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Physician financial incentives and cesarean delivery: New conclusions from the healthcare cost and utilization project

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Author Info
Grant, Darren

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Abstract

This paper replicates Gruber et al.'s [Gruber, J., Kim, J., Mayzlin, D., 1999. Physician fees and procedure intensity: the case of cesarean delivery. Journal of Health Economics, 18 (4), 473-490] analysis of the effect of physician financial incentives on cesarean delivery rates, using their data, sample selection criteria, and specification. Coincident trends explain much of their estimated positive relation between fees and cesarean utilization, which also falls somewhat upon the inclusion of several childbirth observations that had been inadvertently excluded from their estimation sample. The data ultimately indicate that a $1000 increase, in current dollars, in the reimbursement for a cesarean section increases cesarean delivery rates by about one percentage point, one-quarter of the effect estimated originally.

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File URL: http://www.sciencedirect.com/science/article/B6V8K-4TK9298-1/2/babdc0b18790f4817cb62e9729f5640a
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Publisher Info
Article provided by Elsevier in its journal Journal of Health Economics.

Volume (Year): 28 (2009)
Issue (Month): 1 (January)
Pages: 244-250
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Handle: RePEc:eee:jhecon:v:28:y:2009:i:1:p:244-250

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Web page: http://www.elsevier.com/locate/inca/505560

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Keywords: Cesarean section Financial incentives HCUP;

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Currie, Janet & Gruber, Jonathan, 2001. "Public health insurance and medical treatment: the equalizing impact of the Medicaid expansions," Journal of Public Economics, Elsevier, vol. 82(1), pages 63-89, October. [Downloadable!] (restricted)
  2. Gruber, Jon & Kim, John & Mayzlin, Dina, 1999. "Physician fees and procedure intensity: the case of cesarean delivery," Journal of Health Economics, Elsevier, vol. 18(4), pages 473-490, August. [Downloadable!] (restricted)
  3. Ivan Fernandez-Val, 2007. "Fixed Effects Estimation of Structural Parameters and Marginal Effects in Panel Probit Models," Boston University - Department of Economics - Working Papers Series WP2007-009, Boston University - Department of Economics. [Downloadable!]
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This page was last updated on 2009-12-30.


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