The Costs of Payment Uncertainty in Healthcare Markets

Dunn, Abe; Gottlieb, Joshua D.; Shapiro, Adam Hale; Tebaldi, Pietro

doi:10.24148/wp2020-13

Cited by 3 publications

(3 citation statements)

References 37 publications

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“…19 Expectedly, there are other (a wide variety, in fact) of small payer groups responsible for the residual amount of shift currently unaccounted for in columns 3-6, which intentionally focus on the two prominent and policy relevant groups (uninsured and Medicaid) belonging to this federal law change. 20 We note recent work by Dunn et al (2020) which investigate cost associated with payment denial. They find that 19% of Medicaid visits are not reimbursed after the first claim submission.…”

Section: Discussionmentioning

confidence: 99%

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Private coverage mandates, business cycles, and provider treatment intensity

Richards

Tello‐Trillo

2021

Health Economics

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The Affordable Care Act (ACA) is the source of multiple large-scale health insurance expansions affecting various segments of the US population.Although much has been done to quantify the first-order effects of these policies, less empirical investigation has been devoted to the effects on the supply-side of health care. We focus on a well-known ACA initiative (the young adult dependent coverage mandate) to offer novel evidence on two fronts: the policy's heterogeneous effect across different labor markets and the potential for the policy-induced shift in payer mix to influence provider treatment decisions. First, we show that the federal mandate's direct effect on young adult private insurance take-up is strongly mitigated by the Great Recession. Second, we demonstrate that providers do not treat young adults more aggressively when more of them hold private coverage. Policymakers should keep these broader considerations and more diffuse risk protection implications in mind when contemplating changes to the law.

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Section: Discussionmentioning

confidence: 99%

“… 20 20 We note recent work by Dunn et al. (2020) which investigate cost associated with payment denial. They find that 19% of Medicaid visits are not reimbursed after the first claim submission. …”

mentioning

confidence: 89%

Private coverage mandates, business cycles, and provider treatment intensity

Richards

Tello‐Trillo

2021

Health Economics

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“…Dunn et al (2019) find both substantial monetary and time costs of coding, across a number of payors.…”

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confidence: 99%

How do Hospitals Respond to Payment Incentives?

Gowrisankaran¹,

Joiner²,

Lin³

2019

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Is It Possible to Measure Uncertainty in the Healthcare Market?

ÖZMEN

Arikan²

2022

Sosyal Guvence

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The subject of uncertainty is a phenomenon that has been researched and discussed in order to make the market more predictable by providing market balances in a historical process. Uncertainty is an important determinant of enterprise and investment for all kinds of markets, and it is effective at increasing and decreasing levels depending on time and events. However, due to the characteristics of the health services market, it is always considered as a factor that has to be taken into account. It is considered that the reasons why the concept of uncertainty in the health services market is more pronounced and effective than other markets are mainly due to the various differences in the field of health services, and an acceptance behavior has emerged about the concept of uncertainty in health services. In this study, the "uncertainty measures" that can be applied to other markets were evaluated as applicable to the health services market, and health markets were evaluated in terms of uncertainty measures in other markets, based on the hypothesis of "Uncertainty cannot be measured in the Health Services Market". In the study, primarily, the definition of uncertainty in terms of the health services market was made, and the sources of uncertainty in the health market were tried to be determined as in other markets. The most frequently used uncertainty measures have been adapted to the health service market actors about the health services market uncertainty arising from these sources, and in this way, the measurability, quantification, and formulalability of the uncertainty in the health services market have been examined. As a result; Quantitative measurement of uncertainty in the healthcare market and making a numerical estimation of the expected uncertainty processes are hypothetically possible. Thanks to the determinable and predictable healthcare market uncertainty values, all actors in the healthcare market will have a higher level of knowledge in decision-making processes, face lower costs in a more balanced market, and make less risky investments.

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The Costs of Payment Uncertainty in Healthcare Markets

Cited by 3 publications

References 37 publications

Private coverage mandates, business cycles, and provider treatment intensity

Private coverage mandates, business cycles, and provider treatment intensity

How do Hospitals Respond to Payment Incentives?

Is It Possible to Measure Uncertainty in the Healthcare Market?

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