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| Tekijä: | Fuloria, P. C. Zenios, S. A. |
| Otsikko: | Outcomes-Adjusted Reimbursement in a Health-Care Delivery System |
| Lehti: | Management Science
2001 : JUN, VOL. 47:6, p. 735-751 |
| Asiasana: | HEALTH MEDICAL CARE HOSPITALS |
| Kieli: | eng |
| Tiivistelmä: | This paper considers a health-care delivery system with two noncooperative parties: a purchaser of medical services and a specialized provider. A dynamic principal-agent model that captures the interaction between the two parties is developed. In this model, patients arrive exogenously, receive periodic treatment from the provider, suffer costly complications that require hospital care, and eventually exit the system in death. The provider chooses the intensity of treatment in each period, incurs an associated cost, and is reimbursed by the purchaser according to observed patient outcomes. The purchaser's problem is to determine a payment system that will induce treatment choices maximizing total social welfare. |
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