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The effects of physician retirement on patient outcomes: Anticipation and disruption

Xuan Zhang

Journal of Public Economics, 2022, vol. 207, issue C

Abstract: 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.

Keywords: Medicare; Physician retirement; Health care utilization; Quality of care; Anticipatory effect (search for similar items in EconPapers)
JEL-codes: H51 I11 I12 J14 J26 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (5)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:pubeco:v:207:y:2022:i:c:s0047272722000056

DOI: 10.1016/j.jpubeco.2022.104603

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