A two-stage translog marginal cost pricing ...
Type de document :
Compte-rendu et recension critique d'ouvrage
Titre :
A two-stage translog marginal cost pricing approach for Floridian hospital outputs
Auteur(s) :
Boussemart, Jean Philippe [Auteur]
UFR de Mathématiques, Informatique, Management, Economie [UFR MIME]
Lille économie management - UMR 9221 [LEM]
Leleu, Herve [Auteur]
Université Catholique de Lille - Faculté de gestion, économie et sciences [UCL FGES]
Lille économie management - UMR 9221 [LEM]
Valdmanis, Vivian [Auteur]
UFR de Mathématiques, Informatique, Management, Economie [UFR MIME]
Lille économie management - UMR 9221 [LEM]
Leleu, Herve [Auteur]
Université Catholique de Lille - Faculté de gestion, économie et sciences [UCL FGES]
Lille économie management - UMR 9221 [LEM]
Valdmanis, Vivian [Auteur]
Titre de la revue :
Applied Economics
Pagination :
4116--4127
Éditeur :
Taylor & Francis (Routledge)
Date de publication :
2015-03
ISSN :
0003-6846
Mot(s)-clé(s) en anglais :
hospital costs
marginal costs
translog
data envelopment analysis
marginal costs
translog
data envelopment analysis
Discipline(s) HAL :
Sciences de l'Homme et Société/Economies et finances
Résumé en anglais : [en]
Since the passage of the Affordable Care Act (ACA) of 2010, issues still remain regarding the mandated purchase of insurance to ensure more universal coverage. One such issue is the pricing of these insurance packages and ...
Lire la suite >Since the passage of the Affordable Care Act (ACA) of 2010, issues still remain regarding the mandated purchase of insurance to ensure more universal coverage. One such issue is the pricing of these insurance packages and whether or not the reimbursements will cover necessary services. Therefore, policy concerns exist that increasing the number of insured individuals may not curtail costs. Conversely, providers may not wish to treat patients covered by excessively frugal plans such as Medicaid; hence the trade-offs between access and cost control. In this article, we present findings from a cost function and a productivity approach to determine the marginal cost of providing inpatient hospital care for hospitals operating in Florida during 2005. Using these methodological approaches, we are able to use the marginal rate of transformation to determine the relative marginal costs while controlling for hospital technical and allocative inefficiency. Our work differs from earlier articles as we avoid the Greene problem for cross-sectional models through a two-step approach. By including both reimbursement rates under conditions of hospital efficiency, we can ascertain payment schemes that should, at least in theory, cover necessary costs for patient care without leading to excessive input usage.Lire moins >
Lire la suite >Since the passage of the Affordable Care Act (ACA) of 2010, issues still remain regarding the mandated purchase of insurance to ensure more universal coverage. One such issue is the pricing of these insurance packages and whether or not the reimbursements will cover necessary services. Therefore, policy concerns exist that increasing the number of insured individuals may not curtail costs. Conversely, providers may not wish to treat patients covered by excessively frugal plans such as Medicaid; hence the trade-offs between access and cost control. In this article, we present findings from a cost function and a productivity approach to determine the marginal cost of providing inpatient hospital care for hospitals operating in Florida during 2005. Using these methodological approaches, we are able to use the marginal rate of transformation to determine the relative marginal costs while controlling for hospital technical and allocative inefficiency. Our work differs from earlier articles as we avoid the Greene problem for cross-sectional models through a two-step approach. By including both reimbursement rates under conditions of hospital efficiency, we can ascertain payment schemes that should, at least in theory, cover necessary costs for patient care without leading to excessive input usage.Lire moins >
Langue :
Anglais
Vulgarisation :
Non
Collections :
Source :