کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
7362619 | 1478951 | 2018 | 59 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Effects of episode-based payment on health care spending and utilization: Evidence from perinatal care in Arkansas
ترجمه فارسی عنوان
تأثیر پرداخت مبتنی بر قسمت بر هزینه های مراقبت و مراقبت های بهداشتی: شواهد از مراقبت های پریناتال در آرکانزاس
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی
We study how physicians respond to financial incentives imposed by episode-based payment (EBP), which encourages lower spending and improved quality for an entire episode of care. Specifically, we study the impact of the Arkansas Health Care Payment Improvement Initiative, a multi-payer program that requires providers to enter into EBP arrangements for perinatal care, covering the majority of births in the state. Unlike fee-for-service reimbursement, EBP holds physicians responsible for all care within a discrete episode, rewarding physicians for efficient use of their own services and for efficient management of other health care inputs. In a difference-in-differences analysis of commercial claims, we find that perinatal spending in Arkansas decreased by 3.8% overall under EBP, compared to surrounding states. The decrease was driven by reduced spending on non-physician health care inputs, specifically the prices paid for inpatient facility care. We additionally find a limited improvement in quality of care under EBP.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Health Economics - Volume 61, September 2018, Pages 47-62
Journal: Journal of Health Economics - Volume 61, September 2018, Pages 47-62
نویسندگان
Caitlin Carroll, Michael Chernew, A. Mark Fendrick, Joe Thompson, Sherri Rose,