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Detecting Medicare Abuse / David Becker, Daniel Kessler, Mark McClellan.
- Format:
- Book
- Author/Creator:
- Becker, David.
- Series:
- Working Paper Series (National Bureau of Economic Research) no. w10677.
- NBER working paper series no. w10677
- Language:
- English
- Physical Description:
- 1 online resource: illustrations (black and white);
- Place of Publication:
- Cambridge, Mass. National Bureau of Economic Research 2004.
- Summary:
- 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.
- Notes:
- Print version record
- August 2004.
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