G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w21654
来源IDWorking Paper 21654
Effects of Payment Reform in More versus Less Competitive Markets
Neeraj Sood; Abby Alpert; Kayleigh Barnes; Peter Huckfeldt; Jose Escarce
发表日期2015-10-26
出版年2015
语种英语
摘要Policymakers are increasingly interested in reducing healthcare costs and inefficiencies through innovative payment strategies. These strategies may have heterogeneous impacts across geographic areas, potentially reducing or exacerbating geographic variation in healthcare spending. In this paper, we exploit a major payment reform for home health care to examine whether reductions in reimbursement lead to differential changes in treatment intensity and provider costs depending on the level of competition in a market. Using Medicare claims, we find that while providers in more competitive markets had higher average costs in the pre-reform period, these markets experienced larger proportional reductions in treatment intensity and costs after the reform relative to less competitive markets. This led to a convergence in spending across geographic areas. We find that much of the reduction in provider costs is driven by greater exit of “high-cost” providers in more competitive markets.
主题Microeconomics ; Households and Firms ; Market Structure and Distribution ; Welfare and Collective Choice ; Health, Education, and Welfare ; Health ; Industrial Organization ; Firm Behavior
URLhttps://www.nber.org/papers/w21654
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/579329
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GB/T 7714
Neeraj Sood,Abby Alpert,Kayleigh Barnes,et al. Effects of Payment Reform in More versus Less Competitive Markets. 2015.
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