The Impact of Reimbursement Policy on Social Welfare, Revisit Rate & Waiting Time in a Public Health

主题:    The Impact of Reimbursement Policy on Social Welfare,  Revisit Rate & Waiting Time in a Public Health主讲人:   汪玉兰(Dr. Yulan Wang)地点:   延安路校区旭日楼306教室时间:   2017-06-26 09:30:00组织单位:   管理学院

讲座摘要:This lecture will examine the  impact of Fee-for-Service and BundledPayment reimbursement schemeson the social  welfare, the patient revisit rate, and the patient waiting timein a three-tiered  public healthcare system comprising (a) a public funder whodecides on the  reimbursement rate to maximize the social welfare, (b) a publichealthcare  provider (HCP) who decides on the service rate (which affects therevisit rate  and operating cost), and (c) a pool of (waiting time-sensitive)patients who  decide whether or not to seek elective treatments. We focus ouranalysis on (1) a  Fee-for-Service (FFS) scheme under which the HCP receives thepayment each time a  patient visits (or revisits); and (2) a Bundled Payment(BP) scheme under which  the HCP receives a lump sum payment for the entireepisode of care for each  patient (regardless of the number of revisits). Byconsidering an M/M/1 queueing  model with endogenous arrivals and revisits, weanalyze a three-stage Stackelberg  game to determine the patients' initial visitrate, the HCP's service rate (which  affects the revisit rate), and the funder'sreimbursement rate. The above  analysis enables us to compare the equilibriumoutcomes (social welfare, revisit  rate and waiting time) associated with theFFS and BP schemes. We find that when  the patient pool is large, the BP schemedominates in terms of higher social  welfare and lower revisit rate, but the FFSscheme dominates in terms of waiting  time. However, when the patientpool is small, the BP scheme dominates the FFS  scheme in all three performancemeasures.

主讲人简介:汪玉兰(Dr Yulan  Wang)是香港理工大学海运及物流系副教授。她拥有美国杜克大学(Duke  University)工商管理博士学位,上海交通大学硕士与学士。她的研究已发表于众多国际顶级期刊,如Management Science,Operations  Research,Production and Operations Management,Naval Research Logistics,European  Journal of Operational Research.Dr Yulan Wang的研究领域包括了supply chainoutsourcing,  the application of game theory in system design and coordination,and the  behavior issues in operations management.

报告语言:英语

撰写:周静信息员:周莉莉编辑:孙庆华