IDEAS home Printed from https://ideas.repec.org/p/hal/pseptp/hal-05565554.html

Hospital stay tariffs: A Sectoral Comparison Between Public and Private Hospitals (2009-2022)
[Tarifs des séjours hospitaliers : rapport sectoriel et évolution dans le temps (2009-2022)]

Author

Listed:
  • Carine Milcent

    (PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement)

Abstract

This study analyzes the tariff ratio between the public and private hospital sectors in France and its evolution from 2009 to 2022. Within a regulatory framework in which hospital stays are fully bundled in the public sector but remunerated through a mixed system in the private sector (bundled payment plus fee-for-service via the CCAM), the study examines how public authorities arbitrate between these two financing models. An analysis of tariff data reveals remarkable stability in the sectoral ratio, with private-sector bundled payments accounting for an average of 50% of those in the public sector. This stability holds across all types of care (medical, surgical, obstetric, and outpatient). When considering the composition of hospital activity and the degree of specialization of institutions, the tariff ratio does vary, albeit slightly: the lower the level of sectoral differentiation, the more pronounced the stability. These findings suggest that this difference should be viewed as an institutionalized equilibrium in hospital financing.

Suggested Citation

  • Carine Milcent, 2026. "Hospital stay tariffs: A Sectoral Comparison Between Public and Private Hospitals (2009-2022) [Tarifs des séjours hospitaliers : rapport sectoriel et évolution dans le temps (2009-2022)]," PSE-Ecole d'économie de Paris (Postprint) hal-05565554, HAL.
    • Handle: RePEc:hal:pseptp:hal-05565554
    DOI: 10.3917/redp.361.0001
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a
    for a similarly titled item that would be available.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;

    JEL classification:

    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:pseptp:hal-05565554. 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: Caroline Bauer (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.