Context: Hospital cost shifting—charging private payers more in response to shortfalls in
public payments—has long been part of the debate over health care policy. Despite the …

Background Activity-based funding (ABF) of hospitals is a policy intervention intended to re-
shape incentives across health systems through the use of diagnosis-related groups. Many …

In most US health insurance markets, plans face strong incentives to upcode the patient
diagnoses they report to the regulator, as these affect the risk-adjusted payments that plans …

The effect of competition on the quality of health care remains a contested issue. Most
empirical estimates rely on inference from nonexperimental data. In contrast, this paper …

Many important issues in business-to-business markets involve price discrimination and
negotiated prices, situations where theoretical predictions are ambiguous. This paper uses …

Health Economics presents a systematic treatment of the economics of health behavior and
health care delivery. Appropriate both for advanced undergraduate and graduate students of …

This paper investigates the effects of market-wide changes in health insurance by examining
the single largest change in health insurance coverage in American history: the introduction …

To combat adverse selection, governments increasingly base payments to health plans and
providers on enrollees' scores from risk-adjustment formulae. In 2004, Medicare began to …

Many hospitals in the 1990s many hospitals were accused of “upcoding” patient diagnostic
related groups (DRGs) to increase Medicare reimbursements. We find that between 1989 …

This paper quantifies the effect of state privacy regulation on the diffusion of electronic
medical records (EMRs). EMRs allow medical providers to store and exchange patient …