| 来源类型 | Working Paper
|
| 规范类型 | 报告
|
| DOI | 10.3386/w16859
|
| 来源ID | Working Paper 16859
|
| The Long-term Impact of Medicare Payment Reductions on Patient Outcomes |
| Vivian Y. Wu; Yu-Chu Shen
|
| 发表日期 | 2011-03-03
|
| 出版年 | 2011
|
| 语种 | 英语
|
| 摘要 | This study examines the long term impact of Medicare payment reductions on patient outcomes using a natural experiment - the Balance Budget Act (BBA) of 1997. We use predicted Medicare revenue changes due to BBA, with simulated BBA payment cuts as an instrument, to categorize hospitals by degrees of payment cuts (small, moderate, or large), and follow Medicare patient outcomes in these hospitals over a 11 year panel: 1995-1997 pre-BBA, 1998-2000 initial years of BBA, and 2001-2005 post-BBA years. We find that Medicare AMI mortality trends stay similar across hospitals when comparing between pre-BBA and initial-BBA periods. However, the trends began to diverge in 2001-2005: hospitals facing large payment cuts saw increased mortality rates relative to that of hospitals facing small cuts in the post-BBA period (2001-2005) after controlling for their pre-BBA trends. We find support that part of the higher AMI mortalities among large-cut hospitals are explained by reductions in staffing level and operating cost following the payment cuts. |
| 主题 | Health, Education, and Welfare
; Health
|
| URL | https://www.nber.org/papers/w16859
|
| 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/574533
|
推荐引用方式
GB/T 7714 |
Vivian Y. Wu,Yu-Chu Shen. The Long-term Impact of Medicare Payment Reductions on Patient Outcomes. 2011.
|
|
文件名：
|
w16859.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。
