Financial Incentives, Hospital Care, and Health Outcomes: Evidence from Fair Pricing Laws
研究美国州级公平定价法如何影响医院对无保险患者的收费和护理提供，发现法律使支付降低25-30%，医院相应减少护理量但未影响质量指标，表明财务激励可改变医院行为。
State laws that limit how much hospitals are paid by uninsured patients provide a unique opportunity to study how financial incentives of health care providers affect the care they deliver. We estimate the laws reduce payments from uninsured patients by 25-30 percent. Even though the uninsured represent a small portion of their business, hospitals respond by decreasing the amount of care delivered to these patients, without measurable effects on a broad set of quality metrics. The results show that hospitals can, and do, target care based on financial considerations, and suggest that altering provider financial incentives can generate more efficient care.