Arbeitspapier

Dynamic, incentive-compatible contracting for health services

This paper aims to characterise a dynamic, incentive-compatible contract for the provision of health services, allowing for both moral hazard and adverse selection. Patients' severity changes over time following a stochastic process and is private information of the provider. We characterise the optimal dynamic contract and show that it is made up of two components: a timeinvariant payment, which depends on the structural characteristics of the provider, and a timevarying component, which is affected by both patient and hospital characteristics. To illustrate the characteristics of the dynamic contract and compare it with a more standard static contract, we provide a numerical exercise calibrated with data from hip replacement hospitalisations in Italy.

Sprache
Englisch

Erschienen in
Series: Working Paper ; No. 016.2023

Klassifikation
Wirtschaft
Publicly Provided Private Goods
Health: Government Policy; Regulation; Public Health
Asymmetric and Private Information; Mechanism Design
Thema
hospital payments
dynamic mechanism design
DRG
two-part tariffs
adverse selection
moral hazard

Ereignis
Geistige Schöpfung
(wer)
Levaggi, Rosella
Moretto, Michele
Pertile, Paolo
Ereignis
Veröffentlichung
(wer)
Fondazione Eni Enrico Mattei (FEEM)
(wo)
Milano
(wann)
2023

Handle
Letzte Aktualisierung
10.03.2025, 11:43 MEZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.

Objekttyp

  • Arbeitspapier

Beteiligte

  • Levaggi, Rosella
  • Moretto, Michele
  • Pertile, Paolo
  • Fondazione Eni Enrico Mattei (FEEM)

Entstanden

  • 2023

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