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Heterogeneity of Hospitals

hal.structure.identifierLaboratoire d'Economie de Dauphine [LEDa]
hal.structure.identifierLaboratoire d'Economie et de Gestion des Organisations de Santé [Legos]
dc.contributor.authorDormont, Brigitte
dc.date.accessioned2020-01-21T15:42:36Z
dc.date.available2020-01-21T15:42:36Z
dc.date.issued2014
dc.identifier.urihttps://basepub.dauphine.fr/handle/123456789/20462
dc.language.isoenen
dc.subjectDiagnosis related group (DRG)en
dc.subjectEfficiencyen
dc.subjectExogenous/endogenous cost variabilityen
dc.subjectHeterogeneityen
dc.subjectHospital costen
dc.subjectMoral hazarden
dc.subjectPatient selectionen
dc.subjectProspective payment systemen
dc.subjectQualityen
dc.subjectYardstick competitionen
dc.subject.ddc334en
dc.subject.classificationjelI.I1.I11en
dc.titleHeterogeneity of Hospitalsen
dc.typeChapitre d'ouvrage
dc.description.abstractenPayment methods based on a fixed price per diagnosis related group provide hospitals with a perfect incentive for cost reduction. However, costs can rise for some hospitals because of exogenous factors. This situation may bring them to select patients and lower care quality to avoid bankruptcy. To prevent this, payments should allow for legitimate sources of cost heterogeneity. It is possible to design a payment method which allows for unobservable sources of cost heterogeneity, provided they are time invariant. While it reimburses hospitals for extra costs resulting from undesirable long-term moral hazard, this method can induce substantial savings because it provides incentives to reduce costs linked to transitory moral hazard.en
dc.identifier.citationpages456-461en
dc.relation.ispartoftitleEncyclopedia of Health Economicsen
dc.relation.ispartofeditorCulyer, Anthony J.
dc.relation.ispartofpublnameElsevieren
dc.relation.ispartofpublcityAmsterdamen
dc.relation.ispartofdate2014
dc.relation.ispartofpages604en
dc.subject.ddclabelEconomie socialeen
dc.relation.ispartofisbn978-0-12-375679-4en
dc.relation.forthcomingnonen
dc.identifier.doi10.1016/B978-0-12-375678-7.01314-6en
dc.description.ssrncandidatenonen
dc.description.halcandidateouien
dc.description.readershiprechercheen
dc.description.audienceInternationalen
dc.date.updated2019-12-06T14:16:39Z
hal.identifierhal-02447570*
hal.version1*
hal.author.functionaut


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