G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w29023
来源IDWorking 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
URLhttps://www.nber.org/papers/w29023
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/586697
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GB/T 7714
Tal Gross,Adam Sacarny,Maggie Shi,et al. Regulated Revenues and Hospital Behavior: Evidence from a Medicare Overhaul. 2021.
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