Unintended consequences of supply-side cost control? Evidence from China's new cooperative medical scheme

Chan, MK; Zeng, G

Unintended consequences of supply-side cost control? Evidence from China's new cooperative medical scheme

Chan, MK

Zeng, G

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Publication Type:: Journal Article
Citation:: Journal of Health Economics, 2018, 61 pp. 27 - 46
Issue Date:: 2018-09-01

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Field	Value	Language
dc.contributor.author	Chan, MK https://orcid.org/0000-0002-1010-7587	en_US
dc.contributor.author	Zeng, G	en_US
dc.date.available	2018-06-13	en_US
dc.date.issued	2018-09-01	en_US
dc.identifier.citation	Journal of Health Economics, 2018, 61 pp. 27 - 46	en_US
dc.identifier.issn	0167-6296	en_US
dc.identifier.uri	http://hdl.handle.net/10453/130534
dc.description.abstract	© 2018 Elsevier B.V. We examine the effects of a “per-episode fee limit” that was recently implemented as a cost-control policy in China's health care system. Using hospital administrative data on a rural public health insurance program in China, we find that hospital departments dynamically adjust episode fees in response to the level of stress under fee limits. We also document anomalous cycles in the fees and length of stay of discharged episodes, which are consistent with the dynamically optimizing behavior to comply with the fee limit. We find qualitatively similar results in administrative data from an urban public health insurance program.	en_US
dc.relation.ispartof	Journal of Health Economics	en_US
dc.relation.isbasedon	10.1016/j.jhealeco.2018.06.008	en_US
dc.subject.classification	Health Policy & Services	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Length of Stay	en_US
dc.subject.mesh	Rural Health Services	en_US
dc.subject.mesh	Cost Control	en_US
dc.subject.mesh	Economics, Hospital	en_US
dc.subject.mesh	Fees, Medical	en_US
dc.subject.mesh	Insurance, Health	en_US
dc.subject.mesh	Delivery of Health Care	en_US
dc.subject.mesh	China	en_US
dc.title	Unintended consequences of supply-side cost control? Evidence from China's new cooperative medical scheme	en_US
dc.type	Journal Article
utslib.citation.volume	61	en_US
utslib.for	1402 Applied Economics	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1403 Econometrics	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Business/Economics Discipline
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	61	en_US

Abstract:

© 2018 Elsevier B.V. We examine the effects of a “per-episode fee limit” that was recently implemented as a cost-control policy in China's health care system. Using hospital administrative data on a rural public health insurance program in China, we find that hospital departments dynamically adjust episode fees in response to the level of stress under fee limits. We also document anomalous cycles in the fees and length of stay of discharged episodes, which are consistent with the dynamically optimizing behavior to comply with the fee limit. We find qualitatively similar results in administrative data from an urban public health insurance program.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/130534