The production of health care services and changing hospital reimbursement. The role of hospital-medical staff relationships.

Abstract:

:The production of health care services has the unique feature that physicians do not face explicit costs for hospital inputs. This paper develops models of the production process given alternative hospital and medical staff relationships, and analyzes the impact of the change in hospital reimbursement under Medicare from a cost-based system to the Prospective Payment System (PPS). A basic theoretical result finds that the switch to PPS forces physicians to alter their input mix, changing both physician and hospital income. The effects of the introduction of PPS on hospital inputs, physician income, and hours of work are empirically examined.

journal_name

J Health Econ

authors

Custer WS,Moser JW,Musacchio RA,Willke RJ

doi

10.1016/0167-6296(90)90016-v

subject

Has Abstract

pub_date

1990-09-01 00:00:00

pages

167-92

issue

2

eissn

0167-6296

issn

1879-1646

pii

0167-6296(90)90016-V

journal_volume

9

pub_type

杂志文章
  • Do maximum waiting times guarantees change clinical priorities for elective treatment? Evidence from Scotland.

    abstract::The level and distribution of patient waiting times for elective treatment are a major concern in publicly funded health care systems. Strict targets, which have specified maximum waiting times, have been introduced in the NHS over the last decade and have been criticised for distorting existing clinical priorities in...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2015.02.001

    authors: Nikolova S,Sinko A,Sutton M

    更新日期:2015-05-01 00:00:00

  • Physician treatment decisions in a multiple treatment model. The effect of physician supply.

    abstract::This paper develops a neoclassical utility maximization model of physician behavior in which the physician determines the price of physician office and hospital visits, the utilization rates for physician office and hospital visits and hospital days, and the resources and physician time inputs in the production of vis...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(84)90004-3

    authors: McCombs JS

    更新日期:1984-08-01 00:00:00

  • Examining structural breaks and growth rates in international health expenditures.

    abstract::Over the last decade, there has been a growing interest in examining health expenditures. In this paper, we study the behaviour of health expenditures in the G3 countries (USA, the UK, and Japan) and three European countries (the UK, Switzerland and Spain) over the period 1960-2000 from a different perspective, in tha...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2005.12.001

    authors: Narayan PK

    更新日期:2006-09-01 00:00:00

  • Trans fat and cardiovascular disease mortality: Evidence from bans in restaurants in New York.

    abstract::This paper analyzes the impact of trans fat bans on cardiovascular disease (CVD) mortality rates. Several New York State jurisdictions have restricted the use of ingredients containing artificial trans fat in food service establishments. The resulting within-county variation over time and the differential timing of th...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2015.09.005

    authors: Restrepo BJ,Rieger M

    更新日期:2016-01-01 00:00:00

  • Informal care and long-term labor market outcomes.

    abstract::In this paper we estimate long-run effects of informal care provision on female caregivers' labor market outcomes up to eight years after care provision. We compare a static version, where average effects of care provision in a certain year on later labor market outcomes are estimated, to a partly dynamic version wher...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2017.09.002

    authors: Schmitz H,Westphal M

    更新日期:2017-12-01 00:00:00

  • Price and welfare effects of a pharmaceutical substitution reform.

    abstract::The price effects of the Swedish pharmaceutical substitution reform are analyzed using data for a panel of all pharmaceutical product sold in Sweden in 1997-2007. The price reduction due to the reform was estimated to average 10% and was found to be significantly larger for brand-name pharmaceuticals than for generics...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2010.08.003

    authors: Granlund D

    更新日期:2010-12-01 00:00:00

  • Childhood economic conditions and length of life: evidence from the UK Boyd Orr cohort, 1937-2005.

    abstract::We study the importance of childhood socioeconomic conditions in predicting differences in life expectancy using data from a large sample of children collected in 16 locations in England and Scotland in 1937-39, who have been traced through official death records up to 2005. We estimate a number of duration of life mo...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2009.10.004

    authors: Frijters P,Hatton TJ,Martin RM,Shields MA

    更新日期:2010-01-01 00:00:00

  • The moral hazard effects of consumer responses to targeted cost-sharing.

    abstract::This paper examines the effects of the reference pricing program implemented by the California Public Employees Retirement System (CalPERS) in 2012. The program uses targeted cost-sharing to incentivize patient price shopping. We find that the program leads to a 10.3% increase in the use of low-price providers and red...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2017.09.012

    authors: Whaley CM,Guo C,Brown TT

    更新日期:2017-12-01 00:00:00

  • The predictive validity of prospect theory versus expected utility in health utility measurement.

