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Theoretical Analysis of Hospitals Response to a Per Diem Prospective Payment System
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Dmitry Shapiro | - |
dc.date.accessioned | 2021-06-02T02:47:04Z | - |
dc.date.available | 2021-06-02T02:47:04Z | - |
dc.date.issued | 2021-05 | - |
dc.identifier.citation | Seoul Journal of Economics, Vol.34 No.2, pp. 171-202 | - |
dc.identifier.issn | 1225-0279 | - |
dc.identifier.other | 999-000441 | - |
dc.identifier.uri | https://hdl.handle.net/10371/174530 | - |
dc.description.abstract | Japan has one of the longest average length of stay in hospital (ALOS) among developed countries. To curb the high ALOS, the Ministry of Health, Labor and Welfare has launched a payment system reform where instead of the pre-reform fee-for-service system (FFS) a new per-diem prospective payment system (DPC/PDPS) has been gradually adopted. We develop a theoretical framework to model hospitals incentives under different payment systems and to study the impact of the reform on the ALOS. We show that hospitals with a longer (shorter) pre-reform ALOS shorten (lengthen) their post-reform ALOS. Furthermore, hospitals with longer prereform ALOS have stronger incentives to use planned readmission to decrease the post-reform length of stay associated with a single admission. The theoretical predictions of our model match empirical evidence from the literature. | - |
dc.language.iso | en | - |
dc.publisher | Institute of Economic Research, Seoul National University | - |
dc.subject | Health care financing | - |
dc.subject | Prospective payment system | - |
dc.subject | per-diem rate | - |
dc.subject | length of stay | - |
dc.subject | readmission rate | - |
dc.title | Theoretical Analysis of Hospitals Response to a Per Diem Prospective Payment System | - |
dc.type | SNU Journal | - |
dc.identifier.doi | 10.22904/sje.2021.34.2.002 | - |
dc.citation.journaltitle | Seoul Journal of Economics | - |
dc.citation.endpage | 202 | - |
dc.citation.number | 2 | - |
dc.citation.pages | 171-202 | - |
dc.citation.startpage | 171 | - |
dc.citation.volume | 34 | - |
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