Hospital cost shifting revisited: New evidence from the balanced budget act of 1997

International Journal of Health Care Finance and Economics

Volumn 10, Issue 1, 2010, Pages 61-83

  Wu, Vivian Y ^a  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

Author keywords

Balanced Budget Act; Cost shifting; Hospital pricing; Medicare

Indexed keywords

ARTICLE; BUDGET; CLASSIFICATION; COMMUNITY CARE; COST; ECONOMICS; FINANCIAL MANAGEMENT; HEALTH MAINTENANCE ORGANIZATION; HOSPITAL; HOSPITAL CHARGE; HOSPITAL COST; HUMAN; LEGAL ASPECT; MEDICARE; METHODOLOGY; STATISTICAL MODEL; STATISTICS; UNITED STATES;

BUDGETS; COST ALLOCATION; FINANCIAL MANAGEMENT, HOSPITAL; FINANCING, PERSONAL; HEALTH MAINTENANCE ORGANIZATIONS; HOSPITAL CHARGES; HOSPITAL COSTS; HOSPITALS; HUMANS; MEDICARE; MODELS, ECONOMIC; UNCOMPENSATED CARE; UNITED STATES;

EID: 75749144277     PISSN: 13896563     EISSN: 15736962     Source Type: Journal    
DOI: 10.1007/s10754-009-9071-5     Document Type: Article

References (44)

