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Government Purchasing of Health Services

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Author Info
Chalkley, M.
Malcomson, J.M.

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Abstract

This chapter reviews the literature on payment schemes for government purchases of health services. It focuses on four themes: (1) the tension between obtaining appropriate quality of services and keeping the cost of those services at an acceptable level; (2) the role of cost sharing by the payer when there is asymmetric information between purchaser and supplier about costs or case-mix; (3) the importance of committment in purchasing; and (4) the role of reputation in maintaining quality in long term relationships between purchasers and suppliers.

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Publisher Info
Paper provided by Economics Division, School of Social Sciences, University of Southampton in its series Discussion Paper Series In Economics And Econometrics with number 9821.

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Date of creation: 01 Jan 1998
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Handle: RePEc:stn:sotoec:9821

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  1. Michele Moretto & Rosella Levaggi, 2004. "Investment in Hospital Care Technology under Different Purchasing Rules: A Real Option Approach," Working Papers 2004.75, Fondazione Eni Enrico Mattei. [Downloadable!]
    Other versions:
  2. Rosella Levaggi & Roberto Zanola, 2004. "Patients' migration across regions: the case of Italy," Applied Economics, Taylor and Francis Journals, vol. 36(16), pages 1751-1757, September. [Downloadable!] (restricted)
  3. Pedro P. Barros & Xavier Martinez-Giralt, 2002. "Preventive health care and payment systems to providers," UFAE and IAE Working Papers 507.02, Unitat de Fonaments de l'Anàlisi Econòmica (UAB) and Institut d'Anàlisi Econòmica (CSIC). [Downloadable!]
  4. James Malcomson, 2003. "Health Service Gatekeepers," Economics Series Working Papers 169, University of Oxford, Department of Economics. [Downloadable!]
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  5. James Malcomson, 2005. "Supplier Discretion over Provision: Theory and an Application to Medical Care," Economics Series Working Papers 221, University of Oxford, Department of Economics. [Downloadable!]
    Other versions:
  6. Guillem López & David McDaid & Joan Costa-Font, 2006. "Health Care Management Autonomy: Evidence from the Catalonian Hospital Sector in a Decentralised Spain," Working Papers, Research Center on Health and Economics 993, Department of Economics and Business, Universitat Pompeu Fabra. [Downloadable!]
    Other versions:
  7. Montefiori, Marcello, 2002. "Libertà di scelta e contratti prospettici: l’asimmetria informativa nel mercato delle cure sanitarie ospedaliere," P.O.L.I.S. department's Working Papers 28, Department of Public Policy and Public Choice - POLIS. [Downloadable!]
  8. Eika, Kari, 2004. "When quality today affects service needs tomorrow," Memorandum 18/2004, Oslo University, Department of Economics. [Downloadable!]
  9. Robin McKnight, 2004. "Home Care Reimbursement, Long-term Care Utilization, and Health Outcomes," NBER Working Papers 10414, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  10. Robin McKnight, 2004. "Home Care Reimbursement, Long-term Care Utilization,And Health Outcomes," University of Oregon Economics Department Working Papers 2004-6, University of Oregon Economics Department. [Downloadable!]
  11. Brigitte Dormont & Carine Milcent, 2004. "The sources of hospital cost variability," Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 927-939. [Downloadable!]
  12. Fahad Khalil & Jacques Lawarree, 2000. "CATCHING THE AGENT ON THE WRONG FOOT: ex post choice of monitoring," Discussion Papers in Economics at the University of Washington 0006, Department of Economics at the University of Washington. [Downloadable!]
  13. Jason R. Barro & Robert S. Huckman & Daniel P. Kessler, 2005. "The Effects of Cardiac Specialty Hospitals on the Cost and Quality of Medical Care," NBER Working Papers 11707, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  14. Rossella Levaggi & Michele Moretto & Vincenzo Rebba, 2007. "Investment decisions in hospital technology when physicians are devoted workers," "Marco Fanno" Working Papers 0048, Dipartimento di Scienze Economiche "Marco Fanno". [Downloadable!]
  15. Sonja Ossig & Eberhard Feess, 2004. "The impact of liability for malpractice on the optimal reimbursement schemes for health services," Econometric Society 2004 Far Eastern Meetings 396, Econometric Society. [Downloadable!]
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