| 000 | 02431nab a2200313 c 4500 | ||
|---|---|---|---|
| 003 | ES-MaIEF | ||
| 005 | 20190117150044.0 | ||
| 007 | ta | ||
| 008 | 190117s2018 us ||||| |||| 00| 0|eng d | ||
| 040 |
_aES-MaIEF _bspa _cES-MaIEF |
||
| 041 | _aeng | ||
| 100 | 1 |
_928043 _aEinav, Liran |
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| 245 | 0 |
_aProvider incetives and healthcare cost _b : evidence from long - care hospitals _c Liran Einav, Amy Finkelstein, Neale Mahoney |
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| 260 | _c2018 | ||
| 500 | _aDisponible también en formato electrónico a través de la Biblioteca del IEF. | ||
| 500 | _aResumen. | ||
| 504 | _aBibliografía. | ||
| 520 | _aWe study the design of provider incentives in the post-acute care setting—a highstakes but under-studied segment of the healthcare system.We focus on long-term care hospitals (LTCHs) and the large (approximately $13,500) jump in Medicare payments they receive when a patient’s stay reaches a threshold number of days. Discharges increase substantially after the threshold, with the marginal discharged patient in relatively better health. Despite the large financial incentives and behavioral response in a high mortality population, we are unable to detect any compelling evidence of an impact on patient mortality. To assess provider behavior under counterfactual payment schedules, we estimate a simple dynamic discrete choice model of LTCH discharge decisions. When we conservatively limit ourselves to alternative contracts that hold the LTCH harmless, we find that an alternative contract can generate Medicare savings of about $2,100 per admission, or about 5% of total payments. More aggressive payment reforms can generate substantially greater savings, but the accompanying reduction in consequences. Our results highlight how improved financial incentives may be able to reduce healthcare spending, without negative consequences for industry profits or patient health. | ||
| 650 | 4 |
_931104 _aASISTENCIA SANITARIA |
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| 650 | 4 |
_944260 _aFINANCIACION |
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| 650 | 4 |
_947461 _aINCENTIVOS |
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| 650 | 4 |
_944933 _aGASTOS SANITARIOS |
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| 650 | 4 |
_947776 _aMODELOS ECONOMETRICOS |
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| 700 | 1 |
_924980 _aFinkelstein, Amy |
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| 700 | 1 |
_954898 _aMahoney, Neale |
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| 773 | 0 |
_9158584 _oOP 232/2018/6 _tEconometrica : Journal of the Econometric Society _w(IEF)21086 _x 0012-9682 [papel] _g v. 86, n. 6, November 2018, p. 2161-2219 |
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| 856 | _uhttps://onlinelibrary.wiley.com/doi/epdf/10.3982/ECTA15022 | ||
| 942 | _cART | ||
| 999 |
_c139695 _d139695 |
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