Cost sharing in health service provision: an empirical assessment of cost savings

Fixed price payments for treatment of patients with a specified diagnosis are widespread in both US Medicare and the British NHS even though there are substantial variations in the cost of treatment. Theory suggests that, when there is asymmetric information about those costs, total payment can be r...

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Main Authors: Malcomson, J, Chalkley, M
Format: Working paper
Published: University of Oxford 2001
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author Malcomson, J
Chalkley, M
author_facet Malcomson, J
Chalkley, M
author_sort Malcomson, J
collection OXFORD
description Fixed price payments for treatment of patients with a specified diagnosis are widespread in both US Medicare and the British NHS even though there are substantial variations in the cost of treatment. Theory suggests that, when there is asymmetric information about those costs, total payment can be reduced by cost sharing. This paper uses data from Medicare to assess the cost savings that might be feasible in practice from cost sharing. For diagnosis related groups with low cost variation, the calculated cost savings are approximately 7%. For those with high cost variation, the calculated cost savings are more than 60%.
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spelling oxford-uuid:94e0822e-87b6-44bc-9f61-be445c89048f2022-03-26T23:42:23ZCost sharing in health service provision: an empirical assessment of cost savingsWorking paperhttp://purl.org/coar/resource_type/c_8042uuid:94e0822e-87b6-44bc-9f61-be445c89048fBulk import via SwordSymplectic ElementsUniversity of Oxford2001Malcomson, JChalkley, MFixed price payments for treatment of patients with a specified diagnosis are widespread in both US Medicare and the British NHS even though there are substantial variations in the cost of treatment. Theory suggests that, when there is asymmetric information about those costs, total payment can be reduced by cost sharing. This paper uses data from Medicare to assess the cost savings that might be feasible in practice from cost sharing. For diagnosis related groups with low cost variation, the calculated cost savings are approximately 7%. For those with high cost variation, the calculated cost savings are more than 60%.
spellingShingle Malcomson, J
Chalkley, M
Cost sharing in health service provision: an empirical assessment of cost savings
title Cost sharing in health service provision: an empirical assessment of cost savings
title_full Cost sharing in health service provision: an empirical assessment of cost savings
title_fullStr Cost sharing in health service provision: an empirical assessment of cost savings
title_full_unstemmed Cost sharing in health service provision: an empirical assessment of cost savings
title_short Cost sharing in health service provision: an empirical assessment of cost savings
title_sort cost sharing in health service provision an empirical assessment of cost savings
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AT chalkleym costsharinginhealthserviceprovisionanempiricalassessmentofcostsavings