Dishonest behavior significantly increases the cost of medical care provision. Upcoding of patients is a common form of fraud to attract higher reimbursements. Imposing audit mechanisms including fines to curtail upcoding is widely discussed among health care policy-makers. How audits and fines affect individual health care providers' behavior is empirically not well understood. To provide new evidence on fraudulent behavior in health care, we analyze the effect of a random audit including fines on individuals' honesty by means of a novel controlled behavioral experiment framed in a neonatal care context. Prevalent dishonest behavior declines significantly when audits and fines are introduced. The effect is driven by a reduction in upcoding when being detectable. Yet, upcoding increases when not being detectable as fraudulent. We find evidence that individual characteristics (gender, medical background, and integrity) are related to dishonest behavior. Policy implications are discussed.
Найдено 5 публикаций
Добавлено: 5 декабря 2018
JAKOVLJEVIC M., P. 844-852., et al. Health Economics. 2017. Vol. Volume 26. No. Issue 7.
Добавлено: 30 сентября 2016
P. 19-34.Health Economics. 2011. No. 20 (1).
Добавлено: 22 сентября 2011
P. 1237-1259., Health Economics. 2008. No. vol.17 issue 11.
Can self-assessments of health reveal the true health differentials between ‘rich’ and ‘poor’? The potential sources of bias include psychological adaptation to ill-health, socioeconomic covariates of health reporting errors and income measurement errors. We propose an estimation method to reduce the bias by isolating the component of self-assessed health that is explicable in terms of objective health indicators and allowing for broader dimensions of economic welfare than captured by current incomes. On applying our method to survey data for Russia we find a pronounced (nonlinear) economic gradient in health status that is not evident in the raw data. This is largely attributable to the health effects of age, education and location.
Добавлено: 11 ноября 2012
Brosig-Koch J., P. 243-262., Kairies-Schwarz N. et al. Health Economics. 2017. Vol. 26.
Добавлено: 3 октября 2018