EconPapers    
Economics at your fingertips  
 

Is it good to be too light? Birth weight thresholds in hospital reimbursement systems

Simon Reif (), Sebastian Wichert and Amelie Wuppermann

Journal of Health Economics, 2018, vol. 59, issue C, 1-25

Abstract: Birth weight manipulation has been documented in per-case hospital reimbursement systems, in which hospitals receive more money for otherwise equal newborns with birth weight just below compared to just above specific birth weight thresholds. As hospitals receive more money for cases with weight below the thresholds, having a (reported) weight below a threshold could benefit the newborn. Also, these reimbursement thresholds overlap with diagnostic thresholds that have been shown to affect the quantity and quality of care that newborns receive. Based on the universe of hospital births in Germany from the years 2005–2011, we investigate whether weight below reimbursement relevant thresholds triggers different quantity and quality of care. We find that this is not the case, suggesting that hospitals’ financial incentives with respect to birth weight do not directly impact the care that newborns receive.

Keywords: Neonatal care; DRG upcoding; Quantity and quality of care (search for similar items in EconPapers)
JEL-codes: I11 I18 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1) Track citations by RSS feed

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/S0167629617302692
Full text for ScienceDirect subscribers only

Related works:
Working Paper: Is it good to be too light? Birth weight thresholds in hospital reimbursement systems (2017) Downloads
Working Paper: Is it good to be too light? Birth weight thresholds in hospital reimbursement systems (2017) Downloads
Working Paper: Is it good to be too light? Birth weight thresholds in hospital reimbursement systems (2017) Downloads
Working Paper: Is it good to be too light? Birth weight thresholds in hospital reimbursement systems (2017) 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:jhecon:v:59:y:2018:i:c:p:1-25

Access Statistics for this article

Journal of Health Economics is currently edited by J. P. Newhouse, A. J. Culyer, R. Frank, K. Claxton and T. McGuire

More articles in Journal of Health Economics from Elsevier
Bibliographic data for series maintained by Dana Niculescu ().

 
Page updated 2019-03-31
Handle: RePEc:eee:jhecon:v:59:y:2018:i:c:p:1-25