IDEAS home Printed from https://ideas.repec.org/p/hal/journl/halshs-01990505.html
   My bibliography  Save this paper

Hospital payment systems: Taking heterogeneity into account
[Tarification des hôpitaux : la prise en compte des hétérogénéités]

Author

Listed:
  • Brigitte Dormont

    (Institute of Health Economics and Management - Institute of Health Economics and Management)

  • Carine Milcent

    (PJSE - Paris-Jourdan Sciences Economiques - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris sciences et lettres - INRA - Institut National de la Recherche Agronomique - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique)

Abstract

ABSTRACT.-The purpose of this paper is to study hospital costs in the event of introduction of a Prospective Payment System in France. We use a nested three dimensional database (stays-hospitals-years) to identify hospital unobservable heterogeneity and a transitory moral hazard component of cost variability. Transitory moral hazard is about 50% of the standard error we estimate for cost variability due to permanent unobervable heterogeneity between hospitals. Simulations show that a cost reduction of about 16% can be expected from implementation of a payment system which allows for permanent unobserved heterogeneity and eliminates only transitory moral hazard. Cette étude a été financée en partie par une convention avec la DREES (Ministère de l'emploi et de la solidarité). Nous remercions Werner ANTWEILER (University of British Columbia) pour ses précieux commentaires, ainsi que Bruno CRÉPON, Alberto HOLLY, Nathalie DESTAIS et les deux rapporteurs anonymes de la revue. Nous avons aussi pro-fité des remarques des participants du séminaire santé CREST-LEI, du séminaire Théma, du séminaire FOURGEAUD et du Summer Workshop du NBER (Boston [2002]).

Suggested Citation

  • Brigitte Dormont & Carine Milcent, 2004. "Hospital payment systems: Taking heterogeneity into account [Tarification des hôpitaux : la prise en compte des hétérogénéités]," Post-Print halshs-01990505, HAL.
    • Handle: RePEc:hal:journl:halshs-01990505
    Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-01990505
    as

    Download full text from publisher

    File URL: https://shs.hal.science/halshs-01990505/document
    Download Restriction: no
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hal:journl:halshs-01990505. See general information about how to correct material in RePEc.

    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.

    We have no bibliographic references for this item. You can help adding them by using 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 RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

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

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.