The Specification of Diagnosis-Related Groups.

Suppliers who are better informed than purchasers, such as physicians treating insured patients, often have discretion over what to provide. This paper shows how, when the purchaser observes what is supplied but neither recipient type nor the actual cost incurred, optimal provision differs from what...

Full description

Bibliographic Details
Main Author: Malcomson, J
Format: Working paper
Language:English
Published: Department of Economics (University of Oxford) 2003
_version_ 1797105802159325184
author Malcomson, J
author_facet Malcomson, J
author_sort Malcomson, J
collection OXFORD
description Suppliers who are better informed than purchasers, such as physicians treating insured patients, often have discretion over what to provide. This paper shows how, when the purchaser observes what is supplied but neither recipient type nor the actual cost incurred, optimal provision differs from what would be efficient if the purchaser had full information, whether or not the supplier can extract informational rent. The analysis is applied to, among other things, data on tests for coronary artery disease and to Medicare diagnosis-related groups defined by the treatment given, not just the diagnosis, illustrating the biases in provision that result.
first_indexed 2024-03-07T06:52:35Z
format Working paper
id oxford-uuid:fd098209-4e70-408c-982f-643bf8a13a87
institution University of Oxford
language English
last_indexed 2024-03-07T06:52:35Z
publishDate 2003
publisher Department of Economics (University of Oxford)
record_format dspace
spelling oxford-uuid:fd098209-4e70-408c-982f-643bf8a13a872022-03-27T13:25:45ZThe Specification of Diagnosis-Related Groups.Working paperhttp://purl.org/coar/resource_type/c_8042uuid:fd098209-4e70-408c-982f-643bf8a13a87EnglishOxford University Research Archive - ValetDepartment of Economics (University of Oxford)2003Malcomson, JSuppliers who are better informed than purchasers, such as physicians treating insured patients, often have discretion over what to provide. This paper shows how, when the purchaser observes what is supplied but neither recipient type nor the actual cost incurred, optimal provision differs from what would be efficient if the purchaser had full information, whether or not the supplier can extract informational rent. The analysis is applied to, among other things, data on tests for coronary artery disease and to Medicare diagnosis-related groups defined by the treatment given, not just the diagnosis, illustrating the biases in provision that result.
spellingShingle Malcomson, J
The Specification of Diagnosis-Related Groups.
title The Specification of Diagnosis-Related Groups.
title_full The Specification of Diagnosis-Related Groups.
title_fullStr The Specification of Diagnosis-Related Groups.
title_full_unstemmed The Specification of Diagnosis-Related Groups.
title_short The Specification of Diagnosis-Related Groups.
title_sort specification of diagnosis related groups
work_keys_str_mv AT malcomsonj thespecificationofdiagnosisrelatedgroups
AT malcomsonj specificationofdiagnosisrelatedgroups