000			02212cam a22003617 4500
001			w28107
003			NBER
005			20211020103428.0
006			m o d
007			cr cnu||||||||
008			210910s2020 mau fo 000 0 eng d
100	1		_aJin, Ginger Zhe.
245	1	0	_aTop-up Design and Health Care Expenditure: _bEvidence from Cardiac Stents / _cGinger Zhe Jin, Hsienming Lien, Xuezhen Tao.
260			_aCambridge, Mass. _bNational Bureau of Economic Research _c2020.
300			_a1 online resource: _billustrations (black and white);
490	1		_aNBER working paper series _vno. w28107
500			_aNovember 2020.
520	3		_aSince 2006, Taiwan's National Health Insurance (NHI) covers the full cost of baseline treatment in cardiac stents (bare-metal stents, BMS), but requires patients to pay the incremental cost of more expensive treatments (drug-eluting stents, DES). Within this "top-up" design, we study how hospitals respond to a 26% cut of the NHI reimbursement rate in 2009. We find hospitals do not raise the DES prices from patients, but increase BMS usage per admission by 18%, recouping up to 30% of the revenue loss in 2009-2010. Overall, the rate cut is effective in reducing NHI expenditure despite hospitals' moral hazard adjustment.
530			_aHardcopy version available to institutional subscribers
538			_aSystem requirements: Adobe [Acrobat] Reader required for PDF files.
538			_aMode of access: World Wide Web.
588	0		_aPrint version record
690		7	_aG22 - Insurance • Insurance Companies • Actuarial Studies _2Journal of Economic Literature class.
690		7	_aI11 - Analysis of Health Care Markets _2Journal of Economic Literature class.
690		7	_aI18 - Government Policy • Regulation • Public Health _2Journal of Economic Literature class.
700	1		_aLien, Hsienming.
700	1		_aTao, Xuezhen.
710	2		_aNational Bureau of Economic Research.
830		0	_aWorking Paper Series (National Bureau of Economic Research) _vno. w28107.
856	4	0	_uhttps://www.nber.org/papers/w28107
856			_yAcceso en línea al DOI _uhttp://dx.doi.org/10.3386/w28107
942			_2ddc _cW-PAPER
999			_c320015 _d278577