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Toward a Fairer Prospective Payment System
Archives of General Psychiatry, 1988A fundamental assumption of categorical payment systems such as Medicare's diagnosis related groups (DRGs) is that one can identify characteristics of patients (eg, diagnosis) and of hospitals (eg, location) that predict costs, and, thereby, one can construct reasonable payment categories. However, the current DRGs for psychiatry are poor predictors of
S M, Essock, G S, Norquist
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DRG prospective payment systems: refine or not refine? [PDF]
Health Economics, 2009 AbstractWe present a model of contracting between a purchaser of health services and a provider (a hospital). We assume that hospitals provide two alternative treatments for a given diagnosis: a less intensive one (for example, a medical treatment) and a more intensive one (a surgical treatment).
Luigi Siciliani +1 more
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The Medicare Prospective Payment System
The American Journal of Occupational Therapy, 1984Abstract In 1983 Congress adopted the most significant change in the Medicare program since its inception in 1965. Along with measures to ensure the solvency of the Social Security System into the next century, Congress approved a system of prospective payment for hospital inpatient services, whereby hospitals are paid a fixed sum per ...
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A qualitative assessment of the medicare prospective payment system
Social Science & Medicine, 1985This paper employs commonly accepted criteria to evaluate the potential outcomes of the Medicare pricing mechanism. The analysis suggests that the recent revisions in the Medicare payment system have less potential to contain increases in total hospital costs than those embodied in all-payer systems.
R W, Broyles, M D, Rosko
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Assessing Medicare's Prospective Payment System
JAMA: The Journal of the American Medical Association, 1987Sager et al 1 raise some interesting and important issues in this issue ofThe Journal. By reviewing hospitalization and mortality data for the Wisconsin-Medicaid elderly population in nursing homes and comparing the data with those for the noninstitutionalized Medicaid population, the authors claim a strong causal relationship between the advent of a ...
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Insurance principles and the design of prospective payment systems
Journal of Health Economics, 1988This paper applies insurance principles to the issues of optimal outlier payments and designation of peer groups in Medicare's case-based prospective payment system for hospital care. Arrow's principle that full insurance after a deductible is optimal implies that, to minimize hospital risk, outlier payments should be based on hospital average loss per
R P, Ellis, T G, McGuire
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The Prospective Payment System and Quality
JAMA, 1990This issue ofThe Journalis devoted to a remarkable series of reports from a major investigative group based on a study designed to examine the clinical effects of the Medicare Prospective Payment System, (PPS) which was based on diagnosis related groups (DRGs).
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Assessing Medicare's Prospective Payment System for Hospitals
Medical Care Review, 1991The Medicare prospective payment system for hospitals was created to slow the growth of government spending on health care. This analysis has shown that the program has accomplished its cost-containment objective in the first five years of its existence. The average length of hospital stay has dropped sharply under PPS, reducing hospital costs.
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Home Health Care Services Quarterly, 1986
The financial incentives of Medicare's Prospective Payment System are encouraging hospitals to discharge patients sooner and at a lower functional status. This discussion analyzes the possible impact of the subacute patient on the community system of care.
A, Sankar, R, Newcomer, J, Wood
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The financial incentives of Medicare's Prospective Payment System are encouraging hospitals to discharge patients sooner and at a lower functional status. This discussion analyzes the possible impact of the subacute patient on the community system of care.
A, Sankar, R, Newcomer, J, Wood
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THE NATIONAL PAYMENT SYSTEM AND ITS PROSPECTS
EKONOMIKA I UPRAVLENIE: PROBLEMY, RESHENIYA, 2023The banking system plays a key role in the development and regulation of the economy, as it has a major impact on the stabilization of the economy. Uninterrupted operation and the ability to conduct financial transactions are the most important elements of the economic process.
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