EconPapers    
Economics at your fingertips  
 

Implications of global budget payment system on nursing home costs

Laura Di Giorgio, Massimo Filippini and Giuliano Masiero

Health Policy, 2014, vol. 115, issue 2, 237-248

Abstract: Pressure on health care systems due to the increasing expenditures of the elderly population is pushing policy makers to adopt new regulation and payment schemes for nursing home services. We consider the behavior of nonprofit nursing homes under different payment schemes and empirically investigate the implications of prospective payments on nursing home costs under tightly regulated quality aspects. To evaluate the impact of the policy change introduced in 2006 in Southern Switzerland – from retrospective to prospective payment – we use a panel of 41 homes observed over a 10-years period (2001–2010). We employ a fixed effects model with a time trend that is allowed to change after the policy reform. There is evidence that the new payment system slightly reduces costs without impacting quality.

Keywords: Nursing homes; Prospective payment; Quality of care; Policy change (search for similar items in EconPapers)
JEL-codes: C23 I18 J33 (search for similar items in EconPapers)
Date: 2014
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/S016885101400030X
Full text for ScienceDirect subscribers only

Related works:
Working Paper: Implications of global budget payment system on nursing home costs (2012) Downloads
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:115:y:2014:i:2:p:237-248

DOI: 10.1016/j.healthpol.2014.01.017

Access Statistics for this article

Health Policy is currently edited by Katrien Kesteloot, Mia Defever and Irina Cleemput

More articles in Health Policy from Elsevier
Bibliographic data for series maintained by Catherine Liu () and ().

 
Page updated 2025-03-23
Handle: RePEc:eee:hepoli:v:115:y:2014:i:2:p:237-248