The Impact of Tort Reform, Medicare Plan Choice, and Geography on Health Care Processes, Outcomes, and Expenditures

by Daniel A. Waxman

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This dissertation, in a three paper format, explores structural determinants of health care processes, outcomes, and expenditures. The first paper examines the influence of the legal environment on emergency medical care. The second and third papers examine variation in home health care outcomes and utilization according to type of Medicare coverage and across geographic regions.

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This document was submitted as a dissertation in October 2013 in partial fulfillment of the requirements of the doctoral degree in public policy analysis at the Pardee RAND Graduate School. The faculty committee that supervised and approved the dissertation consisted of Jeffrey Wasserman (Chair), David Ganz, and Emmett Keeler.

This report is part of the RAND Corporation Dissertation series. Pardee RAND dissertations are produced by graduate fellows of the Pardee RAND Graduate School, the world's leading producer of Ph.D.'s in policy analysis. The dissertations are supervised, reviewed, and approved by a Pardee RAND faculty committee overseeing each dissertation.

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