Document Type

Working Paper

Publication Date



College of Business and Economics

Document Number





We test the hypothesis that the opening of an Urgent Care Center (UCC) has positive impacts on the local community. There are several mechanisms through which a UCC can have an impact: lower health care costs, emergency room decongestion, and improved access to medical information. We examine the entry of MedExpress into Appalachian counties between 2001 and 2013. Employing data from Health Resources Files, which provides information for all counties for specific years, we use Propensity Score Matching to create a year 2000 control group for the counties “treated” by MedExpress entry beginning in 2001. We then employ a standard difference-in-difference model on an unbalanced panel between 2001 and 2013. Our results suggest that MedExpress has a positive impact on different health outcome variables.

Source Citation

Published as: Amir Borges Ferreira Neto and Joshua Hall, “The Effect of Health Care Entrepreneurship on Local Health: The Case of MedExpress in Appalachia,” Journal of Regional Analysis and Policy 48(2) 2018: 23-31.