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Hospital capacity reporting in Germany during COVID-19

Author

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  • Reif, Simon
  • Schubert, Sabrina

Abstract

During the COVID-19 pandemic, hospitals faced a unique predicament. Hospital care was urgently needed and society took efforts to prevent overwhelming hospitals. However, hospitals in case-based reimbursement schemes faced financial problems because of cancelled elective care visits and government regulations to keep capacity free for Covid-19 patients. Therefore, emergency financing measures were implemented in many countries. We analyze how hospitals in Germany responded to a scheme that provided financial support if the intensive care unit (ICU) occupancy rate in a county exceeded 75%. The scheme distributed over seven billion euros to hospitals and was notable because financial support depended on a measure (ICU occupancy rate) that hospitals could directly influence. To analyze hospitals' reactions to this scheme, we employ event study analyses comparing ICU capacity before and after regions became eligible. We find no evidence of strategic reporting at an economically meaningful and hence empirically detectable scale.

Suggested Citation

  • Reif, Simon & Schubert, Sabrina, 2023. "Hospital capacity reporting in Germany during COVID-19," ZEW Discussion Papers 23-021, ZEW - Leibniz Centre for European Economic Research.
    • Handle: RePEc:zbw:zewdip:23021
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    References listed on IDEAS

    as
    1. Augurzky, Boris & Busse, Reinhard & Haering, Alexander & Nimptsch, Ulrike & Pilny, Adam & Werbeck, Anna, 2021. "Analysen zum Leistungsgeschehen der Krankenhäuser und zur Ausgleichspauschale in der Corona-Krise: Ergebnisse für den Zeitraum Januar bis Mai 2021," RWI Projektberichte, RWI - Leibniz-Institut für Wirtschaftsforschung, number 268725.
    2. Augurzky, Boris & Busse, Reinhard & Haering, Alexander & Nimptsch, Ulrike & Pilny, Adam & Werbeck, Anna, 2021. "Analysen zum Leistungsgeschehen der Krankenhäuser und zur Ausgleichspauschale in der Corona-Krise: Ergebnisse für den Zeitraum Januar bis Dezember 2020," RWI Projektberichte, RWI - Leibniz-Institut für Wirtschaftsforschung, number 234020.
    3. Augurzky, Boris & Busse, Reinhard & Haering, Alexander & Nimptsch, Ulrike & Pilny, Adam & Werbeck, Anna & Wuckel, Christiane, 2022. "Analysen zum Leistungsgeschehen der Krankenhäuser und zur Ausgleichspauschale in der Corona-Krise: Ergebnisse für den Zeitraum Januar bis Dezember 2021," RWI Projektberichte, RWI - Leibniz-Institut für Wirtschaftsforschung, number 266529.
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      More about this item

      Keywords

      Hospitals; Misreporting; Financial Support Programs; Covid;
      All these keywords.

      JEL classification:

      • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
      • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
      • H27 - Public Economics - - Taxation, Subsidies, and Revenue - - - Other Sources of Revenue

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