Background: In the day surgery system are intertwined elements of state health policy, health care payers' interests, employers of health care system, as well as the interests and wishes of patients. A problem in the health policy is to find a way to regulate ambulatory and short-term surgical...

Early empirical evidence indicates that Medicare Advantage (MA), the largest capitation payment program in the U.S. healthcare market, unintentionally incentivizes health plans to cherry pick profitable patient types, which is referred to as "risk selection". Motivated by this observation, we...

This paper investigates the impact of policies and institutions on health expenditures for a large panel of OECD countries for the period 2000-10. We use a set of 20 policy and institutional indicators developed by the OECD characterising the main supply-side, demand-side, and public management,...

Enacted in 2010, the Patient Protection and Affordable Care Act (ACA) has reshaped U.S. health policy. Yet overall opinions on the law remained relatively stable during the few years before and after enactment. In a polarized era, can the implementation of a complex program such as the ACA...

Eating sugary food, drinking alcohol and smoking cigarettes are legal activities. But politicians still use the law to discourage them. They raise their price, prohibit or limit their advertisement, restrict where they can be sold and consumed, and sometimes ban them outright. These politicians...

Despite some relative improvements in the last fifteen years, the National Health Service remains an international laggard in terms of those health outcomes that can be attributed to the healthcare system. In international comparisons of health system performance, the NHS almost always ranks in...

Medical and nursing care have been separated from social care by deliberate design since the creation of the NHS. This divide is now entirely artificial. People spend less time in hospital than used to be the case and 4 million people over the age of 65 have a life-limiting illness. In such...

Health systems in Western countries are plagued by inefficiency and will likely require a substantial increase in the tax burden as populations age. Patients might also face a gradual decrease in the quality and scope of services. The organisational changes needed to drive costs down and...

A relatively small but influential economics literature is devoted to financial abuse in Medicare.Much of that literature focuses on upcoding/no upcoding for inpatient hospital care inMedicare Part A, where reimbursements requested are greater/the same as justified by the cost of care provided....

Die derzeit aufkeimende Systemkritik am deutschen Gesundheitswesen suggeriert, dass die zur unmittelbaren Gefahrenabwehr notwendige, von der Exekutive geprägte Steuerungslogik über die Krisenbewältigung hinaus zu vorteilhafteren Ergebnissen führe. Einfache Überlegungen und Indikatoren...