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Getting Incentives Right? The Impact of Hospital Capitation Payment in Vietnam.

Getting Incentives Right? The Impact of Hospital Capitation Payment in Vietnam.
Author Information (click to view)

Nguyen HT, Bales S, Wagstaff A, Dao H,


Nguyen HT, Bales S, Wagstaff A, Dao H, (click to view)

Nguyen HT, Bales S, Wagstaff A, Dao H,

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Health economics 2015 12 1726(2) 263-272 doi 10.1002/hec.3294
Abstract

This paper evaluates the impact on cost and utilization of a shift from fee-for-service to capitation payment of district hospitals by Vietnam’s social health insurance agency. Hospital fixed effects analysis suggests that capitation leads to reduced costs. Hospitals also increased service provision to the uninsured who continue to pay out-of-pocket on a fee-for-service basis. The study points to the need to anticipate unintended effects of payment reforms, especially in the context of a multiple purchaser system. Copyright © The World Bank Health Economics © 2015 John Wiley & Sons, Ltd.

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