges billed to WC. Results indicate a larger decrease in WC claiming for weekday admissions than for weekend admissions and for harder-to-verify musculoskeletal discharges than for wounds. The decline in WC discharges is driven both by injured workers increasingly seeking care outside of the ER and by changes in the propensity to bill WC for a given ER discharge

Business · Compensation (psychology) · Demographic economics · Economic growth · Economics · Emergency department · Environmental health · Health care · Health care reform · Per capita · Spillover effect · Emergency and Acute Care Studies · Healthcare Policy and Management · Medicine · Nursing · Patient Satisfaction in Healthcare · Psychology · Health Policy

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Citation velocityhistorical
Highly citedNo

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