全球智库信息集成服务系统(G2TT): Deterrence Effects of Antifraud and Abuse Enforcement in Health Care

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w27900
来源ID	Working Paper 27900
	Deterrence Effects of Antifraud and Abuse Enforcement in Health Care
	David H. Howard; Ian McCarthy
发表日期	2020-10-05
出版年	2020
语种	英语
摘要	Estimates of the benefits of antifraud enforcement in health care typically focus on direct monetary damages. Deterrence effects are acknowledged but unquantified. We evaluate the impact of a Department of Justice investigation of hospitals accused of billing Medicare for unnecessary implantable cardiac defibrillator (ICD) procedures on their use. Using 100% inpatient and outpatient procedure data from Florida, we estimate that the investigation caused a 22% decline in unnecessary ICD implantations. The present value of savings nationally over a 10 year period is $2.7 billion, nearly 10 times larger than the $280 million in settlements the Department of Justice recovered from hospitals. The investigation had a large and long-lasting effect on physician behavior, indicating the utility of antifraud enforcement as a tool for reducing wasteful medical care.
主题	Health, Education, and Welfare ; Health ; Other ; Law and Economics
URL	https://www.nber.org/papers/w27900
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/585573
推荐引用方式 GB/T 7714	David H. Howard,Ian McCarthy. Deterrence Effects of Antifraud and Abuse Enforcement in Health Care. 2020.

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
w27900.pdf（418KB）	智库出版物		限制开放	CC BY-NC-SA	浏览