EZE, Pius C. and Barbara, Wolfe (1993) IS DUMPING SOCIALLY INEFFICIENT? AN ANALYSIS OF THE EFFECT OF MEDICARE'S PROSPECTIVE PAYMENT SYSTEM ON THE UTILIZATION OF VETERANS AFFAIRS INPATIENT SERVICE. Journal of public Economice, 52. pp. 329-344.
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Abstract
This paper investigates an efficiency implication of Medicare's prospective payment system PPS) on the utilization of United States Veterans Affairs (VA) hospital inpatient services by elderly veterans. There is empirical evidence to suggest that non-VA hospitals are reacting to PPS by increasingly shifting veterans they expect may be high-oust to VA hospital. We define as efficient, allocations that would occur if hospitals acted as perfect agents of the patient, then we show that some shifting would still occur if allocations were efficient This is because VA and non-VA hospitals operate under different budget regimes, and within each diagnosis related group, veterans with different levels of illness severity (and different non-VA insurance packages) will self-select into VA and non-VA hospitals. We derive conditions of severity- under which different hospital types become attractive to particular patients.
| Item Type: | Article |
|---|---|
| Subjects: | H Social Sciences > H Social Sciences (General) |
| Divisions: | Faculty of Management and Social Sciences |
| Depositing User: | mrs chioma hannah |
| Date Deposited: | 10 May 2019 14:56 |
| Last Modified: | 10 May 2019 15:10 |
| URI: | http://eprints.gouni.edu.ng/id/eprint/1506 |
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