Papers by Charles Courtemanche
Ambulatory Surgery Centers (ASCs) are small (typically physician owned) healthcare facilities tha... more Ambulatory Surgery Centers (ASCs) are small (typically physician owned) healthcare facilities that specialize in performing outpatient surgeries and therefore compete against hospitals for patients who require those services. Since ASCs perform a limited range of services in comparison to a hospital, it is unclear how large an impact an ASC entering into a hospital’s market would have on that hospital.
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Ambulatory surgery centers (ASCs) are small (typically physician owned) healthcare facilities tha... more Ambulatory surgery centers (ASCs) are small (typically physician owned) healthcare facilities that specialize in performing outpatient surgeries and therefore compete against hospitals for patients. Physicians who own ASCs could treat their most profitable patients at their ASCs and less profitable patients at hospitals. This paper asks if the profitability of an outpatient surgery impacts where a physician performs the surgery.
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The Home Owners’ Loan Corporation purchased more than a million delinquent mortgages from private... more The Home Owners’ Loan Corporation purchased more than a million delinquent mortgages from private lenders between 1933 and 1936 and refinanced the loans for the borrowers. Its primary goal was to break the cycle of foreclosure, forced property sales and decreases in home values that was affecting local housing markets throughout the nation. We find that HOLC loans were targeted
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Since Brazil&... more Since Brazil's adoption of universal health care in 1988, the country's health care system has consisted of a mix of private providers and free public providers. We test whether income-based disparities in medical visits and medications remain in Brazil despite universal coverage using a nationally representative sample of over 48,000 households. Additional income is associated with less public sector utilisation and more private sector utilisation, both using simple correlations and regressions controlling for household characteristics and local area fixed effects. Importantly, the increase in private care use is greater than the drop in public care use. Also, income and unmet medical needs are negatively associated. These results suggest that access limitations remain for low-income households despite the availability of free public care.
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SSRN Electronic Journal, 2000
Electronic copy available at: http://ssrn.com/abstract=1306577 ... Does the Profitability of an O... more Electronic copy available at: http://ssrn.com/abstract=1306577 ... Does the Profitability of an Outpatient Surgery Influence where it is ... Performed? A Look at Ambulatory Surgery Centers and Hospitals ... Abt Associates Inc. 55 Wheeler St., Cambridge, MA 02138-1168, United ...
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SSRN Electronic Journal, 2000
... Three main principles of universality, integrality, and decentralization guide the system. ..... more ... Three main principles of universality, integrality, and decentralization guide the system. ... visits, and private medical expenditures that persists even after including demographic, health, living condition, and religion controls as well as state or local area fixed effects. ...
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The Journal of Economic History, 2011
The Home Owners’ Loan Corporation purchased more than a million delinquent mortgages from private... more The Home Owners’ Loan Corporation purchased more than a million delinquent mortgages from private lenders between 1933 and 1936 and refinanced the loans for the borrowers. Its primary goal was to break the cycle of foreclosure, forced property sales and decreases in home values that was affecting local housing markets throughout the nation. We find that HOLC loans were targeted
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Journal of Health Economics, 2010
This paper estimates the effect of ambulatory surgical centers (ASCs) on hospital surgical volume... more This paper estimates the effect of ambulatory surgical centers (ASCs) on hospital surgical volume using hospital and year fixed effects models with several robustness checks. We show that ASC entry only appears to influence a hospital's outpatient surgical volume if the facilities are within a few miles of each other. Even then, the average reduction in hospital volume is only 2-4%, which is not nearly large enough to offset the new procedures performed by an entering ASC. The effect is, however, stronger for large ASCs and the first ASCs to enter a market. Additionally, we find no evidence that entering ASCs reduce a hospital's inpatient surgical volume.
