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The impacts of DRG-based payments on health care provider behaviors under a universal coverage system: A population-based study

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  • Cheng, Shou-Hsia
  • Chen, Chi-Chen
  • Tsai, Shu-Ling

Abstract

To examine the impacts of diagnosis-related group (DRG) payments on health care provider's behavior under a universal coverage system in Taiwan.

Suggested Citation

  • Cheng, Shou-Hsia & Chen, Chi-Chen & Tsai, Shu-Ling, 2012. "The impacts of DRG-based payments on health care provider behaviors under a universal coverage system: A population-based study," Health Policy, Elsevier, vol. 107(2), pages 202-208.
    • Handle: RePEc:eee:hepoli:v:107:y:2012:i:2:p:202-208
    DOI: 10.1016/j.healthpol.2012.03.021
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    References listed on IDEAS

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    1. Moreno-Serra, Rodrigo & Wagstaff, Adam, 2010. "System-wide impacts of hospital payment reforms: Evidence from Central and Eastern Europe and Central Asia," Journal of Health Economics, Elsevier, vol. 29(4), pages 585-602, July.
    2. Leemore S. Dafny, 2005. "How Do Hospitals Respond to Price Changes?," American Economic Review, American Economic Association, vol. 95(5), pages 1525-1547, December.
    3. Xufeng Qian & Louise B. Russell & Elmira Valiyeva & Jane E. Miller, 2011. "‘Quicker And Sicker’ Under Medicare'S Prospective Payment System For Hospitals: New Evidence On An Old Issue From A National Longitudinal Survey," Bulletin of Economic Research, Wiley Blackwell, vol. 63(1), pages 1-27, January.
    4. Jiale Zhang, 2010. "The impact of a diagnosis-related group-based prospective payment experiment: the experience of Shanghai," Applied Economics Letters, Taylor & Francis Journals, vol. 17(18), pages 1797-1803.
    5. Cutler, David M, 1995. "The Incidence of Adverse Medical Outcomes under Prospective Payment," Econometrica, Econometric Society, vol. 63(1), pages 29-50, January.
    6. Ellis, Randall P. & McGuire, Thomas G., 1996. "Hospital response to prospective payment: Moral hazard, selection, and practice-style effects," Journal of Health Economics, Elsevier, vol. 15(3), pages 257-277, June.
    7. Liu, Shuen-Zen & Romeis, James C., 2004. "Changes in drug utilization following the outpatient prescription drug cost-sharing program--evidence from Taiwan's elderly," Health Policy, Elsevier, vol. 68(3), pages 277-287, June.
    8. Marjorie Rosenberg & Mark Browne, 2001. "The Impact of the Inpatient Prospective Payment System and Diagnosis-Related Groups," North American Actuarial Journal, Taylor & Francis Journals, vol. 5(4), pages 84-94.
    9. Theurl, Engelbert & Winner, Hannes, 2007. "The impact of hospital financing on the length of stay: Evidence from Austria," Health Policy, Elsevier, vol. 82(3), pages 375-389, August.
    10. Soonman Kwon, 2003. "Health and Health Care," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 62(1), pages 171-186, April.
    11. Shmueli, Amir & Intrator, Orna & Israeli, Avi, 2002. "The effects of introducing prospective payments to general hospitals on length of stay, quality of care, and hospitals' income: the early experience of Israel," Social Science & Medicine, Elsevier, vol. 55(6), pages 981-989, September.
    12. Cheng, Shou-Hsia & Chen, Chi-Chen & Chang, Wei-Ling, 2009. "Hospital response to a global budget program under universal health insurance in Taiwan," Health Policy, Elsevier, vol. 92(2-3), pages 158-164, October.
    13. Kroneman, Madelon & Nagy, Julia, 2001. "Introducing DRG-based financing in Hungary: a study into the relationship between supply of hospital beds and use of these beds under changing institutional circumstances," Health Policy, Elsevier, vol. 55(1), pages 19-36, January.
    14. Lang, Hui-Chu & Chi, Chunhuei & Liu, Chi-Ming, 2004. "Impact of the case payment reimbursement method on the utilization and costs of laparoscopic cholecystectomy," Health Policy, Elsevier, vol. 67(2), pages 195-206, February.
    15. Winnie Yip & Karen Eggleston, 2001. "Provider payment reform in China: the case of hospital reimbursement in Hainan province," Health Economics, John Wiley & Sons, Ltd., vol. 10(4), pages 325-339, June.
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    Citations

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    Cited by:

    1. Wittmann, Nadine, 2014. "Economic reasoning on the correlation between life expectancy and economic development: Exploring alternative routes," Economics Discussion Papers 2014-43, Kiel Institute for the World Economy (IfW Kiel).
    2. Lingli Zhang & Lihua Sun, 2022. "Impacts of case‐based payments reform on healthcare providers' behaviour on cataract surgery in a tertiary hospital in China: An eight‐year retrospective study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(1), pages 504-512, January.
    3. Eberhard Feess & Helge Müller & Ansgar Wohlschlegel, 2019. "Reimbursement schemes for hospitals: the impact of case and firm characteristics," Applied Economics, Taylor & Francis Journals, vol. 51(15), pages 1647-1665, March.
    4. Pott, Clara & Stargardt, Tom & Frey, Simon, 2023. "Does prospective payment influence quality of care? A systematic review of the literature," Social Science & Medicine, Elsevier, vol. 323(C).
    5. Pei-Fang Huang & Pei-Tseng Kung & Wen-Yu Chou & Wen-Chen Tsai, 2020. "Characteristics and related factors of emergency department visits, readmission, and hospital transfers of inpatients under a DRG-based payment system: A nationwide cohort study," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-18, December.
    6. Kamhon Kan & Shu-Fen Li & Wei-Der Tsai, 2014. "The impact of global budgeting on treatment intensity and outcomes," International Journal of Health Economics and Management, Springer, vol. 14(4), pages 311-337, December.
    7. Damrongplasit, Kannika & Atalay, Kadir, 2021. "Payment mechanism and hospital admission: New evidence from Thailand healthcare reform," Social Science & Medicine, Elsevier, vol. 291(C).
    8. Meng, Zhaolin & Hui, Wen & Cai, Yuanyi & Liu, Jiazhou & Wu, Huazhang, 2020. "The effects of DRGs-based payment compared with cost-based payment on inpatient healthcare utilization: A systematic review and meta-analysis," Health Policy, Elsevier, vol. 124(4), pages 359-367.
    9. Chien, Ling-Chen & Chou, Yiing-Jenq & Huang, Yu-Chin & Shen, Yi-Jung & Huang, Nicole, 2020. "Reducing low value services in surgical inpatients in Taiwan: Does diagnosis-related group payment work?," Health Policy, Elsevier, vol. 124(1), pages 89-96.
    10. Endrei, Dóra & Zemplényi, Antal & Molics, Bálint & Ágoston, István & Boncz, Imre, 2014. "The effect of performance-volume limit on the DRG based acute care hospital financing in Hungary," Health Policy, Elsevier, vol. 115(2), pages 152-156.
    11. Wu, Jing & He, Xiaoning & Feng, Xing Lin, 2022. "Can case-based payment contain healthcare costs? - A curious case from China," Social Science & Medicine, Elsevier, vol. 312(C).

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