Provider payment incentives: Evidence from the U.S. hospice industry

07/02/25 at 02:00 AM

Provider payment incentives: Evidence from the U.S. hospice industry 
ScienceDirect - Journal of Public Economics; by Norma B. Coe and David A. Rosenkranz; online ahead of print for August 2025 (retrieved from the internet 7/1/25) 
Highlights

  • Capitation may reduce productive inefficiency but raise allocative inefficiency.
  • In response, Medicare caps average annual revenue to reduce hospice spending.
  • The cap may be undercut by hospices that churn patients.
  • Impending cap liabilities cause hospices to raise enrollment and discharge rates.
  • But churning is likely limited by non-pecuniary features of the hospice benefit.
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