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Assessing the effectiveness of health care cost containment measures: evidence from the market for rehabilitation care

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  • Nicolas Ziebarth

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Abstract

This study empirically evaluates the effectiveness of different health care cost containment measures. The measures investigated were introduced in Germany in 1997 to reduce moral hazard and public health expenditures in the market for rehabilitation care. Of the analyzed measures, doubling the daily copayments was clearly the most effective cost containment measure, resulting in a reduction in utilization of about $$20\,\%$$ 20 % . Indirect measures such as allowing employers to cut federally mandated sick pay or paid vacation during inpatient post-acute care stays did not significantly reduce utilization. There is evidence neither for adverse health effects nor for substitution effects in terms of more doctor visits. Copyright Springer Science+Business Media New York 2014

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File URL: http://hdl.handle.net/10.1007/s10754-013-9138-1
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Bibliographic Info

Article provided by Springer in its journal International Journal of Health Care Finance and Economics.

Volume (Year): 14 (2014)
Issue (Month): 1 (March)
Pages: 41-67

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Handle: RePEc:kap:ijhcfe:v:14:y:2014:i:1:p:41-67

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Web page: http://www.springerlink.com/link.asp?id=106603

Related research

Keywords: Health care demand; Cost-sharing; Health effects; Preventive care; Substitution effects; SOEP; G22; H51; I11; I12; I18; J14; J22;

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References

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  11. Ziebarth, Nicolas R. & Karlsson, Martin, 2013. "The Effects of Expanding the Generosity of the Statutory Sickness Insurance System," IZA Discussion Papers 7250, Institute for the Study of Labor (IZA).
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