System-wide impacts of hospital payment reforms: Evidence from Central and Eastern Europe and Central Asia

▶ Fee-for-service and patient-based payment both increased national health spending, including private (out-of-pocket) spending. ▶ Fee-for service increased inpatient admissions and patient-based payment reduced average length of stay. ▶ Only patient-based payment appears to have had any beneficial effect on “amenable mortality”, but the results are not robust to different econometric specifications.