    abstract::Most health care evaluations today still assume expected utility even though the descriptive deficiencies of expected utility are well known. Prospect theory is the dominant descriptive alternative for expected utility. This paper tests whether prospect theory leads to better health evaluations than expected utility. ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2009.09.002

    authors: Abellan-Perpiñan JM,Bleichrodt H,Pinto-Prades JL

    更新日期:2009-12-01 00:00:00

  • The internal consistency of the standard gamble: tests after adjusting for prospect theory.

    abstract::This article reports a study that tests whether the internal consistency of the standard gamble can be improved upon by incorporating loss weighting and probability transformation parameters in the standard gamble valuation procedure. Five alternatives to the standard EU formulation are considered: (1) probability tra...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/S0167-6296(03)00023-7

    authors: Oliver A

    更新日期:2003-07-01 00:00:00

  • The effect of cigarette excise taxes on smoking before, during and after pregnancy.

    abstract::Recent analyses suggest that cigarette excise taxes lower prenatal smoking. It is unclear, however, whether the association between taxes and prenatal smoking represents a decline among women of reproductive age or a particular response by pregnant women. We address this question directly with an analysis of quit and ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2003.06.003

    authors: Colman G,Grossman M,Joyce T

    更新日期:2003-11-01 00:00:00

  • Public policies and motorcycle safety.

    abstract::Numerous studies have examined the effectiveness of alcohol and traffic policies in reducing automobile crashes and fatalities, but only a few have analyzed the impact of state-specific policies on motorcycle safety. Given the growing popularity and inherent safety risks of motorcycle riding, this study provides a com...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2009.05.002

    authors: French MT,Gumus G,Homer JF

    更新日期:2009-07-01 00:00:00

  • Smoking, health knowledge, and anti-smoking campaigns: an empirical study in Taiwan.

    abstract::This paper uses a measure of health knowledge of smoking hazards to investigate the determinants of health knowledge and its effect on smoking behavior. In our analysis, two equations are estimated: smoking participation and health knowledge. The simultaneity problem in estimating smoking behavior and health knowledge...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(95)00033-x

    authors: Hsieh CR,Yen LL,Liu JT,Lin CJ

    更新日期:1996-02-01 00:00:00

  • Does staying in school (and not working) prevent teen smoking and drinking?

    abstract::Previous work suggests but cannot prove that education improves health behaviors. We exploit a randomized intervention that increased schooling (and reduced working) among male students in the Dominican Republic, by providing information on the returns to schooling. We find that treated youths were much less likely to...

    journal_title:Journal of health economics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jhealeco.2012.05.004

    authors: Jensen R,Lleras-Muney A

    更新日期:2012-07-01 00:00:00

  • Where would you go for your next hospitalization?

    abstract::We examine the effects of diverse dimensions of hospital quality - including consumers' perceptions of unobserved attributes - on future hospital choice. We utilize consumers' stated preference weights to obtain hospital-specific estimates of perceptions about unmeasured attributes such as reputation. We report three ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2011.05.006

    authors: Jung K,Feldman R,Scanlon D

    更新日期:2011-07-01 00:00:00

  • On the use of survival analysis techniques to estimate medical care costs.

    abstract::Measurement of treatment costs is important in the evaluation of medical interventions. Accurate cost estimation is problematic, when cost records are incomplete. Methods from the survival analysis literature have been proposed for estimating costs using available data. In this article, we clarify assumptions necessar...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(98)00056-3

    authors: Etzioni RD,Feuer EJ,Sullivan SD,Lin D,Hu C,Ramsey SD

    更新日期:1999-06-01 00:00:00

  • Having the wrong friends? Peer effects in adolescent substance use.

    abstract::Swedish cross-sectional survey data on young individuals aged 12-18-year-old was used to analyse school-class based peer effects in binge drinking, smoking and illicit-drug use. Significant and positive peer effects were found for all three activities. By introducing school/grade fixed effects, the estimated peer effe...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2005.02.001

    authors: Lundborg P

    更新日期:2006-03-01 00:00:00

  • Monopsony power and relative wages in the labor market for nurses.

    abstract::This paper examines the thesis that monopsony power is an important determinant of wages in nursing labor markets. Using data from the 1985-93 Current Population Surveys, measures of relative nurse/non-nurse wage rates for 252 labor markets are constructed. Contrary to predictions from the monopsony model, no positive...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(95)00013-8

    authors: Hirsch BT,Schumacher EJ

    更新日期:1995-10-01 00:00:00

  • The changing of the guards: can family doctors contain worker absenteeism?

    abstract::Using administrative data from Norway, we examine the extent to which family doctors influence their clients' propensity to claim sick-pay. The analysis exploits exogenous switches of family doctors occurring when physicians quit, retire, or for other reasons sell their patient lists. We find that family doctors have ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2013.10.005

    authors: Markussen S,Røed K,Røgeberg O

    更新日期:2013-12-01 00:00:00

  • Worker sorting, compensating differentials and health insurance: evidence from displaced workers.