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Journal of Health Economics, 2009
Economists have begun to debate if the rise in cigarette prices in the U.S. in recent decades has... more Economists have begun to debate if the rise in cigarette prices in the U.S. in recent decades has contributed to the nation's rise in obesity, reaching conclusions that are surprisingly sensitive to specification. I show that allowing for the effect to occur gradually over several years leads to the conclusion that a rise in cigarette prices is actually associated with a long-run reduction in body mass index and obesity. This result is robust to the different methodologies used in the literature. I also provide evidence that indirect effects on exercise and food consumption may explain the counterintuitive result.
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Health Economics, 2011
Ambulatory surgery centers (ASCs) are small (typically physician owned) healthcare facilities tha... more Ambulatory surgery centers (ASCs) are small (typically physician owned) healthcare facilities that specialize in performing outpatient surgeries and therefore compete against hospitals for patients. Physicians who own ASCs could treat their most profitable patients at their ASCs and less profitable patients at hospitals. This paper asks if the profitability of an outpatient surgery impacts where a physician performs the surgery. Using a sample of Medicare patients from the National Survey of Ambulatory Surgery, we find that higher profit surgeries do have a higher probability of being performed at an ASC compared to a hospital. After controlling for surgery type, a 10% increase in a surgery's profitability is associated with a 1.2 to 1.4 percentage point increase in the probability the surgery is performed at an ASC.
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Forum for Health Economics & Policy, 2000
... Fax: (336)334-4089. I am grateful to Sebastian Galiani, Daifeng He, Ed-ward Greenberg, Michae... more ... Fax: (336)334-4089. I am grateful to Sebastian Galiani, Daifeng He, Ed-ward Greenberg, Michael Grossman, Patrick McAlvanah, Jeremy Meiners, Charles Moul, Donald Nichols, Bruce Petersen,Michael Plotzke, Paul Rothstein, and Chris Ruhm for valuable sugges-tions. ...
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Economic Inquiry, 2011
I find evidence of a negative association between gasoline prices and body weight using a fixed e... more I find evidence of a negative association between gasoline prices and body weight using a fixed effects model with several robustness checks. I also show that increases in gas prices are associated with additional walking and a reduction in the frequency with which people eat at restaurants, explaining their effect on weight. My estimates imply that 8% of the rise in obesity between 1979 and 2004 can be attributed to the concurrent drop in real gas prices, and that a permanent $1 increase in gasoline prices would reduce overweight and obesity in the United States by 7% and 10%.
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... dis-sertation: Jeanne Boeh, Art Carden, Barton Hamilton, Jeremy Jackson, Edward Greenberg,Mic... more ... dis-sertation: Jeanne Boeh, Art Carden, Barton Hamilton, Jeremy Jackson, Edward Greenberg,Michael Greenstone, Michael Grossman, Daifeng He, Matthew Kahn, Patrick McAlvanah, Nicholas McKinney, Jeremy Meiners, Bruce Petersen, Michael Plotzke, Ramesh Raghavan ...
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Ambulatory Surgery Centers (ASCs) are small (typically physician owned) healthcare facilities tha... more Ambulatory Surgery Centers (ASCs) are small (typically physician owned) healthcare facilities that specialize in performing outpatient surgeries and therefore compete against hospitals for patients who require those services. Since ASCs perform a limited range of services in comparison to a hospital, it is unclear how large an impact an ASC entering into a hospital’s market would have on that hospital.
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... Three main principles of universality, integrality, and decentralization guide the system. ..... more ... Three main principles of universality, integrality, and decentralization guide the system. ... visits, and private medical expenditures that persists even after including demographic, health, living condition, and religion controls as well as state or local area fixed effects. ...
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Work hours may affect obesity if reduced leisure time decreases exercise and causes substitution ... more Work hours may affect obesity if reduced leisure time decreases exercise and causes substitution from meals prepared at home to fast food and pre-prepared processed food. Additional work by adults may also impact child weight by reducing parental supervision. I find that a rise in work hours increases one's weight and, to a lesser extent, the weight of one's spouse.
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Papers by Charles Courtemanche