Advanced Search
MyIDEAS: Login to save this paper or follow this series

Testing Providers' Moral Hazard Caused By a Health Care Report Card Policy

Contents:

Author Info

  • Yijuan Chen

    ()

  • Juergen Meinecke

    ()

Abstract

This paper focuses on testing providers' moral hazard caused by a health care report card policy. We argue that, to indicate providers' moral hazard, empirical approaches should be based on understanding that the policy may cause different sides of participants to take actions. Neglecting this, an estimation strategy will estimate treatment effects that only capture the mixture of the providers' and patients' actions, and therefore cannot identify either side's action. We propose a simple remedy to the estimation strategy in the previous literature: Restricting to data before the report cards are published and setting the date when providers' performance start being recorded as the effective date of the policy. The U.S. state of Pennsylvania started collecting information on mortality outcomes for coronary artery bypass graft (CABG) surgery in 1990. The first report cards were published in 1992. Using U.S. Nationwide Inpatient Sample data from 1988 to 1992, we find insignificant quantity and incidence effects of the report-card policy before report cards are published. This means that the report card policy has not affected the likelihood that heart patients receive CABG surgery and it has not led hospitals to select patients strategically.

Download Info

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
File URL: http://cbe.anu.edu.au/research/papers/pdf/wp527.pdf
Our checks indicate that this address may not be valid because: 404 Not Found. If this is indeed the case, please notify ()
Download Restriction: no

Bibliographic Info

Paper provided by Australian National University, College of Business and Economics, School of Economics in its series ANU Working Papers in Economics and Econometrics with number 2010-527.

as in new window
Length: 25 Paged
Date of creation: Sep 2010
Date of revision:
Handle: RePEc:acb:cbeeco:2010-527

Contact details of provider:
Postal: Canberra, ACT 0200
Phone: +61 2 6125 3807
Fax: +61 2 6125 0744
Email:
Web page: http://rse.anu.edu.au/
More information through EDIRC

Related research

Keywords:

Find related papers by JEL classification:

This paper has been announced in the following NEP Reports:

References

No references listed on IDEAS
You can help add them by filling out this form.

Citations

Lists

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

Statistics

Access and download statistics

Corrections

When requesting a correction, please mention this item's handle: RePEc:acb:cbeeco:2010-527. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ().

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.