@techreport{NBERw10677, title = "Detecting Medicare Abuse", author = "David Becker and Daniel Kessler and Mark McClellan", institution = "National Bureau of Economic Research", type = "Working Paper", series = "Working Paper Series", number = "10677", year = "2004", month = "August", URL = "http://www.nber.org/papers/w10677", abstract = {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.}, }