Artikel
Do discontinuities in marginal reimbursement affect inpatient psychiatric care in Germany?
This paper examines the behaviour of mental health care providers in response to marginal payment incentives induced by a discontinuous per diem reimbursement schedule with varying tariff rates over the length of stay. The analyses use administrative data on 12,627 cases treated in 82 psychiatric hospitals and wards in Germany. We investigate whether substantial reductions in marginal reimbursement per inpatient day led to strategic discharge behaviour once a certain length of stay threshold is exceeded. The data do not show gaps and bunches at the duration of treatment when marginal reimbursement decreases. Using logistic regression models, we find that providers did not react to discontinuities in marginal reimbursement by significantly reducing inpatient length of stay around the threshold. These findings are robust in terms of different model specifications and subsamples. The results indicate that if regulators aim to set incentives to decrease LOS, this might not be achieved by cuts in reimbursement over LOS.
- Language
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Englisch
- Bibliographic citation
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Journal: The European Journal of Health Economics ; ISSN: 1618-7601 ; Volume: 22 ; Year: 2020 ; Issue: 1 ; Pages: 101-114 ; Berlin, Heidelberg: Springer
- Classification
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Medizin, Gesundheit
- Subject
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Health care financing
Prospective payment system
Length of stay
Marginal payment incentives
Hospital behaviour
Mental health care
Analysis of health care markets (I11)
Government policy
Regulation
Public health (I18)
- Event
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Geistige Schöpfung
- (who)
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Pott, Clara
Stargardt, Tom
Schneider, Udo
Frey, Simon
- Event
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Veröffentlichung
- (who)
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Springer
- (where)
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Berlin, Heidelberg
- (when)
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2020
- DOI
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doi:10.1007/s10198-020-01241-5
- Last update
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10.03.2025, 11:42 AM CET
Data provider
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. If you have any questions about the object, please contact the data provider.
Object type
- Artikel
Associated
- Pott, Clara
- Stargardt, Tom
- Schneider, Udo
- Frey, Simon
- Springer
Time of origin
- 2020
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Cost variation in child and adolescent psychiatric inpatient treatment
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Do discontinuities in marginal reimbursement affect inpatient psychiatric care in Germany?
Invalid inpatient stays and their potential reimbursement
Principles of compulsory psychiatric inpatient treatment
Possible criteria for inpatient psychiatric admissions: which patients are transferred from emergency services to inpatient psychiatric treatment?
Patient-appraised beneficial moments during inpatient psychiatric treatment
Cost variation in child and adolescent psychiatric inpatient treatment
Delayed discharge in inpatient psychiatric care: a systematic review
Consistency of Violence: Implications for Effective Inpatient Psychiatric Care
Overrepresentation of unaccompanied refugee minors in inpatient psychiatric care
Cost variation in child and adolescent psychiatric inpatient treatment
Racial disparities with PRN medication usage in inpatient psychiatric treatment