NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH
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David Becker

School of Public Health
University of Alabama at Birmingham
RPHB 330
1530 3rd Ave South
Birmingham, AL 35924-0022
Tel: 205/975-0532
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Institutional Affiliation: University of Alabama at Birmingham

NBER Working Papers and Publications

August 2004Detecting Medicare Abuse
with Daniel Kessler, Mark McClellan: w10677
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.

Published: Becker, David, Daniel Kessler and Mark McClellan. "Detecting Medicare Abuse," Journal of Health Economics, 2005, v24(1,Jan), 189-210.

 
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