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

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  • Cyrus Aghamolla
  • Pinar Karaca-Mandic
  • Xuelin Li
  • Richard T. Thakor

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.

Suggested Citation

  • Cyrus Aghamolla & Pinar Karaca-Mandic & Xuelin Li & Richard T. Thakor, 2024. "Merchants of Death: The Effect of Credit Supply Shocks on Hospital Outcomes," American Economic Review, American Economic Association, vol. 114(11), pages 3623-3668, November.
    • Handle: RePEc:aea:aecrev:v:114:y:2024:i:11:p:3623-68
    DOI: 10.1257/aer.20221705
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    References listed on IDEAS

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    More about this item

    JEL classification:

    • G21 - Financial Economics - - Financial Institutions and Services - - - Banks; Other Depository Institutions; Micro Finance Institutions; Mortgages
    • G32 - Financial Economics - - Corporate Finance and Governance - - - Financing Policy; Financial Risk and Risk Management; Capital and Ownership Structure; Value of Firms; Goodwill
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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