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Hétérogénéité des établissements de santé et tarification à la pathologie

Author

Listed:
  • Philippe Choné
  • Romain Lesur

Abstract

We reexamine the mechanism of prospective reimbursement when the regulator does not observe hospitals? cost characteristics, which can depend on exogenous variables and idiosyncratic shocks. In this framework, we formally develop the "reduced-form" of yardstick competition, which allows the regulator to reduce her informational disadvantage by "filtering out" the effect of the exogenous variables in the case of a fixed number of patients. This result does not hold in more complex environments, in particular when the number of patients is variable. However, we show that adjustments of prospective reimbursements are necessary. Classification JEL : L51, I18

Suggested Citation

  • Philippe Choné & Romain Lesur, 2002. "Hétérogénéité des établissements de santé et tarification à la pathologie," Revue d'économie politique, Dalloz, vol. 112(1), pages 65-76.
    • Handle: RePEc:cai:repdal:redp_121_0065
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    More about this item

    Keywords

    yardstick competition; cost regression on observable variables; informational asymmetry; adverse selection; unobserved heterogeneity;
    All these keywords.

    JEL classification:

    • L51 - Industrial Organization - - Regulation and Industrial Policy - - - Economics of Regulation
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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