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Alexander S. Belenky.
Zlotnik A.A., Zlotnik I.A.
Computational Mathematics and Mathematical Physics. 2020. Vol. 60. No. 2. P. 240-257.
Myachin A. L.
In bk.: Proceedings of the 20th International Conference on Group Decision and Negotiation. Ryerson University, 2020. P. 22.1-22.10.
Aleskerov F. T., Yakuba V. I.
Математические методы анализа решений в экономике, бизнесе и политике. WP7. Высшая школа экономики, 2020. No. 2323.
The paper analyzes the effect of incentives regulation, when the yardstick competition approach is supplemented with a performance tax on providers. In an application to prospective payments in health care in the U.S. and Japan, we show differential effects of value-based purchasing, when price-setting is related to benchmark values of quality measures or length-of-stay. The predictions of our theoretical model, as well as empirical results offer persuasive evidence that unintended effects appear for best-performing hospitals. Patient experience/clinical-process-of-care measures significantly decrease in the top percentiles of the U.S. hospitals owing to the reform. Similarly, length of stay significantly increases for most diagnosis-related groups at Japanese hospitals in percentiles with the lowest length of stay. A natural experiment aimed at best-practice rate-setting diminishes the undesired effects of the reform.