Is it good to be too light? Birth weight thresholds in hospital reimbursement systems

Journal article


Publication Details

Author(s): Reif S, Wichert S, Wuppermann A
Journal: Journal of Health Economics
Publication year: 2018
Volume: 59
Pages range: 1-25
ISSN: 0167-6296
Language: English


Abstract

Birth weight manipulation has been documented in per-case hospital
reimbursement systems, in which hospitals receive more money for
otherwise equal newborns with birth weight just below compared to just
above specific birth weight thresholds. As hospitals receive more money
for cases with weight below the thresholds, having a (reported) weight
below a threshold could benefit the newborn. Also, these reimbursement
thresholds overlap with diagnostic thresholds that have been shown to
affect the quantity and quality of care that newborns receive. Based on
the universe of hospital births
in Germany from the years 2005–2011, we investigate whether weight
below reimbursement relevant thresholds triggers different quantity and
quality of care. We find that this is not the case, suggesting that
hospitals’ financial incentives with respect to birth weight do not
directly impact the care that newborns receive.


FAU Authors / FAU Editors

Reif, Simon Dr.
Professur für Gesundheitsökonomie


How to cite

APA:
Reif, S., Wichert, S., & Wuppermann, A. (2018). Is it good to be too light? Birth weight thresholds in hospital reimbursement systems. Journal of Health Economics, 59, 1-25. https://dx.doi.org/10.1016/j.jhealeco.2018.01.007

MLA:
Reif, Simon, S. Wichert, and A. Wuppermann. "Is it good to be too light? Birth weight thresholds in hospital reimbursement systems." Journal of Health Economics 59 (2018): 1-25.

BibTeX: 

Last updated on 2019-13-02 at 17:08