Implications of global budget payment system on nursing home costs

Laura Di Giorgio, Massimo Filippini and Giuliano Masiero
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Laura Di Giorgio: Institute of Economics, University of Lugano

CEPRA working paper from USI Università della Svizzera italiana

Abstract: Pressure on health care systems due to the increasing expenditures of the elderly population is pushing policy makers to adopt new regulation and payment schemes for nursing home services. We sketch a simple theoretical model to predict the behavior of nursing homes under different payment schemes. We then investigate the implications of prospective payments on nursing home costs using a panel of 41 homes in Southern Switzerland observed over a 12-years period (1999-2010). To evaluate the impact of the recent policy change - from retrospective to prospective payment - we employ a fixed effects model with a time trend that is allowed to change after the policy reform. We find evidence that the new payment system reduces costs for nursing home care, ceteris paribus.

Keywords: nursing homes; prospective payment; quality of care; policy change (search for similar items in EconPapers)
JEL-codes: C23 I18 J33 (search for similar items in EconPapers)
Pages: 29 pages
Date: 2012-11
New Economics Papers: this item is included in nep-age
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Related works:
Journal Article: Implications of global budget payment system on nursing home costs (2014)
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Persistent link: https://EconPapers.repec.org/RePEc:lug:wcepra:1301

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