The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.
How Do Hospitals Respond to Price Changes?
Abstract
This paper examines hospital responses to changes in diagnosis-specific prices by exploiting a 1988 policy reform that generated large price changes for 43 percent of Medicare admissions. I find hospitals responded primarily by “upcoding” patients to diagnosis codes with the largest price increases. This response was particularly strong among for-profit hospitals. I find little evidence hospitals increased the volume of admissions differentially for diagnoses subject to the largest price increases, despite the financial incentive to do so. Neither did they increase intensity or quality of care in these diagnoses, suggesting hospitals do not compete for patients at the diagnosis level.
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Citations
Cites
A Theory of Yardstick Competition
Shleifer, A. (1985) · The RAND Journal of Economics · doi:10.2307/2555560 · Cited by 1,413
Medicare upcoding and hospital ownership
Silverman, E., & Skinner, J. (2004) · Journal of Health Economics · doi:10.1016/j.jhealeco.2003.09.007 · Cited by 350
Hospital response to prospective payment: Moral hazard, selection, and practice-style effects
Ellis, R. P., & McGuire, T. G. (1996) · Journal of Health Economics · doi:10.1016/0167-6296(96)00002-1 · Cited by 223
Pricing by non-profit institutions
Dranove, D. (1988) · Journal of Health Economics · doi:10.1016/0167-6296(88)90004-5 · Cited by 168
Hospital Market Structure and the Behavior of Not-for-Profit Hospitals
Duggan, M. (2002) · The RAND Journal of Economics · doi:10.2307/3087466 · Cited by 139
The Association between For-Profit Hospital Ownership and Increased Medicare Spending
Silverman, E. M., Skinner, J., & Fisher, E. S. (1999) · New England Journal of Medicine · doi:10.1056/nejm199908053410606 · Cited by 117
Hospital Case-Mix Change: Sicker Patients Or Drg Creep?
Steinwald, B., & Dummit, L. A. (1989) · Health Affairs · doi:10.1377/hlthaff.8.2.35 · Cited by 105
The potential costs of upcoding for heart failure in the United States
Psaty, B. M., Boineau, R., Kuller, L. H., & Luepker, R. V. (1999) · The American Journal of Cardiology · doi:10.1016/s0002-9149(99)00205-2 · Cited by 72
Cited by
Price Discrimination and Bargaining: Empirical Evidence from Medical Devices
Grennan, M. (2013) · American Economic Review · doi:10.1257/aer.103.1.145 · Cited by 323
CPT fee differentials and visit upcoding under Medicare Part B
Brunt, C. S. (2011) · Health Economics · doi:10.1002/hec.1649 · Cited by 59
Metadata
- Authors
- Dafny, L. S.
- Venue
- American Economic Review
- Publisher
- American Economic Association
- Published
- 2005-11-01
- Volume
- 95
- Issue
- 5
- Pages
- 1525-1547
- ISSN
- 0002-8282 (ISSN-L)
- OpenAlex
- W3122333884
- Cited by
- 396
- References
- 8
- FWCI
- 14.54
- Type
- journal article
- Language
- en
- Open access
- closed
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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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