PJ Eliason, B Heebsh, RC McDevitt… - The Quarterly Journal …, 2020 - academic.oup.com
Many industries have become increasingly concentrated through mergers and acquisitions, which in health care may have important consequences for spending and outcomes. Using …
D Alexander - Journal of Political Economy, 2020 - journals.uchicago.edu
Billions of dollars have been spent on pilot programs searching for ways to reduce health care costs. I study one such program, in which hospitals pay doctors bonuses for reducing …
Post‐acute care provided by skilled nursing facilities (SNFs) is reimbursed by Medicare under a prospective payment system using resource utilization groups (RUGs) that adjust …
H Fang, Q Gong - American Economic Review, 2017 - aeaweb.org
We propose a novel and easy-to-implement approach to detect potential overbilling based on the hours worked implied by the service codes which physicians submit to Medicare …
D Dranove, C Ody - American Economic Journal: Economic Policy, 2019 - aeaweb.org
Hospitals employ an increasing number of physicians and bill for a growing share of outpatient procedures. We exploit a plausibly exogenous increase in Medicare prices for …
LF Hogle - Social Studies of Science, 2019 - journals.sagepub.com
Accountable Care Organizations (ACOs) are exemplars of so-called value-based care in the US. In this model, healthcare providers bear the financial risk of their patients' health …
Health information technology can save lives, cut costs, and expand access to care. But its full promise will only be realized if policymakers broker a" grand bargain" between …
We consider the effect of mergers between firms whose products are not viewed as direct substitutes for the same good or service, but are bundled by a common intermediary …
D Crespin, M Dworsky, J Levin, T Ruder… - Health Affairs, 2024 - healthaffairs.org
Diagnosis-based payment systems can create incentives to upcode patients to a higher level of severity to increase payment. In some instances, upcoding can be a form of fraud if …