Arbeitspapier

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

Birth weight manipulation is common 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.

Language
Englisch

Bibliographic citation
Series: Munich Discussion Paper ; No. 2017-9

Classification
Wirtschaft
Analysis of Health Care Markets
Health: Government Policy; Regulation; Public Health
Subject
neonatal care
DRG upcoding
quantity & quality of care

Event
Geistige Schöpfung
(who)
Reif, Simon
Wichert, Sebastian
Wuppermann, Amelie
Event
Veröffentlichung
(who)
Ludwig-Maximilians-Universität München, Volkswirtschaftliche Fakultät
(where)
München
(when)
2017

DOI
doi:10.5282/ubm/epub.36422
Handle
URN
urn:nbn:de:bvb:19-epub-36422-9
Last update
10.03.2025, 11:41 AM CET

Data provider

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Object type

  • Arbeitspapier

Associated

  • Reif, Simon
  • Wichert, Sebastian
  • Wuppermann, Amelie
  • Ludwig-Maximilians-Universität München, Volkswirtschaftliche Fakultät

Time of origin

  • 2017

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