Di Giacomo, Marina, Piacenza, Massimiliano, Siciliani, Luigi orcid.org/0000-0003-1739-7289 et al. (1 more author) (2017) Do Public Hospitals Respond to Changes in DRG Price Regulation? The Case of Birth Deliveries in the Italian NHS. Health Economics. pp. 23-37. ISSN 1057-9230
Abstract
We study how changes in Diagnosis-Related Group price regulation affect hospital behaviour in quasi-markets with exclusive provision by public hospitals. Exploiting a quasi-natural experiment, we use a difference-in-differences approach to test whether public hospitals respond to an exogenous change in Diagnosis-Related Group tariffs by increasing C-section rates and/or by upcoding. Controlling for a detailed set of mother characteristics, we find that price changes did not affect the probability of a C-section. We do however find evidence of upcoding: Conditional on the birth delivery method (either a C-section or a vaginal delivery), public hospitals experiencing the largest price change exhibit a higher probability of treating patients coded as complicated. This finding suggests that even public hospitals may be sensitive to market incentives.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2017 John Wiley & Sons, Ltd. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details. |
Keywords: | DRG price regulation,birth deliveries,inappropriateness,public hospitals,upcoding |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Economics and Related Studies (York) |
Depositing User: | Pure (York) |
Date Deposited: | 03 Jul 2020 11:10 |
Last Modified: | 16 Oct 2024 13:55 |
Published Version: | https://doi.org/10.1002/hec.3541 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1002/hec.3541 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:162860 |
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