G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w9972
来源IDWorking Paper 9972
How Do Hospitals Respond to Price Changes?
Leemore S. Dafny
发表日期2003-09-22
出版年2003
语种英语
摘要This paper investigates whether hospitals respond in profit-maximizing ways to changes in diagnosis-specific prices determined by Medicare's Prospective Payment System and other public and private insurers. Previous studies have been unable to isolate this response because changes in reimbursement amounts (prices) are typically endogenous: they are adjusted to reflect changes in hospital costs. I exploit an exogenous 1988 policy change that generated large price changes for 43 percent of all Medicare admissions. I find that hospitals responded to these price changes by upcoding' patients to diagnosis codes associated with large reimbursement increases, garnering $330-$425 million in extra reimbursement annually. This response was particularly strong among for-profit hospitals. With the important exception of elective diagnoses, I find little evidence that hospitals increased the intensity of care in diagnoses subject to price increases, where intensity is measured by total costs, length of stay, number of surgical procedures, and number of intensive-care-unit days. Neither did hospitals increase the volume of patients admitted to more remunerative diagnoses, notwithstanding the strong a priori expectation that such a response should prevail in fixed-price settings. Taken together, these findings suggest that, for the most part, hospitals do not alter their treatment or admissions policies based on diagnosis-specific prices; however they employ sophisticated coding strategies in order to maximize total reimbursement. The results also suggest that models of quality competition among hospitals may be inappropriate at the level of specific diagnoses ( products').
主题Public Economics ; Health, Education, and Welfare
URLhttps://www.nber.org/papers/w9972
来源智库National Bureau of Economic Research (United States)
引用统计
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/567597
推荐引用方式
GB/T 7714
Leemore S. Dafny. How Do Hospitals Respond to Price Changes?. 2003.
条目包含的文件
文件名称/大小 资源类型 版本类型 开放类型 使用许可
w9972.pdf(461KB)智库出版物 限制开放CC BY-NC-SA浏览
个性服务
推荐该条目
保存到收藏夹
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Leemore S. Dafny]的文章
百度学术
百度学术中相似的文章
[Leemore S. Dafny]的文章
必应学术
必应学术中相似的文章
[Leemore S. Dafny]的文章
相关权益政策
暂无数据
收藏/分享
文件名: w9972.pdf
格式: Adobe PDF
此文件暂不支持浏览

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。