Hospital stay tariffs: A Sectoral Comparison Between Public and Private Hospitals (2009-2022)

Tarifs des séjours hospitaliers: rapport sectoriel et évolution dans le temps (2009-2022)

Carine Milcent ()
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Carine Milcent: PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement

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Abstract: This study analyzes the tariff ratio between the public and private hospital sectors in France and its evolution from 2009 to 2022. Within a regulatory framework in which hospital stays are fully bundled in the public sector but remunerated through a mixed system in the private sector (bundled payment plus fee-for-service via the CCAM), the study examines how public authorities arbitrate between these two financing models. An analysis of tariff data reveals remarkable stability in the sectoral ratio, with private-sector bundled payments accounting for an average of 50% of those in the public sector. This stability holds across all types of care (medical, surgical, obstetric, and outpatient). When considering the composition of hospital activity and the degree of specialization of institutions, the tariff ratio does vary, albeit slightly: the lower the level of sectoral differentiation, the more pronounced the stability. These findings suggest that this difference should be viewed as an institutionalized equilibrium in hospital financing.

Keywords: Sectoral convergence; Private hospitals; Hospital financing; Activity-based payment (T2A); Tariff setting; Public; Hôpital; Secteurs public et privé; Stabilité du rapport sectoriel; Convergence; Tarifs; T2A; Tarification à l’activité (search for similar items in EconPapers)
Date: 2026-03-04
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Published in Revue d'économie politique, 2026, 136 (1), pp.1-28. ⟨10.3917/redp.361.0001⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:pseptp:hal-05565554

DOI: 10.3917/redp.361.0001

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