The price effects of cross‐market mergers: theory and evidence from the hospital industry

L Dafny, K Ho, RS Lee - The RAND Journal of Economics, 2019 - Wiley Online Library
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 …

How acquisitions affect firm behavior and performance: Evidence from the dialysis industry

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 …

How do doctors respond to incentives? unintended consequences of paying doctors to reduce costs

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 …

Medicare skilled nursing facility reimbursement and upcoding

JR Bowblis, CS Brunt - Health economics, 2014 - Wiley Online Library
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 …

Detecting potential overbilling in Medicare reimbursement via hours worked

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 …

Employed for higher pay? How Medicare payment rules affect hospital employment of physicians

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 …

Accounting for accountable care: Value-based population health management

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 …

Grand bargains for big data: The emerging law of health information

F Pasquale - Md. L. Rev., 2012 - HeinOnline
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 …

The price effects of cross-market hospital mergers

L Dafny, K Ho, RS Lee - 2016 - nber.org
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 …

Upcoding Linked To Up To Two-Thirds Of Growth In Highest-Intensity Hospital Discharges In 5 States, 2011–19: Study examines hospital patient discharges with …

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 …