Distributional Consequences of Hospital Heterogeneous Responses to a Blended Payment Scheme Reform

Publisher:孙靓Publish Date:2022-05-21Views:77

Speaker: Zhang Chuanchuan (Zhejiang University)

Reviewer: Pu Zhengning (Southeast University)

                  Ma Chao (Southeast University)

Date: May 23rd, 2:30-4:00 pm

Tencent Meeting ID: 602-591-223


Abstract:

 This paper studies hospital responses to a diagnosis-based payment scheme with a global budget, and distributional consequences of hospital heterogeneous responses. Exploiting a policy reform in China in 2016, we find hospitals responded through multiple channels: upcoding cases, raising the shares of admissions in categories with higher upcoding potential, and increasing the total number of admissions. As a result of hospitals’ heterogeneous responses, the disparity in hospital payments had widened. The distributional consequence is mainly driven by heterogeneous upcoding behaviors across hospitals. Hospitals that are more knowledgeable about upcoding, more exposed to the reform, and larger upcode cases more aggressively.


About Speaker:

Zhang Chuanchuan, the researcher and doctoral supervisor of the Hundred Talents Program of the School of Economics of Zhejiang University, the researcher of the Institute of Sharing and Development of Zhejiang University, and the special researcher of the Institute of National Systems of Zhejiang University. His research areas are health economics, labor economics, and development economics. His research interests include population aging and social security, determinants of health status and their impact, local labor market effects of international trade, and cultural and economic behavior. His research results have been published in English journals such as Demography, AEJApp, JDE, JCE, J Popul Econ, as well as Chinese journals such as Chinese Social Sciences, Economic Research, Economics Quarterly, Management World, and Financial Research. He has won the "Aoki Masahiko Economic Paper Award" nomination award, the first prize of the Beijing Philosophy and Social Science Outstanding Achievement Award, and other awards.