The effects of physician retirement on patient outcomes: Anticipation and disruption
The physician retirement rate in the United States is increasing as the population ages. I use an event study model allowing for anticipation to evaluate the effects of primary care physician (PCP) retirement on elderly adults’ health care utilization and quality of care. I find that, despite modera...
Saved in:
Main Author: | |
---|---|
Format: | text |
Language: | English |
Published: |
Institutional Knowledge at Singapore Management University
2022
|
Subjects: | |
Online Access: | https://ink.library.smu.edu.sg/soe_research/2593 https://ink.library.smu.edu.sg/context/soe_research/article/3592/viewcontent/JMP_JPubE_RR2021_round2.pdf |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Institution: | Singapore Management University |
Language: | English |
id |
sg-smu-ink.soe_research-3592 |
---|---|
record_format |
dspace |
spelling |
sg-smu-ink.soe_research-35922022-03-07T01:37:59Z The effects of physician retirement on patient outcomes: Anticipation and disruption ZHANG, Xuan The physician retirement rate in the United States is increasing as the population ages. I use an event study model allowing for anticipation to evaluate the effects of primary care physician (PCP) retirement on elderly adults’ health care utilization and quality of care. I find that, despite moderate anticipatory effects, PCP retirement results in an approximately $572 increase in total Medicare costs per beneficiary in the first 1.5 years post-retirement and an over 10% increase in detection of new chronic conditions. Heterogeneity analyses show that the increase in costs is disproportionately driven by the retirement of solo practitioners; Medicare beneficiaries with a retired PCP practicing in states with mandatory physician departure notice experience less disruption in care; and beneficiaries living in primary care health professional shortage areas experience greater disruption in care. 2022-03-01T08:00:00Z text application/pdf https://ink.library.smu.edu.sg/soe_research/2593 info:doi/10.1016/j.jpubeco.2022.104603 https://ink.library.smu.edu.sg/context/soe_research/article/3592/viewcontent/JMP_JPubE_RR2021_round2.pdf http://creativecommons.org/licenses/by-nc-nd/4.0/ Research Collection School Of Economics eng Institutional Knowledge at Singapore Management University Medicare Physician retirement Health care utilization Quality of care Anticipatory effect Health Economics |
institution |
Singapore Management University |
building |
SMU Libraries |
continent |
Asia |
country |
Singapore Singapore |
content_provider |
SMU Libraries |
collection |
InK@SMU |
language |
English |
topic |
Medicare Physician retirement Health care utilization Quality of care Anticipatory effect Health Economics |
spellingShingle |
Medicare Physician retirement Health care utilization Quality of care Anticipatory effect Health Economics ZHANG, Xuan The effects of physician retirement on patient outcomes: Anticipation and disruption |
description |
The physician retirement rate in the United States is increasing as the population ages. I use an event study model allowing for anticipation to evaluate the effects of primary care physician (PCP) retirement on elderly adults’ health care utilization and quality of care. I find that, despite moderate anticipatory effects, PCP retirement results in an approximately $572 increase in total Medicare costs per beneficiary in the first 1.5 years post-retirement and an over 10% increase in detection of new chronic conditions. Heterogeneity analyses show that the increase in costs is disproportionately driven by the retirement of solo practitioners; Medicare beneficiaries with a retired PCP practicing in states with mandatory physician departure notice experience less disruption in care; and beneficiaries living in primary care health professional shortage areas experience greater disruption in care. |
format |
text |
author |
ZHANG, Xuan |
author_facet |
ZHANG, Xuan |
author_sort |
ZHANG, Xuan |
title |
The effects of physician retirement on patient outcomes: Anticipation and disruption |
title_short |
The effects of physician retirement on patient outcomes: Anticipation and disruption |
title_full |
The effects of physician retirement on patient outcomes: Anticipation and disruption |
title_fullStr |
The effects of physician retirement on patient outcomes: Anticipation and disruption |
title_full_unstemmed |
The effects of physician retirement on patient outcomes: Anticipation and disruption |
title_sort |
effects of physician retirement on patient outcomes: anticipation and disruption |
publisher |
Institutional Knowledge at Singapore Management University |
publishDate |
2022 |
url |
https://ink.library.smu.edu.sg/soe_research/2593 https://ink.library.smu.edu.sg/context/soe_research/article/3592/viewcontent/JMP_JPubE_RR2021_round2.pdf |
_version_ |
1770576153311969280 |