Supply-side risk adjustment and outlier payment policy

被引:12
作者
Mougeot, Michel [1 ,2 ]
Naegelen, Florence [1 ]
机构
[1] Univ Franche Comte, CRESE, UFR SJEPG, F-25030 Besancon, France
[2] Univ Lausanne, IEMS, Lausanne, Switzerland
关键词
hospital; risk; outlier payment; moral hazard;
D O I
10.1016/j.jhealeco.2008.05.007
中图分类号
F [经济];
学科分类号
02 ;
摘要
In most health care systems where a prospective payment system is implemented, an outlier payment is used to cover the hospitals' unusually high costs. When the hospital chooses its cost reduction effort before observing a patient's severity, we show that the best outlier payment is based on the realized cost when the hospital exerts the first best level of effort, for any level of severity. (c) 2008 Elsevier B.V. All rights reserved.
引用
收藏
页码:1196 / 1200
页数:5
相关论文
共 11 条
[11]  
van de Ven W. P. M. M., 2000, Handbook of health economics, P755