Tarification des hôpitaux:la prise en compte des hétérogénéités

Brigitte Dormont and Carine Milcent

Annals of Economics and Statistics, 2004, issue 74, 47-82

Abstract: The purpose of this paper is to study hospital costs in the event of introduction of a Prospective Payment System in France. We use a nested three dimensional database (stays-hospitals-years) to identify hospital unobservable heterogeneity and a transitory moral hazard component of cost variability. Transitory moral hazard is about 50% of the standard error we estimate for cost variability due to permanent unobervable heterogeneity between hospitals. Simulations show that a cost reduction of about 16% can be expected from implementation of a payment system which allows for permanent unobserved heterogeneity and eliminates only transitory moral hazard.

Date: 2004
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Persistent link: https://EconPapers.repec.org/RePEc:adr:anecst:y:2004:i:74:p:47-82

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