G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w1633
来源IDWorking Paper 1633
Hospital Cost and Efficiency Under Per Service and Per Case Payment in Maryland: A Tale of the Carrot and the Stick
David S. Salkever; Donald M. Steinwachs; Agnes Rupp
发表日期1985-06-01
出版年1985
语种英语
摘要The simultaneous operation of per case and per servicepayment systems in Maryland, and the varying levels of stringency used in setting per case rates allows comparison of effects of differing incentive structures on hospital costs. This paper presents such a comparison with 1977-1981 data. Cost per case and total cost regressions show evidence of lower costs only when per case payment limits are very stringent. Positive net revenue incentives appear insufficient to induce reductions in length of stay and in ancillary services use. Our results suggest these changes in medical practice patterns are more likely under the threat of financial losses.
主题Public Economics
URLhttps://www.nber.org/papers/w1633
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/558876
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David S. Salkever,Donald M. Steinwachs,Agnes Rupp. Hospital Cost and Efficiency Under Per Service and Per Case Payment in Maryland: A Tale of the Carrot and the Stick. 1985.
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