Do Urgent Care Centers Reduce Medicare Spending?

Janet Currie, Anastasia Karpova and Dan Zeltzer

No 29047, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: We examine the impact of the opening of a new urgent care center (UCC) on health care costs and the utilization of care among nearby Medicare beneficiaries. We focus on 2006–2016, a period of rapid UCC expansion. We find that total Medicare spending rises when residents of a zip code are first served by a UCC, relative to spending in yet-to-be-served zip codes, while mortality remains flat. We explore mechanisms by looking at categories of spending and by examining utilization. Increases in inpatient visits are the largest contributor to the overall increase in spending, rising by 6.65 percent within six years after UCC entry. The number of emergency room visits that result in a hospital admission also increases by 3.7 percent. In contrast, there is no change in the number of ER visits that do not result in admission to hospital, in visits to physicians outside a UCC, or in imaging and tests. Overall, these results provide little evidence that UCCs replace costly ER visits or that they crowd out visits to patients' regular doctors. Instead, the evidence is consistent with the possibility that UCCs—which are increasingly owned by or contract with hospital systems—induce greater spending on hospital care.

JEL-codes: I1 I11 (search for similar items in EconPapers)
Date: 2021-07
New Economics Papers: this item is included in nep-hea, nep-ias and nep-isf
Note: AG EH
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Published as Janet Currie & Anastasia Karpova & Dan Zeltzer, 2023. "Do urgent care centers reduce medicare spending?," Journal of Health Economics, .

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Journal Article: Do urgent care centers reduce Medicare spending? (2023)
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