Healthcare Provider Bankruptcies

Samuel Antill, Jessica Bai, Ashvin Gandhi and Adrienne Sabety

No 33763, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: Healthcare firms are filing for Chapter 11 bankruptcy at record rates. We find that bankruptcies increase healthcare staff turnover, worsen care, and harm patients. Using a difference-in- differences design, we estimate that a bankruptcy filing immediately increases staff turnover and worsens the firm’s performance on unannounced inspections. Next, using a patient- distance-to-facility instrument, we document that bankruptcies harm patients through increases in hospitalizations, physical restraints, and bedsores. Finally, we employ a randomized survey experiment of nursing home staff to confirm that bankruptcy filings increase voluntary departures and that replacement workers harm patients.

JEL-codes: I11 (search for similar items in EconPapers)
Date: 2025-05
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Note: EH
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