Per Ende 2023 wurden dem Bundesrat die beiden Vorschläge neuer Tarifsysteme für ambulant-medizinische Leistungen zur Genehmigung vorgelegt, welche den in die Jahre gekommenen TARMED ersetzen sollen. Ziel des vorliegenden Berichts ist es, die Vorzüge von ambulanten Pauschalen zu identifizieren...

This study evaluates the accessibility of primary care for children in Czechia in light of the declining numbers of general practitioners and the rising numbers of children without a practitioner. We show that children largely receive primary care outside their district of administrative...

In recent years, patient unpunctuality has become a common problem for mental clinics. The unpunctuality rate has a substantial impact on several quality metrics, including the usage of resources and patient waiting times. Thus, the primary aim of this study is to examine the effectiveness of...

Eine stärkere Ambulantisierung der Versorgung wird politisch angestrebt. In der Konsequenz werden Leistungsbereiche zukünftig zunehmend "sektorenübergreifend" sowohl von Krankenhäusern als auch von Vertragsärzten und medizinischen Versorgungszentren (MVZ) erbracht. Damit stellt sich die...

Dieser Bericht untersucht die Folgen der COVID-19-Pandemie auf das Leistungsgeschehen der Krankenhäuser in Deutschland. Er untersucht außerdem, ob die im Jahr 2021 geleisteten Ausgleichszahlungen die Erlösminderungen der Krankenhäuser aufgrund des Rückgangs der Leistungsmenge ausgleichen...

We study a unique all-payer data set spanning 38 states to examine the differences in inpatient reimbursement rates paid by traditional Medicare (TM), Medicare Advantage (MA), Medicaid, and private (under-65) insurers, and the differences in negotiated rates across the 60 largest private...

Dieser Bericht untersucht die Folgen der COVID-19-Pandemie auf das Leistungsgeschehen der Krankenhäuser in Deutschland. Er untersucht außerdem, ob die im Jahr 2021 geleisteten Ausgleichszahlungen die Erlösminderungen der Krankenhäuser aufgrund des Rückgangs der Leistungsmenge ausgleichen...

Erlöse ambulanter Leistungen werden auf Basis zahlreicher Gebührenordnungen und Tarife ermittelt. Der Kalkulation, der Erfassung und dem Controlling der hierbei entstehenden Kosten wird dabei oftmals zu wenig Aufmerksamkeit geschenkt. Genau hier setzt das Werk an. // Nach einer Einführung zu...

Technological innovation in medical services can improve health, but its ability to reach patients often depends on price signals for downstream providers, which can also be discordant across production inputs. We examine such a context when Medicare sharply revises facility fees--while holding...

Medical provider price transparency is often touted as a way to lower health care spending. But the impact of price transparency is theoretically ambiguous: it could lower health care spending via increased consumer price shopping or improved insurer bargaining but could also raise health care...

This paper uses data from 802,777 veterans assigned to 7,548 primary care providers (PCPs) within the Veterans Health Administration (VHA) to examine variations in the efficacy of primary care providers (PCPs), their consequences for health outcomes, and their determinants. Leveraging...

This paper extends my research applying statistical decision theory to treatment choice with sample data, using maximum regret to evaluate the performance of treatment rules. The specific new contribution is to study as-if optimization using estimates of illness probabilities in clinical choice...

There is substantial evidence that cost-sharing in medical care constrains total health spending. However, there is relatively little (and unclear) evidence on its health effects, particularly in low- and middle-income countries. This paper re-evaluates the link between outpatient cost-sharing...

Das etablierte Lehrbuch vermittelt in bewährter Form einen fundierten Überblick über das Gebiet der Gesundheitsökonomie. Es werden die theoretischen Grundlagen von Markt und Wettbewerb und die problematische Übertragbarkeit auf den Gesundheitssektor erläutert. Der Schwerpunkt liegt auf den...

The U.S. health care system has experienced great pressure since early March 2020 as it pivoted to providing necessary care for COVID-19 patients. But there are signs that non-COVID-19 care use declined during this time period. We examine near real time data from a nationwide electronic...

Motivated by reports in the media suggesting unequal access to Covid-19 testing across incomes, we analyze zip-code level data on the number of Covid-19 tests, test results, and income per capita in New York City. We find that the number of tests administered is evenly distributed across income...

Economic theory predicts that outsourcing public services to private firms will reduce costs, but the effect on quality is ambiguous. We explore quality differences between publicly and privately owned ambulances in a setting where patients are as good as randomly assigned to ambulances of...

We study a unique all-payer data set spanning 38 states to examine the differences in inpatient reimbursement rates paid by traditional Medicare (TM), Medicare Advantage (MA), Medicaid, and private (under-65) insurers, and the differences in negotiated rates across the 60 largest private...

The U.S. health care system has experienced great pressure since early March 2020 as it pivoted to providing necessary care for COVID-19 patients. But there are signs that non-COVID-19 care use declined during this time period. We examine near real time data from a nationwide electronic...

Motivated by reports in the media suggesting unequal access to Covid-19 testing across incomes, we analyze zip-code level data on the number of Covid-19 tests, test results, and income per capita in New York City. We find that the number of tests administered is evenly distributed across income...

Report cards on provider performance are intended to improve consumer decision-making and address information gaps in the market for quality. However, inadequate risk adjustment of report-card measures often biases comparisons across providers. We test whether going to a skilled nursing facility...

Report cards on provider performance are intended to improve consumer decision-making and address information gaps in the market for quality. However, inadequate risk adjustment of report-card measures often biases comparisons across providers. We test whether going to a skilled nursing facility...

Exploring the History and Literature of Telehealth -- Establishing the Definitions for Telehealth -- Integration of Telehealth into Contemporary Pharmacy Practice -- Foundational Steps for Designing Telehealth Care Models -- Description of Operational Telehealth Pharmacy Practice Workflow in...