The welfare loss from hospital cost‐shifting behavior: a partial equilibrium analysis
研究了医院在理想化条件下成本转嫁行为可能造成的福利损失,估算出1992年美国私立医院支出中最多0.84%的效率损失。
Cost shifting occurs when changes in administered prices of one payer lead to compensating changes in prices charged to other payers. Microeconomic theory suggests that cost shifting can take place under limited conditions and some empirical studies indicate that that hospital cost shifting may have actually occurred at various times. This study designs a model to conceptualize and quantify the potential welfare loss caused by hospital cost shifting under idealized yet fairly plausible conditions. The resulting estimate yields only a small efficiency loss of at most, 0.84% of private hospital expenditures in the US for 1992.