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Competitive spillovers and regulatory exploitation by skilled nursing facilities

Bowblis, John R.; Brunt, Christopher S.; Grabowski, David C. - In: Forum for health economics & policy : an evolving … 19 (2016) 1, pp. 45-70

Persistent link: https://www.econbiz.de/10011537356

Do hospitals respond to changing incentive structures? : evidence from Medicare's 2007 DRG restructuring

Cook, Amanda; Averett, Susan - In: Journal of health economics 73 (2020), pp. 1-17

Persistent link: https://www.econbiz.de/10012495808

Upcoding and heterogeneity in hospitals' response : a natural experiment

Milcent, Carine - 2016

Persistent link: https://www.econbiz.de/10011686168

Buying efficiency : optimal hospital payment in the presence of double upcoding

Spika, Simon B.; Zweifel, Peter - In: Health economics review 9 (2019) 38, pp. 1-14

Background: With DRG payments, hospitals can game the system by ’upcoding’ true patient’s severity of illness. This … paper takes into account that upcoding can be performed by the chief physician and hospital management, with the extent of …-agent mechanism, the distortion due to upcoding is shown to accumulate, whereas in the bargaining case it is avoided at the level of …

Persistent link: https://www.econbiz.de/10012162658

The effects of therapist contracting on for-profit and not-for-profit medical billing behavior

Bowblis, John R.; Brunt, Christopher S. - In: Nonprofit and voluntary sector quarterly 46 (2017) 6, pp. 1270-1292

Persistent link: https://www.econbiz.de/10011784483

From downcoding to upcoding : DRG based payment in hospitals

Milcent, Carine - In: International journal of health economics and management 21 (2021) 1, pp. 1-26

Persistent link: https://www.econbiz.de/10012488050

From downcoding to upcoding : DRG based payment in hospitals

Milcent, Carine - 2019

Persistent link: https://www.econbiz.de/10012234707

Hospital reimbursement in the presence of cherry picking and upcoding

Savva, Nicos; Debo, Laurens; Shumsky, Robert A. - In: Management science : journal of the Institute for … 69 (2023) 11, pp. 6777-6799

Persistent link: https://www.econbiz.de/10014435419

Old boys' network in general practitioner's referral behavior

Hackl, Franz; Hummer, Michael; Pruckner, Gerald - 2013

We analyzed the impact of social networks on general practitioners' (GPs) referral behavior based on administrative panel data from 2,684,273 referrals to resident specialists made between 1998 and 2007. To construct estimated social networks, we used information on the doctors' place and time...

Persistent link: https://www.econbiz.de/10010368274

Old boys' network in general practitioner's referral behavior

Hackl, Franz; Hummer, Michael; Pruckner, Gerald J. - 2013

Persistent link: https://www.econbiz.de/10009764820