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Creaming, skimping and dumping: provider competition on the intensive and extensive margins

Article Abstract:

Creaming or overprovision of services to low severity patients happens when there is a cost-based reimbursement. Cost-based reimbursement promotes competition among health care providers in order to attract patients even if the advantages do not surpass the costs. The existence of dumping, which is blatant avoidance of high severity patients, may also signify the presence of skimping. Skimping refers to underprovision of services to high severity patients.

Author: Ellis, Randall P.
Publisher: Elsevier B.V.
Publication Name: Journal of Health Economics
Subject: Health care industry
ISSN: 0167-6296
Year: 1998
Personal Health Care, Economic aspects, Health care industry, Medical care, Medical care, Cost of, Health care costs, Self care (Health), Prospective payment systems (Medical care)

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Socio-economic status, health and lifestyle

Article Abstract:

A simple economic model, identifying relationship between health and self assessed health status determined by lifestyle, preferences, budget and time constraints and unobservable characteristics, is presented. A formulation empirical health production function is developed.

Author: Jones, Andrew M., Contoyannis, Paul
Publisher: Elsevier B.V.
Publication Name: Journal of Health Economics
Subject: Health care industry
ISSN: 0167-6296
Year: 2004
United States, Management dynamics, Health Planning, Analysis, Management, Medical economics, Company business management

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