ArticleInternational journal of health economics and management2022
The sensitivity of hospital coding to prices: evidence from Indonesia.
Article in International journal of health economics and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Indonesian National Health Insurance scheme longitudinal sample data 2015-2020: overview and potential uses for health policy analysis.BMC health services research · 2025Article
- Can Indonesia achieve universal health coverage? Organisational and financing challenges in implementing the national health insurance system.SSM - health systems · 2025Article
- Comparative models on low multiplier DRG classification for advanced lung cancer.Frontiers in public health · 2025Article
- The influence of provider payment mechanisms on TB service provider behavior in Indonesia: insights from National Health Insurance data and provider perspectives.Frontiers in public health · 2025Article
- Cost Shifting in Lung Cancer Inpatient Care Under Diagnosis-Intervention Packet Reform: A Pilot Study in China.Risk management and healthcare policy · 2025Article
- The impact of multimorbidity among adults with cardiovascular diseases on healthcare costs in Indonesia: a multilevel analysis.BMC public health · 2024Article
- How significant is cost-shifting behavior under the diagnosis intervention packet payment reform? Evidence from the coronary heart disease market.Frontiers in public health · 2024Article
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Authors and funding
4 authors.
Funding
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Abstract
This study examines a newly introduced DRG system in Indonesia. We use secondary data for 2015 and 2017 from Jaminan Kesehatan Nasional (JKN), a patient level dataset for Indonesia created in 2014 to record public and private hospitals' claims to the national health insurance system to investigate whether there is an association between changes in tariffs paid and the severity of inpatient activity recorded in hospitals. We find a consistent small, positive and statistically significant correlation between changes in tariffs and changes in concentration of activity, indicating discretionary but limited coding behaviour by hospitals. The results indicate that reducing price differentials may mitigate discretionary coding, but that the benefits of this are limited and need to be compared to the potential risk of having to rebase all prices upwards.
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