| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w29491 |
| 来源ID | Working Paper 29491 |
| Ambulance Taxis: The Impact of Regulation and Litigation on Health Care Fraud | |
| Paul J. Eliason; Riley J. League; Jetson Leder-Luis; Ryan C. McDevitt; James W. Roberts | |
| 发表日期 | 2021-11-22 |
| 出版年 | 2021 |
| 语种 | 英语 |
| 摘要 | We study the relative effectiveness of administrative regulations, criminal enforcement, and civil lawsuits for combatting health care fraud. Between 2003 and 2017, Medicare spent $7.7 billion on 37.5 million regularly scheduled, non-emergency ambulance rides for patients traveling to and from dialysis facilities, with dozens of lawsuits alleging that Medicare reimbursed rides for patients who did not meet the requirements for receiving one. Using a novel data set and an identification strategy based on the staggered timing of regulations and lawsuits across the United States, we find that a regulation requiring prior authorization for ambulance reimbursements reduced spending much more than criminal and civil lawsuits did. Despite the sharp drop in both ambulance transports and the companies that provide them following prior authorization, patients’ health outcomes did not change, indicating that most rides were not medically necessary. Our results suggest that administrative actions have a much larger impact than targeted criminal enforcement, providing novel evidence that regulations may be more cost-effective than ex post ligation for preventing health care fraud. |
| 主题 | Microeconomics ; Households and Firms ; Welfare and Collective Choice ; Public Economics ; Public Goods ; Health, Education, and Welfare ; Health ; Other ; Law and Economics |
| URL | https://www.nber.org/papers/w29491 |
| 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/587165 |
| 推荐引用方式 GB/T 7714 | Paul J. Eliason,Riley J. League,Jetson Leder-Luis,et al. Ambulance Taxis: The Impact of Regulation and Litigation on Health Care Fraud. 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 | ||
| w29491.pdf（1160KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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