ArticleEconometrica : journal of the Econometric Society2018
Provider Incentives and Healthcare Costs: Evidence from Long-Term Care Hospitals.
Article in Econometrica : journal of the Econometric Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed.
- Financial Incentives to Facilities and Clinicians Treating Patients With End-stage Kidney Disease and Use of Home Dialysis: A Randomized Clinical Trial.JAMA health forum · 2022Trial
- The Association between Patient Health Status and Surrogate Decision Maker Post-Traumatic Stress Disorder Symptoms in Chronic Critical Illness.Annals of the American Thoracic Society · 2021Trial
- Does more generous health insurance reimbursement lead to moral hazard? Evidence from large-scale administrative data in China.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Navigating Postacute Care Options for Patients After Hospital Discharge: A Review.JAMA internal medicine · 2026Review
- Provider payment incentives: Evidence from the U.S. hospice industry.Journal of public economics · 2025Article
- Length of hospital stays and financial incentives: evidence from Dutch rehabilitation centers.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- MONITORING FOR WASTE: EVIDENCE FROM MEDICARE AUDITS.The quarterly journal of economics · 2024Article
- Physician responses to Medicare reimbursement rates.Journal of health economics · 2023Article
- Provider responses to discontinuous tariffs: evidence from Dutch rehabilitation care.International journal of health economics and management · 2022Article
- VOLUNTARY REGULATION: EVIDENCE FROM MEDICARE PAYMENT REFORM.The quarterly journal of economics · 2022Article
- The Impact of the Long-Term Care Insurance on the Medical Expenses and Health Status in China.Frontiers in public health · 2022Article
- Availability of Palliative Care in Long-Term Acute Care Hospitals.Journal of the American Medical Directors Association · 2021Article
- Do discontinuities in marginal reimbursement affect inpatient psychiatric care in Germany?The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Disparities in payment across sites encourage consolidation.Health services research · 2021Article
- Randomized trial shows healthcare payment reform has equal-sized spillover effects on patients not targeted by reform.Proceedings of the National Academy of Sciences of the United States of America · 2020Article
- Externalities and Taxation of Supplemental Insurance: A Study of Medicare and Medigap.American economic journal. Applied economics · 2019Article
- Productivity growth of skilled nursing facilities in the treatment of post-acute-care-intensive conditions.PloS one · 2019Article
- Provider Incentives and Healthcare Costs: Evidence from Long-Term Care Hospitals.Econometrica : journal of the Econometric Society · 2018Article
- Moral Hazard in Health Insurance: What We Know and How We Know It.Journal of the European Economic Association · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
We study the design of provider incentives in the post-acute care setting - a high-stakes but under-studied segment of the healthcare system. We focus on long-term care hospitals (LTCHs) and the large (approximately $13,500) jump in Medicare payments they receive when a patient s stay reaches a threshold number of days. Discharges increase substantially after the threshold, with the marginal discharged patient in relatively better health. Despite the large financial incentives and behavioral response in a high mortality population, we are unable to detect any compelling evidence of an impact on patient mortality. To assess provider behavior under counterfactual payment schedules, we estimate a simple dynamic discrete choice model of LTCH discharge decisions. When we conservatively limit ourselves to alternative contracts that hold the LTCH harmless, we find that an alternative contract can generate Medicare savings of about $2,100 per admission, or about 5% of total payments. More aggressive payment reforms can generate substantially greater savings, but the accompanying reduction in LTCH profits has potential out-of-sample consequences. Our results highlight how improved financial incentives may be able to reduce healthcare spending, without negative consequences for industry profits or patient health.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.