Technological adoption in health care

Xavier Martinez-Giralt and Pedro Barros

No 7558, CEPR Discussion Papers from C.E.P.R. Discussion Papers

Abstract: This paper addresses the impact of payment systems on the rate of technology adoption. We present a model where technological shift is driven by demand uncertainty, increased patients' benefit, financial variables, and the reimbursement system to providers. Two payment systems are studied: cost reimbursement and (two variants of) DRG. According to the system considered, adoption occurs either when patients' benefits are large enough or when the differential reimbursement across technologies offsets the cost of adoption. Cost reimbursement leads to higher adoption of the new technology if the rate of reimbursement is high relative to the margin of new vs. old technology reimbursement under DRG. Having larger patient benefits favors more adoption under the cost reimbursement payment system, provided that adoption occurs initially under both payment systems.

Keywords: Health care; Payment systems; Technology adoption (search for similar items in EconPapers)
JEL-codes: I11 I12 Q33 (search for similar items in EconPapers)
Date: 2009-11
New Economics Papers: this item is included in nep-hea
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Citations: View citations in EconPapers (2)

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Related works:
Working Paper: Technological adoption in health care (2015)
Working Paper: Technological adoption in health care (2009)
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