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Buying efficiency: optimal hospital payment in the presence of double upcoding

BACKGROUND: With DRG payments, hospitals can game the system by ’upcoding’ true patient’s severity of illness. This paper takes into account that upcoding can be performed by the chief physician and hospital management, with the extent of the distortion depending on hospital’s internal decision-maki...

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Detalles Bibliográficos
Autores principales: Spika, Simon B., Zweifel, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935136/
https://www.ncbi.nlm.nih.gov/pubmed/31884524
http://dx.doi.org/10.1186/s13561-019-0256-4