报告题目 | Distributional Consequences of Hospital Heterogeneous Responses to a Blended Payment Scheme Reform | ||
报告人（单位） | 张川川（浙江大学） | ||
点评人（单位） | 浦正宁（东南大学） | 点评人（单位） | 马超（东南大学） |
会议地点 | 腾讯会议：602-591-223 5月23日 下午2:30-4:00 | ||
报告人简介 | |||
张川川，现任浙江大学经济学院百人计划研究员、博士生导师,兼任浙江大学共享与发展研究院研究员、浙江大学国家制度研究院特约研究员。他的专业领域为健康经济学、劳动经济学、发展经济学，研究兴趣包括人口老龄化和社会保障、健康状况的决定因素及其影响、国际贸易的本地劳动力市场效应、文化与经济行为等。他的研究成果发表于Demography, AEJApp, JDE, JCE, J Popul Econ等英文期刊以及《中国社会科学》《经济研究》《经济学季刊》《管理世界》《金融研究》等中文期刊，研究成果获得过“青木昌彦经济学论文奖”提名奖、北京市哲学社会科学优秀成果奖一等奖等奖项。 | |||
报告内容提要 | |||
This paper studies hospital responses to a diagnosis-based payment scheme with a global budget, and distributional consequences of hospital heterogeneous responses. Exploiting a policy reform in China in 2016, we find hospitals responded through multiple channels: upcoding cases, raising the shares of admissions in categories with higher upcoding potential, and increasing the total number of admissions. As a result of hospitals’ heterogeneous responses, the disparity in hospital payments had widened. The distributional consequence is mainly driven by heterogeneous upcoding behaviors across hospitals. Hospitals that are more knowledgeable about upcoding, more exposed to the reform, and larger upcode cases more aggressively. | |||
