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Macau Periodical Index (澳門期刊論文索引)
- Author
- Zhang, Jing Hua
- Title
- The heterogeneity of hospital cost shifting: the case of the BBA of 1997 in the USA
- Journal Name
- 澳門科技大學學報
- Pub. Info
- Dec. 2012, Vol.6, No.2, pp. 104-116
- Link
- http://lib.must.edu.mo/sites/default/files/assets/images/Duu/must_journal_201202.pdf
- Keyword
- Cost shift；Heterogeneity；The balanced Budget Act of 1997；Financial loss
- Abstract
- Abstract : Hospital cost shifting means that a hospital raises the price charged to privately insured patients of offset its financial loss due to a price cut by a public payer. Using a panel data set from the Healthcare Cost Report Information System (HCRIS) during 1996 to 2002, this study applies quantile regression to examine the heterogeneity of hospital cost shifting after the implementation of the BBA of 1997 in the USA. This study finds that there is an increasing tendency of cost shifting by hospitals from lower quantile to higher quantile of financial loss caused by the BBA of 1997. However, the increasing trend of cost shifting at high quantiles is flatter than that ai low quantiles. The findings help to improve the effectiveness of future health care reimbursement reform by focusing on highly responsive groups. Paragraph Headings: 1. Introduction 2. PPS and the BBA of 1997 3. Literature review 3.1. Conceptual literature review 3.2. Empirical literature review 4. Data 5. Methodology and models 5.1. Quantile regression method 5.2. Long-Difference model 5.3. Variables 6. Empirical analysis and results 7. Discussion and conclusion 8. Limitation and future study Tables: 1. Descriptive statistics of hospital and market characteristics 2. The impact of BBA on change of private price during 1998-2002 (OLS) 3. The impact of BBA on change of private price during 1998-2002 (quantile regression) Figures: 1. Distribution of change of private price 2. Distribution of BBA financial impact 3. Distribution of share of medicare patients 4. Time series of BBA impact and private price. 5. The Impact of BBA on change of private price during 1998-2002 (quantile regression)