Abstract
This paper investigates firms' management of reported allocated overhead information and the relationship between operational strategies and overhead costs allocation. Using data from California hospitals for the years 1981–1991, I find that hospitals reallocate more overhead costs to cost-based services when they are subject to a dual payment system featuring both cost-based and fixed-rate payers. This management of reported overhead cost information does not involve a change in real expenses. Furthermore, the evidence also shows that under a dual payment system, hospitals adopt cost-increasing operational strategies, which increase direct costs of cost-based services and then reallocate costs when they have sufficient bargaining power to charge higher prices for their services. When hospitals are not able to negotiate a high price, they control costs while continuing to reallocate overhead costs among services.