Document Type

Article

Publication Date

3-2017

Publication Title

Southern Economic Journal

Volume

83

Issue

4

Publisher

Southern Economic Association

Abstract

The medical community argues that physician fear of legal liability increases health care spending. Theoretically, though, the effect could be positive or negative, and empirical evidence has supported both cases. Previous studies, however, have ignored the fact that physicians face risk from industry oversight groups like state-level medical licensing boards in addition to civil litigation risk. This article addresses this omission by incorporating previously unused data on punishments by oversight groups against physicians, known as adverse actions, along with malpractice payments data to study state-level health care spending. My analysis suggests that, contrary to conventional wisdom, spending does not rise in response to increased risk. An increase in adverse actions of 16 (the year-to-year average) is associated with statistically significant, annual decreases in state spending on hospital care of approximately $22 million, and on prescription drugs of nearly $10 million. Malpractice payments are estimated to have smaller, statistically insignificant effects.

Comments

This manuscript has been published in the Southern Economic Journal. Please find the published version here (note that a subscription is necessary to access this version):

http://onlinelibrary.wiley.com/doi/10.1002/soej.12201/abstract

Download

Share

COinS