Randomized trial shows healthcare payment reform has equal-sized spillover effects on patients not targeted by reform
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18939.full.pdf
Description
Published version
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939.84 KB
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Checksum (MD5)
77f1bac79d2406f36742f0e39d34793c
Author(s)
Finkelstein, Amy
Date Issued
August 2020
Journal
Proceedings of the National Academy of Sciences of the United States of America
Publisher
Proceedings of the National Academy of Sciences
Citation
Einav, Liran et al. “Randomized trial shows healthcare payment reform has equal-sized spillover effects on patients not targeted by reform.” Proceedings of the National Academy of Sciences of the United States of America, 117, 32 (August 2020): 18939–18947 © 2020 The Author(s)
Version
Final published version
Abstract
Changes in the way health insurers pay healthcare providers may not only directly affect the insurer's patients but may also affect patients covered by other insurers. We provide evidence of such spillovers in the context of a nationwide Medicare bundled payment reform that was implemented in some areas of the country but not in others, via random assignment. We estimate that the payment reform-which targeted traditional Medicare patients-had effects of similar magnitude on the healthcare experience of nontargeted, privately insured Medicare Advantage patients. We discuss the implications of these findings for estimates of the impact of healthcare payment reforms and more generally for the design of healthcare policy.
MIT Department
Massachusetts Institute of Technology. Department of Economics
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Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use.
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DOI of Published Version
https://doi.org/10.1073/PNAS.2004759117
