Arbeitspapier
Patient versus Provider Incentives in Long-Term Care
How do patient and provider incentives affect the provision of long-term care? Our analysis of 551 thousand nursing home stays yields three main insights. First, Medicaid-covered residents prolong their stays instead of transitioning to community-based care due to limited cost-sharing. Second, when facility capacity binds, nursing homes shorten Medicaid stays to admit more profitable out-of-pocket private payers. Third, providers react more elastically to financial incentives than patients. Thus, targeting provider incentives through alternative payment models, such as episode-based reimbursement, is more effective than increasing patient cost-sharing in facilitating transitions to community-based care and generating long-term care savings.
- Sprache
-
Englisch
- Erschienen in
-
Series: IZA Discussion Papers ; No. 16165
- Klassifikation
-
Wirtschaft
National Government Expenditures and Health
State and Local Government: Health; Education; Welfare; Public Pensions
Analysis of Health Care Markets
Health Insurance, Public and Private
Health: Government Policy; Regulation; Public Health
Economics of the Elderly; Economics of the Handicapped; Non-labor Market Discrimination
- Thema
-
long-term care
nursing homes
patient incentives
provider incentives
cost-sharing
episode-based reimbursement
Medicaid
- Ereignis
-
Geistige Schöpfung
- (wer)
-
Hackmann, Martin B.
Pohl, Vincent
Ziebarth, Nicolas R.
- Ereignis
-
Veröffentlichung
- (wer)
-
Institute of Labor Economics (IZA)
- (wo)
-
Bonn
- (wann)
-
2023
- Handle
- Letzte Aktualisierung
-
10.03.2025, 11:44 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.
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.
Objekttyp
- Arbeitspapier
Beteiligte
- Hackmann, Martin B.
- Pohl, Vincent
- Ziebarth, Nicolas R.
- Institute of Labor Economics (IZA)
Entstanden
- 2023
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