Date of Award

Spring 5-6-2021

Document Type


Degree Name

Master of Arts (MA)



First Advisor

Partha Deb

Second Advisor

Kenneth Mclaughlin

Academic Program Adviser

Karna Basu


Effective 10/01/2014, the HAC Reduction Program was implemented by CMS. Using 2015-2017 hospital-level data, this paper measures the effects of this Program on hospital days, discharges, revenues, costs, and service performance. I find penalized hospitals barely improved healthcare performance; meanwhile they increased patients numbers by 12.0% to cover penalties received.



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