Mason Archival Repository Service

Relationship Between Payment Structures and Cost-Control Policy on Health Expenditures

Show simple item record

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.identifier.uri http://hdl.handle.net/1920/12878
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. en_US
dc.language.iso en en_US
dc.subject expenditure en_US
dc.subject payment en_US
dc.subject cost-control en_US
dc.subject health en_US
dc.subject spending en_US
dc.subject DRG en_US
dc.title Relationship Between Payment Structures and Cost-Control Policy on Health Expenditures en_US
dc.type Thesis en_US
thesis.degree.name Master of Arts in Economics en_US
thesis.degree.level Master's en_US
thesis.degree.discipline Economics en_US
thesis.degree.grantor George Mason University en_US


Files in this item

This item appears in the following Collection(s)

Show simple item record

Search MARS


Advanced Search

Browse

My Account

Statistics