Detecting Medicare abuse
By: David Becker, Daniel Kessler, Mark McClellan.
Contributors: Kessler, Daniel.; McClellan, Mark.; National Bureau of Economic Research.
Series: NBER working paper series ;; working paper 10677; Working paper series (National Bureau of Economic Research : Online) ;; working paper no. 10677.
Publisher: National Bureau of Economic Research
Published: 2004
Place of publication: Cambridge, MA
Language: eng
Format: Electronic resource
Subjects: Medicare.
Description: "This paper identifies which types of patients and hospitals have abusive Medicare billings that are responsive to law enforcement.  For a 20 percent random sample of elderly Medicare beneficiaries hospitalized from 1994-98 with one or more of six illnesses that are prone to abuse, we obtain longitudinal claims data linked with Social Security death records, hospital characteristics, and state/year-level anti-fraud enforcement efforts.  We show that increased enforcement leads certain types of types of patients and hospitals to have lower billings, without adverse consequences for patients' health outcomes"--National Bureau of Economic Research web site.
Notes: Includes bibliographical references.
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Mode of access: World Wide Web.