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. 1990 Winter;12(2):37-54.

Prospective payment system and other effects on post-hospital services

F D Gianfrancesco  1
Affiliations

Prospective payment system and other effects on post-hospital services

F D Gianfrancesco. Health Care Financ Rev. 1990 Winter.

Abstract

The effects of the prospective payment system and other factors on the use of post-hospital services were investigated for four groups of diagnostically related Medicare discharges. Effects on specific services and total Medicare payments were analyzed at the beneficiary level using a Tobit regression technique. The utilization data base consisted of more than 30,000 discharge episode records for the years 1981-86. The post-hospital period for each Medicare beneficiary encompassed the 60 days following discharge from the hospital. Influences on both the level and timing of health care services during this period were appraised. The influence of the prospective payment system was measured through the financial impact and risk that it imposed on the discharging hospital.

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Figures

Figure 1
Figure 1. Assumed relationship between use of post-hospital services and the effects of the prospective payment system on the discharging hospital
See this image and copyright information in PMC

References

    1. Feder J, Hadley J, Zuckerman S. How did Medicare's prospective payment system affect hospitals? New England Journal of Medicine. 1987 Oct.317(14):867–872. - PubMed
    1. Gianfrancesco F. Appalachian Regional Commission Study of Rural Hospitals and Medicare Payments. Cambridge Mass.: Abt Associates, Inc.; Oct. 1987. Contract No. 87-7/CO-9625-86-Y1-302-0820. Prepared for the Appalachian Regional Commission.
    1. Gianfrancesco F. Financial and Behavioral Effects of the PPS on Different Geographic Groups of Hospitals: The First Three Years of Experience. Cambridge, Mass: Abt Associates, Inc.; Sept. 1988. Contract No. 87-157/CO-9625-87-Y2-302-0914. Prepared for the Appalachian Regional Commission.
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    1. DesHarnais SI, Kobrinski E, Chesney J, et al. The early effects of the prospective payment system on patient utilization and the quality of care. Inquiry. 1987 Spring;24(1):7–16. - PubMed

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