Is There a VA Advantage? Evidence from Dually Eligible Veterans

David C. Chan, David Card and Lowell Taylor

American Economic Review, 2023, vol. 113, issue 11, 3003-43

Abstract: We study public versus private provision of health care for veterans aged 65 and older who may receive care provided by the US Department of Veterans Affairs (VA) and in private hospitals financed by Medicare. Utilizing the ambulance design of Doyle et al. (2015), we find that the VA reduces 28-day mortality by 46 percent (4.5 percentage points) and that these survival gains are persistent. The VA also reduces 28-day spending by 21 percent and delivers strikingly different reported services relative to private hospitals. We find suggestive evidence of complementarities between continuity of care, health IT, and integrated care.

JEL-codes: H51 I11 I12 I18 J14 (search for similar items in EconPapers)
Date: 2023
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DOI: 10.1257/aer.20211638

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