1. Askery, J., Hozand, K., & Thomasx, C. (2008). An analysis of hospital responses to the introduction of bilateral price bargaining, Mimeo, Columbia University.
2. Baker L. C. (1997) HMOs and fee-for-service health care expenditures: Evidence from Medicare. Journal of Health Economic 16(4): 453-481.
3. Bamezai A., Zwanziger J., Melnick G., Mann J. (1999) Price competition and hospital cost growth in the United States (1989-1994). Health Economics 8(3): 233-243.
4. Bazzoli G., Lindrooth R., Hasnain-Wynia R., Needleman J. (2004) The balanced budget act of 1997 and US hospital operations. Inquiry 41(4): 401-417.
5. Bernard, D. M. (2000). Do medicare's hospital payments subsidize managed care plans' costs? Mimeo, Agency for Healthcare Research and Quality, US Department of Health and Human Services.
6. Bradford W. D., Krumholz H. M. (2003) The effect of managed care penetration on the treatment for AMI in the fee-for-service Medicare population. International Journal of Health Care Finance and Economics 2: 265-283.
7. Carter G., Newhouse J., Relles D. (1990) How much change in the case mix index is DRG creep? R-3826-HCFA. RAND Corporation, Santa Monica, CA.
8. Connor, R., Feldman, R., & Dowd, B. (1998). The effects of market concentration and horizontal mergers on hospital costs and prices. International Journal of the Economics of Business, 5(2), 159-180.
9. Cutler D. M. (1998) Cost shifting or cost cutting? The incidence of reductions in Medicare payments. In: Poterba J. M.(eds) Tax policy and the economy (Vol 12). The University of Chicago Press, Chicago, IL, pp 1-27.
10. Clement J. P. (1998) Dynamic cost shifting in hospitals: Evidence from the 1980s and 1990s. Inquiry 34: 340-350.
11. Dafny L. (2005) How do hospitals respond to price changes? American Economic Review 95(5): 1525-1547.
12. Dafny, L. (2009). Estimation and identification of merger effects: An application to hospital mergers. Journal of Law and Economics, 52(3) (forthcoming).
13. Dranove D. (1988) Pricing by nonprofit institutions: The case of hospital cost-shifting. Journal of Health Economics 7: 45-57.
14. Dranove D., Simon C. J., White W. D. (1998) Determinants of managed care penetration. Journal of Health Economics 17: 729-745.
15. Feder J., Hadley J., Zuckerman S. (1987) How did Medicare's prospective payment system affect hospitals? New England Journal of Medicine 317: 867-873.
16. Foster R. (1985) Cost-shifting under cost reimbursement and prospective payment. Journal of Health Economics 4: 261-271.
17. Friedman B., Farley D. (1995) Strategic responses by hospitals to increased financial risk in the 1980s. Health Services Research 30(3): 467-488.
18. Ginsburg P. B. (2003) Can hospitals and physicians shift the effects of cuts in Medicare reimbursement to private payers? Health Affairs 22: w472-w479.
19. Glazer J., McGuire T. G. (1994) Payer competition and cost shifting in health care. Journal of Economics and Management Strategy 3(1): 71-92.
20. Glazer J., McGuire T. G. (2002) Multiple payers, commonality and free-riding in health care: Medicare and private payers. Journal of Health Economics 21: 1049-1069.
21. Gruber J. (1994) The effect of competitive pressure on charity: Hospital responses to price shopping in California. Journal of Health Economics 13(2): 183-212.
22. Guterman S. (1998) The balanced budget act of 1997: Will hospitals take a hit on their PPS margins? Health Affairs 17(1): 159-166.
23. Hadley J., Zuckerman S., Feder J. (1989) Profits and fiscal pressure in the prospective payment system: Their impacts on hospitals. Inquiry 26(3): 354-365.
24. Hay J. W. (1983) The impact of public health care financing policies on private-sector hospital costs. Journal of Health Politics, Policy and Law 7: 945-952.
25. Heffler, S., Smith, S., Keehan, S., Clemens, M. K., Zezza, M., & Truffer, C. (2004). Health spending projections through 2013. Health Affairs Web Exclusive, February 11.
26. Lee J., Berenson A., Mayes R., Gauthier A. (2003) Medicare payment policy: Does cost shifting matter? Health Affairs 22: w480-w488.
27. Levit, K., Smith, C., Cowan, C., Sensenig, A., Catlin, A., & Health Accounts Team. (2004). Health spending rebound continues in 2002. Health Affairs, 23(1), 147-159.
28. Lindrooth R. C., Bazzoli G. J., Needleman J., Hasnain-Wynia R. (2006) The effect of changes in hospital reimbursement on nurse staffing decisions at safety net and non-safety net hospitals. Health Services Research 41(3): 701-720.
29. Ma C. A., McGuire T. G. (1993) Paying for joint costs in health care. Journal of Economics and Management Strategy 2(1): 71-95.
30. Menges, J., Park, C., Babcock, J., et al. (2001). Comparing physician and dentist fees among Medicaid programs. Washington, DC: The Lewin Group.
31. Morrisey M. A. (1994) Cost shifting in health care: Separating evidence from rhetoric? The AEI Press, Washington.
32. Newhouse J. P. (2002) Medicare policy. In: Frankel J., Orszaq P.(eds) American Economic Policy in The 1990s. The MIT Press, Cambridge, MA.
33. Norton S., Zuckerman S. (2000) Trends in Medicaid physician fees, 1993-1998. Health Affairs 19(4): 222-232.
34. Scanlon D., Chernew M., Swaminathan S., Lee W. (2006) Competition in health insurance markets: Limitations of current measures for policy analysis. Medical Care Research and Review 63: 37S-55S.
35. Seshamani M., Zhu J., Volpp K. (2006) Did postoperative mortality increase after the implementation of the Medicare balanced budget act? Medical Care 44(6): 527-533.
36. Shen Y. C. (2003) The effect of financial pressure on the quality of care in hospitals. Journal of Health Economic 22(2): 243-269.
37. Shen, Y. C., & Melnick, G. A. (2007). Is managed care still an effective cost containment device? Forum for Health Economics and Policy, 9(1), Article 3. http://www. bepress. com/fhep/9/1/3.
38. Staiger, D., & Gaumer, G. (1992). Quality of care in hospitals: Post-admission mortality under medicare's prospective payment system. Mimeo, Dartmouth College.
39. Staiger D., Stock H. (1997) Instrumental variables regression with weak instruments. Econometrica 65(3): 557-586.
40. Stock J., Yogo M. (2005) Testing for weak instruments in linear IV regression. In: Stock J. H., Andrews D. W. K.(eds) Identification and inference for econometric models: A festschrift in honor of Thomas Rothenberg (Chap. 5). Cambridge University Press, Cambridge, pp 80-108.
41. Volpp K. G., Konetzka R. T., Zhu J., Parson L., Peterson E. (2005) Effect of cuts in Medicare reimbursement on process and outcome of care for acute myocardial infarction patients. Circulation 112: 2268-2275.
42. Williamson O. (1983) Credible commitments: Using hostages to support exchange. American Economic Review 73(4): 519-540.
43. Zwanziger J., Melnick G. A., Bamezai A. (2000) Can cost shifting continue in a price competitive environment? Health Economics 9: 211-225.
44. Zwanziger J., Bamezai A. (2006) Evidence of cost shifting in California hospitals. Health Affairs 25(1): 197-203.