| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w21654 |
| 来源ID | Working 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 |
| URL | https://www.nber.org/papers/w21654 |
| 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/579329 |
| 推荐引用方式 GB/T 7714 | Neeraj Sood,Abby Alpert,Kayleigh Barnes,et al. Effects of Payment Reform in More versus Less Competitive Markets. 2015. |
| 条目包含的文件 | 条目无相关文件。 | |||||
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