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How Do Hospitals Respond To Price Changes?Evidence From Norway

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Abstract

Many publicly funded health systems use prospective activity-based financing to increase hospital production and efficiency. The aim of this study is to investigate whether price changes for different treatments affect the mix of activity provided by hospitals. We exploit variations in prices created by changes in the national average treatment cost per DRG offered to Norwegian hospitals over a period of five years (2003-2007). We use data from the Norwegian Patient Register, containing individual-level information on age, gender, type of treatment, diagnosis, number of co-morbidities and the national average treatment costs per DRG. To examine the changes in activity within the DRGs over time, fixed-effect models are applied. The results suggest that a ten-percent increase in price leads to a rise of one percent in the number of patients treated. This increase is mainly due to more admission of emergency patients, rather than to increases in elective activity.

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  • Janueleviciute, Jurgita & Askildsen, Jan Erik & Kaarbøe, Oddvar & Siciliani, Luigi & Sutton, Matt, 2013. "How Do Hospitals Respond To Price Changes?Evidence From Norway," Working Papers in Economics 15/12, University of Bergen, Department of Economics.
  • Handle: RePEc:hhs:bergec:2012_015
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    Cited by:

    1. Reif, S.; Wichert, S.; Wuppermann, A.;, 2017. "Is it good to be too light? Birth weight thresholds in hospital reimbursement systems," Health, Econometrics and Data Group (HEDG) Working Papers 17/15, HEDG, c/o Department of Economics, University of York.
    2. repec:kap:ijhcfe:v:17:y:2017:i:1:d:10.1007_s10754-016-9201-9 is not listed on IDEAS
    3. Rossella Verzulli & Gianluca Fiorentini & Matteo Lippi Bruni & Cristina Ugolini, 2017. "Price Changes in Regulated Healthcare Markets: Do Public Hospitals Respond and How?," Health Economics, John Wiley & Sons, Ltd., vol. 26(11), pages 1429-1446, November.

    More about this item

    Keywords

    Hospitals; DRGs; prices; activity;

    JEL classification:

    • H42 - Public Economics - - Publicly Provided Goods - - - Publicly Provided Private Goods
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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