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American Economic Review Vol. 114 No. 11 2024

Merchants of Death: The Effect of Credit Supply Shocks on Hospital Outcomes

Cyrus Aghamolla1; Pinar Karaca‐Mandic2; Xuelin Li3; Richard T. Thakor4

1 Rice University (email: ) · 2 University of Minnesota and NBER (email: ) · 3 Columbia University (email: ) · 4 University of Minnesota and MIT LFE (email: )

Abstract

This study examines the link between credit supply and hospital health outcomes. We use bank stress tests as exogenous shocks to credit access for hospitals that have lending relationships with tested banks. We find that affected hospitals shift their operations to increase resource utilization following a negative credit shock but reduce the quality of their care to patients across a variety of measures, including a significant increase in risk-adjusted readmission and mortality rates. The results indicate that access to credit can affect the quality of health care hospitals deliver, pointing to important spillover effects of credit market frictions on health outcomes.

DOI
10.1257/aer.20221705
Volume
114
Issue
11
Pages
3623-3668
Language
en
Sources
bibtex:phds-export.bib openalex crossref

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