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. 1986 Spring;7(3):97-114.

Impact of the Medicare prospective payment system for hospitals

Impact of the Medicare prospective payment system for hospitals

S Guterman et al. Health Care Financ Rev. 1986 Spring.

Abstract

This article describes some of the available evidence on the impact of the Medicare prospective payment system (PPS) for hospitals during its first year, on hospitals, other payers for inpatient hospital services, other providers of health care, and Medicare beneficiaries. In addition, because the impetus for the enactment of the new system stemmed from concern over the financial status of the Medicare program, the first-year impact of PPS on Medicare program expenditures is also described.

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Figures

Figure 1
Figure 1. Hospitals covered under the prospective payment system, through end of each month: Fiscal year 1984
Figure 2
Figure 2. Medicare length of stay: 1967-84

References

    1. American Hospital Association. PPS after the 1st year. Hospitals. 1984a Sept.58(18):37–82. - PubMed
    1. American Hospital Association. Trends. Number 83. Chicago, Ill.: Dec. 1984b.
    1. Bell J, Trutko J, Feinson C, Beyna L. Exploring the Effects of Medicare PPS on Medicaid. Arlington, Va.: James Bell and Associates; Dec. 1984. HCFA Contract No. 500-83-0058. Prepared for Health Care Financing Administration.
    1. Blue Cross and Blue Shield Association. Cost Containment News. Washington, D.C.: Winter. 1985.
    1. Carter GM, Ginsburg PB. The Medicare Case Mix Index Increase: Medical Practice Changes, Aging, and DRG Creep. Santa Monica, Calif.: The Rand Corporation; 1985. HCFA Cooperative Agreement No. 15-C-98489/9-01. Prepared for Health Care Financing Administration.

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