Evidence map›Paper›PMID 40686541›Full record

ArticleJournal of public economics2025

Provider payment incentives: Evidence from the U.S. hospice industry.

Norma B Coe, David A Rosenkranz

Abstract read
In one paragraph

Article in Journal of public economics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

2 authors.

Norma B CoePerelman School of Medicine at the University of Pennsylvania, 423 Guardian Drive, Blockley Hall, Philadelphia, PA 19104, USA.
David A RosenkranzDepartment of Economics at Fordham University, 441 E Fordham Road, Dealy Hall, Bronx, NY 10458, USA.ORCID 0000-0003-3011-0369

Funding

End of Life Care: Estimating the Effectiveness of 20 years of Health System ReformRF1AG062595 · NIA · UNIVERSITY OF PENNSYLVANIA · PI COE, NORMA B · 2019 to 2019
$2.4M
AHRQ HHS T32 HS026116NIA NIH HHS RF1 AG062595
6 · The paper itself

Abstract

Combining capitation with a cap on health care providers' average revenue can reduce allocative inefficiency. But the cap may be undercut by health care providers who churn their patient censuses. We investigate this possibility in the U.S. hospice industry, where Medicare pays hospice programs fixed daily rates but caps their average annual revenue. By leveraging variation generated by the cap's nonlinear design and the transition between fiscal years, we find that programs on track to exceed the cap raise enrollment rates by 5.8 % and live discharge rates by 4.3 % in the fourth quarter. But this churning falls far short of eliminating their financial penalties: it amounts to 10 % of an average program's excess revenue at most. Marginal enrollees have longer remaining lifetimes and more fragmented hospice spells on average, suggesting weaker intrinsic demand for hospice care. We discuss the cap's implications for market structure.

Indexed as

CapitationGamingHospiceI0I1I11I18MedicareNon-linear program designProvider-induced demand

Identifiers

PMID40686541
PMCPMC12269558

What OpenQuestion holds

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Registered trials

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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.