Implications of global budget payment system on nursing home costs
AbstractPressure on health care systems due to the increasing expenditures of the elderly population is pushing policy makers to adopt new regulation and payment schemes for nursing home services. We sketch a simple theoretical model to predict the behavior of nursing homes under different payment schemes. We then investigate the implications of prospective payments on nursing home costs using a panel of 41 homes in Southern Switzerland observed over a 12-years period (1999-2010). To evaluate the impact of the recent policy change - from retrospective to prospective payment - we employ a fixed effects model with a time trend that is allowed to change after the policy reform. We find evidence that the new payment system reduces costs for nursing home care, ceteris paribus.
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Bibliographic InfoPaper provided by USI Università della Svizzera italiana in its series CEPRA working paper with number 1301.
Length: 29 pages
Date of creation: Nov 2012
Date of revision:
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Web page: http://www.library.lu.usi.ch
nursing homes; prospective payment; quality of care; policy change;
Find related papers by JEL classification:
- C23 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Models with Panel Data; Longitudinal Data; Spatial Time Series
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
- J33 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs - - - Compensation Packages; Payment Methods
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- Rotte, Ralph & Vogler, Michael, 1999.
"The Effects of Development on Migration: Theoretical Issues and New Empirical Evidence,"
IZA Discussion Papers
46, Institute for the Study of Labor (IZA).
- Ralph Rotte & Michael Vogler, 2000. "The effects of development on migration: Theoretical issues and new empirical evidence," Journal of Population Economics, Springer, vol. 13(3), pages 485-508.
- Richard Blundell & Monica Costa Dias, 2000. "Evaluation methods for non-experimental data," Fiscal Studies, Institute for Fiscal Studies, vol. 21(4), pages 427-468, January.
- Mehdi Farsi & Massimo Filippini, 2004. "An Empirical Analysis of Cost Efficiency in Non-profit and Public Nursing Homes," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 75(3), pages 339-365, 09.
- Gertler, Paul J & Waldman, Donald M, 1992. "Quality-Adjusted Cost Functions and Policy Evaluation in the Nursing Home Industry," Journal of Political Economy, University of Chicago Press, vol. 100(6), pages 1232-56, December.
- Richard Blundell & Monica Costa Dias, 2009.
"Alternative Approaches to Evaluation in Empirical Microeconomics,"
Journal of Human Resources,
University of Wisconsin Press, vol. 44(3).
- Richard Blundell & Monica Costa Dias, 2008. "Alternative approaches to evaluation in empirical microeconomics," CeMMAP working papers CWP26/08, Centre for Microdata Methods and Practice, Institute for Fiscal Studies.
- Richard Blundell & Monica Costa Dias, 2002. "Alternative approaches to evaluation in empirical microeconomics," CeMMAP working papers CWP10/02, Centre for Microdata Methods and Practice, Institute for Fiscal Studies.
- Richard Blundell & Mónica Costa Dias, 2008. "Alternative Approaches to Evaluation in Empirical Microeconomics," CEF.UP Working Papers 0805, Universidade do Porto, Faculdade de Economia do Porto.
- Blundell, Richard & Costa Dias, Monica, 2008. "Alternative Approaches to Evaluation in Empirical Microeconomics," IZA Discussion Papers 3800, Institute for the Study of Labor (IZA).
- Norton, Edward C., 1992. "Incentive regulation of nursing homes," Journal of Health Economics, Elsevier, vol. 11(2), pages 105-128, August.
- Paresh Kumar Narayan & Xiujian Peng, 2006. "An Econometric Analysis of the Determinants of Fertility for China, 1952-2000," Journal of Chinese Economic and Business Studies, Taylor and Francis Journals, vol. 4(2), pages 165-183.
- Tim Hatton, 2004.
"Explaining Trends in UK Immigration,"
ANU Working Papers in Economics and Econometrics
2004-440, Australian National University, College of Business and Economics, School of Economics.
- Mehdi Farsi & Massimo Filippini & Michael Kuenzle, 2005. "Unobserved heterogeneity in stochastic cost frontier models: an application to Swiss nursing homes," Applied Economics, Taylor and Francis Journals, vol. 37(18), pages 2127-2141.
- William Rogers, 1994. "Regression standard errors in clustered samples," Stata Technical Bulletin, StataCorp LP, vol. 3(13).
- Austin Nichols, 2007. "Causal inference with observational data," Stata Journal, StataCorp LP, vol. 7(4), pages 507-541, December.
- Laura Di Giorgio & Massimo Filippini & Giuliano Masiero, 2012. "The impact of the institutional form on the cost efficiency of nursing homes," Quaderni della facoltÃ di Scienze economiche dell'UniversitÃ di Lugano 1203, USI Università della Svizzera italiana.
- Karlsson, Martin & Mayhew, Les & Plumb, Robert & Rickayzen, Ben, 2006.
"Future costs for long-term care: Cost projections for long-term care for older people in the United Kingdom,"
Elsevier, vol. 75(2), pages 187-213, January.
- Karlsson, Martin & Mayhew, Les & Rickayzen, Ben & Plumb, Robert, 2006. "Future costs for long-term care: Cost projections for long-term care for older people in the United Kingdom," Publications of Darmstadt Technical University, Institute of Economics (VWL) 34406, Darmstadt Technical University, Department of Business Administration, Economics and Law, Institute of Economics (VWL).
- Jegers, Marc & Kesteloot, Katrien & De Graeve, Diana & Gilles, Willem, 2002. "A typology for provider payment systems in health care," Health Policy, Elsevier, vol. 60(3), pages 255-273, June.
- A. Colin Cameron & Pravin K. Trivedi, 2010. "Microeconometrics Using Stata, Revised Edition," Stata Press books, StataCorp LP, number musr, February.
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