The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
Creaming, skimping and dumping: provider competition on the intensive and extensive margins
Open accessAbstract
Reimbursement incentives influence both the intensity of services and who is treated when patients differ in severity of illness. The social optimum is compared to the private Cournot-Nash solution for three provider strategies: creaming--over-provision of services to low severity patients; skimping--under-provision of services to high severity patients; and dumping--the explicit avoidance of high severity patients. Cost-based reimbursement results in overprovision of services (creaming) to all types of patients. Prospectively paid providers cream low severity patients and skimp high severity ones. If there is dumping of high severity patients, then there will also be skimping.
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Citations
Cites
Equilibrium in Competitive Insurance Markets: An Essay on the Economics of Imperfect Information
Rothschild, M., & Stiglitz, J. (1976) · The Quarterly Journal of Economics · doi:10.2307/1885326 · Cited by 4,987
Provider behavior under prospective reimbursement
Ellis, R. P., & McGuire, T. G. (1986) · Journal of Health Economics · doi:10.1016/0167-6296(86)90002-0 · Cited by 725
Self-citationMedical insurance: A case study of the tradeoff between risk spreading and appropriate incentives
Zeckhauser, R. (1970) · Journal of Economic Theory · doi:10.1016/0022-0531(70)90010-4 · Cited by 595
Reimbursing Health Plans and Health Providers: Efficiency in Production versus Selection
Newhouse, J. P. (1996) · RePEc: Research Papers in Economics · Cited by 565
R ecent T heory and E vidence on C ompetition in H ospital M arkets
Dranove, D., & White, W. D. (1994) · Journal of Economics & Management Strategy · doi:10.1111/j.1430-9134.1994.00169.x · Cited by 151
Do unprofitable patients face access problems?
Newhouse, J. P. (1989) · PubMed · Cited by 69
Allen, R., & Gertler, P. (1991) · Journal of Regulatory Economics · doi:10.1007/bf00138477 · Cited by 48
Cited by
Prolonged waiting times for liver transplantation in obese patients
Segev, D. L., Thompson, R. E., Locke, J. E., Simpkins, C. E., Thuluvath, P. J., Montgomery, R. A., & Maley, W. R. (2008) · Annals of Surgery · doi:10.1097/sla.0b013e31818a01ef · Cited by 91
Does Performance Budgeting Work? An Analytical Review of the Empirical Literature
Robinson, M., & Brumby, J. (2005) · IMF Working Papers · doi:10.5089/9781451862294.001 · Cited by 54
Metadata
- Authors
- Ellis, R. P.
- Venue
- Journal of Health Economics
- Publisher
- Elsevier BV
- Published
- 1998-10
- Volume
- 17
- Issue
- 5
- Pages
- 537-555
- ISSN
- 0167-6296 (ISSN-L)
- OpenAlex
- W2011940982
- Cited by
- 481
- References
- 7
- FWCI
- 30.49
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Ellis, R. P. (1998). Creaming, skimping and dumping: provider competition on the intensive and extensive margins. Journal of Health Economics. https://doi.org/10.1016/s0167-6296(97)00042-8
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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