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 …