    abstract::This article introduces an empirical strategy to the compensating differentials literature that (i) allows both individual observed and unobserved characteristics to be rewarded differently in firms based on health insurance provision, and (ii) selection to jobs that provide benefits to operate on both sides of the la...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2007.02.001

    authors: Lehrer SF,Pereira NS

    更新日期:2007-09-01 00:00:00

  • A note on eliciting distributive preferences for health.

    abstract::While in theory the strength of preferences for equity in health can be expressed in an 'inequality aversion parameter', in practice, analysts would have to obtain them from people's choices. We are faced with a number of methodological problems when turning to this type of empirical research. This note investigates w...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(00)00035-7

    authors: Olsen JA

    更新日期:2000-07-01 00:00:00

  • Hypothetical versus real willingness to pay in the health care sector: results from a field experiment.

    abstract::We conducted a field experiment comparing hypothetical and real purchase decisions for a pharmacist provided asthma management program among 172 subjects with asthma. Subjects received either a dichotomous choice contingent valuation question or were given the opportunity to actually enroll in the program. Three diffe...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(01)00075-3

    authors: Blumenschein K,Johannesson M,Yokoyama KK,Freeman PR

    更新日期:2001-05-01 00:00:00

  • The impact of comparative effectiveness research on health and health care spending.

    abstract::Comparative effectiveness research (CER) is thought to identify what works and does not work in health care. We interpret CER as infusing evidence on product quality into markets, shifting the relative demand for products in CER studies. We analyze how shifts in demand affect health and health care spending and demons...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2011.05.012

    authors: Basu A,Jena AB,Philipson TJ

    更新日期:2011-07-01 00:00:00

  • Does privatisation of vocational rehabilitation improve labour market opportunities? Evidence from a field experiment in Sweden.

    abstract::This paper analyses if privatisation of vocational rehabilitation can improve labour market opportunities for individuals on long-term sickness absence. We use a field experiment performed by the Public Employment Service and the Social Insurance Agency in Sweden during 2008-2010, in which over 4000 participants were ...

    journal_title:Journal of health economics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jhealeco.2013.12.002

    authors: Laun L,Thoursie PS

    更新日期:2014-03-01 00:00:00

  • Social networks and health service utilization.

    abstract::While social networks have been examined in the context of many economic choices and outcomes, this study is the first to investigate the effects of social networks on health service utilization decisions. Networks can affect utilization decisions in many ways. They can provide information on institutional details of ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2005.03.008

    authors: Deri C

    更新日期:2005-11-01 00:00:00

  • Exploring hospital production relationships with flexible functional forms.

    abstract::This paper estimates a multiproduct variable cost function using data on a sample of California hospitals. The results provide useful insights into the advantages and disadvantages of flexible functional forms for cost analysis. The translog function appears to provide reasonable estimates of marginal costs when evalu...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(90)90038-5

    authors: Vita MG

    更新日期:1990-06-01 00:00:00

  • The welfare value of FDA's mercury-in-fish advisory: a dynamic reanalysis.

    abstract::Assessing the welfare impact of consumer health advisories is a thorny task. Recently, Shimshack and Ward (2010) studied how U.S. households responded to FDA's 2001 mercury-in-fish advisory. They found that the average at-risk household reduced fish consumption by 21%, resulting in a 17%-reduction in mercury exposure ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2014.06.005

    authors: Rheinberger CM,Hammitt JK

    更新日期:2014-09-01 00:00:00

  • Note. Evaluating exclusionary interventions.

    abstract::In evaluation research, some interventions are designed to affect both the subjects that receive the intervention and those that do not. Preferred provider organizations (PPOs) are an example, because if they are successful, PPOs will direct patients away from non-preferred providers towards preferred providers. When ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(91)90034-k

    authors: Dowd B,Feldman R

    更新日期:1991-10-01 00:00:00

  • Do health changes affect smoking? Evidence from British panel data.

    abstract::This paper uses seven waves of British Household Panel Survey (BHPS) data to examine the link between health developments while smoking (both one's own and those of other smokers in the same household) and future cigarette consumption. We find those whose health worsens when smoking smoke less in the future, and are m...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(01)00140-0

    authors: Clark A,Etilé F

    更新日期:2002-07-01 00:00:00

  • Do hospital mergers reduce costs?

    abstract::Proponents of hospital consolidation claim that mergers lead to significant cost savings, but there is little systematic evidence backing these claims. For a large sample of hospital mergers between 2000 and 2010, I estimate difference-in-differences models that compare cost trends at acquired hospitals to cost trends...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2017.01.007

    authors: Schmitt M

    更新日期:2017-03-01 00:00:00