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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w29023 |
来源ID | Working Paper 29023 |
Regulated Revenues and Hospital Behavior: Evidence from a Medicare Overhaul | |
Tal Gross; Adam Sacarny; Maggie Shi; David Silver | |
发表日期 | 2021-07-19 |
出版年 | 2021 |
语种 | 英语 |
摘要 | We study a 2008 policy reform in which Medicare revised its hospital payment system to better reflect patients' severity of illness. We construct a simulated instrument that predicts a hospital's policy-induced change in reimbursement using pre-reform patients and post-reform rules. The reform led to large persistent changes in Medicare payment rates across hospitals. Hospitals that faced larger gains in Medicare reimbursement increased the volume of Medicare patients they treated. The estimates imply a volume elasticity of 1.2. To accommodate greater volume, hospitals increased nurse employment, but also lowered length of stay, with ambiguous effects on quality. |
主题 | Health, Education, and Welfare ; Health |
URL | https://www.nber.org/papers/w29023 |
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/586697 |
推荐引用方式 GB/T 7714 | Tal Gross,Adam Sacarny,Maggie Shi,et al. Regulated Revenues and Hospital Behavior: Evidence from a Medicare Overhaul. 2021. |
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 | ||
w29023.pdf(374KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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