How much do hospitals cost shift? A review of the evidence
AB Frakt - The Milbank Quarterly, 2011 - Wiley Online Library
Context: Hospital cost shifting—charging private payers more in response to shortfalls in
public payments—has long been part of the debate over health care policy. Despite the …
public payments—has long been part of the debate over health care policy. Despite the …
Activity-based funding of hospitals and its impact on mortality, readmission, discharge destination, severity of illness, and volume of care: a systematic review and meta …
Background Activity-based funding (ABF) of hospitals is a policy intervention intended to re-
shape incentives across health systems through the use of diagnosis-related groups. Many …
shape incentives across health systems through the use of diagnosis-related groups. Many …
Upcoding: evidence from Medicare on squishy risk adjustment
In most US health insurance markets, plans face strong incentives to upcode the patient
diagnoses they report to the regulator, as these affect the risk-adjusted payments that plans …
diagnoses they report to the regulator, as these affect the risk-adjusted payments that plans …
Death by market power: reform, competition, and patient outcomes in the National Health Service
The effect of competition on the quality of health care remains a contested issue. Most
empirical estimates rely on inference from nonexperimental data. In contrast, this paper …
empirical estimates rely on inference from nonexperimental data. In contrast, this paper …
Price discrimination and bargaining: Empirical evidence from medical devices
M Grennan - American Economic Review, 2013 - aeaweb.org
Many important issues in business-to-business markets involve price discrimination and
negotiated prices, situations where theoretical predictions are ambiguous. This paper uses …
negotiated prices, situations where theoretical predictions are ambiguous. This paper uses …
[LLIBRE][B] Health economics
P Zweifel, F Breyer, M Kifmann - 2009 - books.google.com
Health Economics presents a systematic treatment of the economics of health behavior and
health care delivery. Appropriate both for advanced undergraduate and graduate students of …
health care delivery. Appropriate both for advanced undergraduate and graduate students of …
The aggregate effects of health insurance: Evidence from the introduction of Medicare
A Finkelstein - The quarterly journal of economics, 2007 - academic.oup.com
This paper investigates the effects of market-wide changes in health insurance by examining
the single largest change in health insurance coverage in American history: the introduction …
the single largest change in health insurance coverage in American history: the introduction …
How does risk selection respond to risk adjustment? New evidence from the Medicare Advantage Program
J Brown, M Duggan, I Kuziemko… - American Economic …, 2014 - aeaweb.org
To combat adverse selection, governments increasingly base payments to health plans and
providers on enrollees' scores from risk-adjustment formulae. In 2004, Medicare began to …
providers on enrollees' scores from risk-adjustment formulae. In 2004, Medicare began to …
Medicare upcoding and hospital ownership
E Silverman, J Skinner - Journal of health economics, 2004 - Elsevier
Many hospitals in the 1990s many hospitals were accused of “upcoding” patient diagnostic
related groups (DRGs) to increase Medicare reimbursements. We find that between 1989 …
related groups (DRGs) to increase Medicare reimbursements. We find that between 1989 …
Privacy protection and technology diffusion: The case of electronic medical records
This paper quantifies the effect of state privacy regulation on the diffusion of electronic
medical records (EMRs). EMRs allow medical providers to store and exchange patient …
medical records (EMRs). EMRs allow medical providers to store and exchange patient …