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.