Evidence of Upcoding in Pay-for-Performance Programs

Hamsa Bastani
Hamsa Bastani

MANAGEMENT SCIENCE, pp. 1042-1060, 2019.

被引用30|浏览4
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摘要

Recent Medicare legislation seeks to improve patient care quality by financially penalizing providers for hospital-acquired infections (HAIs). However, Medicare cannot directly monitor HAI rates and instead relies on providers accurately self-reporting HAIs in claims to correctly assess penalties. Consequently, the incentives for provider...更多

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