The Effects of Upcoding , Cream Skimming and Readmissions on the Italian Hospitals Efficiency : a Population – based Investigation

@inproceedings{Berta2009TheEO,
  title={The Effects of Upcoding , Cream Skimming and Readmissions on the Italian Hospitals Efficiency : a Population – based Investigation},
  author={Paolo Berta and Giuditta Callea and Gianmaria Martini and Giorgio Vittadini},
  year={2009}
}
In this paper we analyze the effects of some distortions induced by prospective payment system, i.e. Upcoding, Cream Skimming and Readmissions, on hospitals’ technical efficiency. We estimate a production function using a population–based dataset composed by all active hospitals in an Italian region during the period 1998–2007. We show that cream skimming and upcoding have a negative impact on hospitals’ technical efficiency, while readmissions have a positive effect. Moreover, we find that… CONTINUE READING