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Cancelled Procedures in the English NHS: Evidence from the 2010 Tariff Reform

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  • Graham Cookson
  • Simon Jones
  • Ioannis Laliotis

Abstract

This paper explores the role of incentives in the English National Health Service. Until financial year 2009/2010, elective procedures that were cancelled after admission received a fixed reimbursement associated with a specific healthcare resource group code. We investigate whether this induced trusts to admit and then cancel, rather than cancel before admission and/or to cancel low fee over high fee work. As the tariff was ended in April 2010, we conduct an interrupted time series analysis to examine if their behaviour was affected after the tariff removal. The results indicate a small, yet statistically significant, decline in the probability of a last minute cancellation in the post‐tariff period, especially for certain types of patients and diagnoses. Copyright © 2017 John Wiley & Sons, Ltd.

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  • Graham Cookson & Simon Jones & Ioannis Laliotis, 2017. "Cancelled Procedures in the English NHS: Evidence from the 2010 Tariff Reform," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 126-139, December.
    • Handle: RePEc:wly:hlthec:v:26:y:2017:i:12:p:e126-e139
    DOI: 10.1002/hec.3486
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    References listed on IDEAS

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    1. Francesco Longo & Luigi Siciliani & Giuseppe Moscelli & Hugh Gravelle, 2019. "Does hospital competition improve efficiency? The effect of the patient choice reform in England," Health Economics, John Wiley & Sons, Ltd., vol. 28(5), pages 618-640, May.
    2. Joana Cima & Álvaro Almeida, 2022. "The impact of cancellations in waiting times analysis: evidence from scheduled surgeries in the Portuguese NHS," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(1), pages 95-104, February.

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