Evidence map›Paper›PMID 33165668›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2021

Do discontinuities in marginal reimbursement affect inpatient psychiatric care in Germany?

Clara Pott, Tom Stargardt, Udo Schneider, Simon Frey

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. 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 · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Clara PottHamburg Center for Health Economics (HCHE), University of Hamburg, Esplanade 36, 20354, Hamburg, Germany. clara.pott@uni-hamburg.de.ORCID http://orcid.org/0000-0003-1167-7167
Tom StargardtHamburg Center for Health Economics (HCHE), University of Hamburg, Esplanade 36, 20354, Hamburg, Germany.
Udo SchneiderTechniker Krankenkasse, Bramfelder Straße 140, 22305, Hamburg, Germany.
Simon FreyHamburg Center for Health Economics (HCHE), University of Hamburg, Esplanade 36, 20354, Hamburg, Germany.ORCID http://orcid.org/0000-0002-0807-4683
Universität Hamburg · DETechniker Krankenkasse (Germany) · DE

Funding

Bundesministerium für Bildung und Forschung BMBF 01EH1601A
6 · The paper itself

Abstract

This paper examines the behaviour of mental health care providers in response to marginal payment incentives induced by a discontinuous per diem reimbursement schedule with varying tariff rates over the length of stay. The analyses use administrative data on 12,627 cases treated in 82 psychiatric hospitals and wards in Germany. We investigate whether substantial reductions in marginal reimbursement per inpatient day led to strategic discharge behaviour once a certain length of stay threshold is exceeded. The data do not show gaps and bunches at the duration of treatment when marginal reimbursement decreases. Using logistic regression models, we find that providers did not react to discontinuities in marginal reimbursement by significantly reducing inpatient length of stay around the threshold. These findings are robust in terms of different model specifications and subsamples. The results indicate that if regulators aim to set incentives to decrease LOS, this might not be achieved by cuts in reimbursement over LOS.

Indexed as

Mental Health ServicesProspective Payment SystemAdultFemaleGermanyHospitals, PsychiatricHumansInpatientsLength of StayMaleMiddle AgedYoung AdultHealth care financingHospital behaviourLength of stayMarginal payment incentivesMental health careProspective payment system

Identifiers

PMID33165668
PMCPMC7822769
OpenAlexW3102045383

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.