Is more information better? The effects of "Report Cards" on health care providers

David Dranove*, Daniel Kessler, Mark McClellan, Mark Satterthwaite

*Corresponding author for this work

Research output: Contribution to journalArticle

346 Scopus citations

Abstract

Health care report cards-public disclosure of patient health outcomes at the level of the individual physician or hospital or both-may address important informational asymmetries in markets for health care, but they may also give doctors and hospitals incentives to decline to treat more difficult, severely ill patients. Whether report cards are good for patients and for society depends on whether their financial and health benefits outweigh their costs in terms of the quantity, quality, and appropriateness of medical treatment that they induce. Using national data on Medicare patients at risk for cardiac surgery, we find that cardiac surgery report cards in New York and Pennsylvania led both to selection behavior by providers and to improved matching of patients with hospitals. On net, this led to higher levels of resource use and to worse health outcomes, particularly for sicker patients. We conclude that, at least in the short run, these report cards decreased patient and social welfare.

Original languageEnglish (US)
Pages (from-to)555-588
Number of pages34
JournalJournal of Political Economy
Volume111
Issue number3
DOIs
StatePublished - Jun 1 2003

ASJC Scopus subject areas

  • Economics and Econometrics

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