Relationship Between Payment Structures and Cost-Control Policy on Health Expenditures
| dc.contributor.advisor | Tabarrok, Alex T | |
| dc.contributor.author | Karolewicz, Nicolas | |
| dc.creator | Karolewicz, Nicolas | |
| dc.date | 2021-12-01 | |
| dc.date.accessioned | 2022-05-17T14:17:32Z | |
| dc.date.available | 2022-05-17T14:17:32Z | |
| dc.description.abstract | In 2019, the U.S. health expenditure reached 16.8% of GDP (OECD, 2021). I hypothesize that payment structure and cost-control policy lead to variation in healthcare spending. Despite an optimized payment structure, health expenditure rises without cost-control policies. An original approach is to explain the variation in healthcare spending by analyzing the Swiss and Japanese payment structure and cost-control policies to improve the sustainability of the U.S. public healthcare system. The objective is to improve the cost-effectiveness of the U.S. payment structure by looking at the Japanese and Swiss payment structures and then discuss their cost-control policies. First, the study finds that using the example of Knee and Hip Arthroplasty, the Japanese DPC incentivizes surgery less than the U.S. MS-DRG thanks to a national fee schedule to control costs. Second, the example of insulin shows that cost-control policies reduce health expenditures. Third, Japan has Long-Term Care Insurance with screening and certification to control costs. Based on the evidence and examples provided, I will prove that payment structures and cost-control policy lead to variation in healthcare spending. | |
| dc.identifier.uri | https://hdl.handle.net/1920/12878 | |
| dc.language.iso | en | |
| dc.subject | Expenditure | |
| dc.subject | Payment | |
| dc.subject | Cost-control | |
| dc.subject | Health | |
| dc.subject | Spending | |
| dc.subject | DRG | |
| dc.title | Relationship Between Payment Structures and Cost-Control Policy on Health Expenditures | |
| dc.type | Thesis | |
| thesis.degree.discipline | Economics | |
| thesis.degree.grantor | George Mason University | |
| thesis.degree.level | Master's | |
| thesis.degree.name | Master of Arts in Economics |