After Midnight: A Regression Discontinuity Design in Length of Postpartum Hospital Stays

Author:

Almond Douglas1,Doyle Joseph J2

Affiliation:

1. Department of Economics, SIPA & NBER, Columbia University, 420 West 118th Street (MC 3308), New York, NY 10027.

2. Sloan School of Management & NBER, Massachusetts Institute of Technology, 77 Massachusetts Avenue, E62-515, Cambridge, MA 02139.

Abstract

Estimates of moral hazard in health insurance markets can be confounded by adverse selection. This paper considers a plausibly exogenous source of variation in insurance coverage for childbirth in California. We find that additional health insurance coverage induces substantial extensions in length of hospital stay for mother and newborn. However, remaining in the hospital longer has no effect on readmissions or mortality, and the estimates are precise. Our results suggest that for uncomplicated births, minimum insurance mandates incur substantial costs without detectable health benefits. (JEL D82, G22, I12, I18, J13)

Publisher

American Economic Association

Subject

General Economics, Econometrics and Finance

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