Contracting for health services when patient demand does not reflect quality

Article Abstract:

Consideration of various factors, such as hospital attitude, plays a vital role in contracting health services whenever patient demand does not represent quality. A contract that either takes into consideration quality higher than the minimum contractible level or cost-reducing effort higher than the minimum contractible is proven to be effective in dealing with purely self-interested hospitals. On the other hand, a block contract, and a cost and volume contract are found to be appropriate for purchasers that are under considerate hospitals.

author: Chalkley, Martin, Malcomson, James M.
Hospitals, Medical care

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Too much ado about two-part models and transformation? Comparing methods of modeling Medicare expenditures

Article Abstract:

The performance of eight alternative estimators, including ordinary least squares (OLS) and generalized linear models (GLM) and one and two- part models are compared for predicting Medicare costs. The findings shows that the four alternatives produce a very similar result and suggests that an efficient methods should be used by the researchers while selecting the estimators of health care costs.

author: Zaslavsky, Alan M., Buntin, Melinda Beeuwkes

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A social choice approach to expert consensus panels

Article Abstract:

The group decision-making found in the political science and economics literatures, which applies statistical and strategic theories to the setting of expert consensus panels, used in medical decision-making is studied. The models specify how the efficacy of the panel varies with changes in particular characteristics of the panel's size, heterogeneity of experts and competency of the experts.

author: Gabel, Matthew J., Shipan, Charles R.
Evaluation, Decision-making, Group, Group decision making

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subjects list: Analysis, Management, Health care industry, Medical care, Cost of, Health care costs, Company business management
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