The most up-to-date examination of costs progressing is the fact from the Stensland, Gaumer, and you can Miller (2010), where they determine a couple hypotheses to explain the brand new descriptive facts that is seem to experienced the latest trademark regarding costs moving forward. You to definitely theory, advertised from the medical and you will insurance coverage areas otherwise asking businesses with the its account (Fox and you will Pickering 2008; PWC 2009; select plus Dobson ainsi que al. 2009), would be the fact prices are perhaps not determined by Medicare money (we.age., was exogenous) and this lower Medicare payment-to-cost margins induce medical facilities to find large costs of private sources. The exact opposite dynamic, described earlier, is that medical facilities having strong business stamina and you may a profitable payer mix keeps strong savings, higher will set you back, and therefore reduced Medicare margins.
Even in the event speaking of, purely speaking, vibrant prices-moving on hypotheses, Stensland, Gaumer, and you may Miller attempt only fixed items of them. Pooling across ages, brand new people illustrate exactly how margins associate across payers and how they relate genuinely to costs and you may field stamina. The detailed findings are based on Medicare hospitals’ pricing profile anywhere between 2002 and you may 2006. As they stratify its analysis from the amount of Medicare margin, it’s (weakly) cross-sectional. (altro…)