Literature DB >> 3054469

Effects of the Medicare prospective payment system on hospital cost containment: an early appraisal.

F A Sloan1, M A Morrisey, J Valvona.   

Abstract

In 1983 federal efforts to contain hospital costs were coalesced under the Medicare prospective payment system (PPS)--a "self-interest" approach to administered prices. Diagnosis-related groups (DRGs) and the tougher peer review organizations (PROs) serve to define "products"; PPS sets the price on each. The effects of PPS go beyond Medicare; they have been system-wide. Differential impacts on hospital utilization, substitution of capital for labor, and quality are examined through a variety of data sources and descriptive as well as regression analyses. The greatest cost savings are attributed to a reduction in hospital admissions per capita.

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Year:  1988        PMID： 3054469

Source DB:  PubMed          Journal:  Milbank Q        ISSN： 0887-378X            Impact factor:   4.911


  10 in total

1.  Early Impact on Outpatients of Mandatory Adoption of the Diagnosis-Related Group-Based Reimbursement System in Korea on Use of Outpatient Care: Differences in Medical Utilization and Presurgery Examination.

Authors:  Seung Ju Kim; Kyu-Tae Han; Woorim Kim; Sun Jung Kim; Eun-Cheol Park
Journal:  Health Serv Res       Date:  2017-08-14       Impact factor: 3.402

2.  Geographic variation in primary care visits in Iowa.

Authors:  L W Briggs; J E Rohrer; R L Ludke; P E Hilsenrath; K T Phillips
Journal:  Health Serv Res       Date:  1995-12       Impact factor: 3.402

3.  Cost allocation patterns between hospital inpatient and outpatient departments.

Authors:  K Carey
Journal:  Health Serv Res       Date:  1994-08       Impact factor: 3.402

4.  Medicare's prospective payment system: A critical appraisal.

Authors:  Robert F Coulam; Gary L Gaumer
Journal:  Health Care Financ Rev       Date:  1992-03

5.  Clinical characteristics and outcomes of Medicare patients undergoing total hip arthroplasty, 1991-2008.

Authors:  Peter Cram; Xin Lu; Peter J Kaboli; Mary S Vaughan-Sarrazin; Xueya Cai; Brian R Wolf; Yue Li
Journal:  JAMA       Date:  2011-04-20       Impact factor: 56.272

6.  Strategic responses by hospitals to increased financial risk in the 1980s.

Authors:  B Friedman; D Farley
Journal:  Health Serv Res       Date:  1995-08       Impact factor: 3.402

7.  New evidence on hospital profitability by payer group and the effects of payer generosity.

Authors:  Bernard Friedman; Neeraj Sood; Kelly Engstrom; Diane McKenzie
Journal:  Int J Health Care Finance Econ       Date:  2004-09

8.  Forecasting the future reimbursement system of Korean National Health Insurance: a contemplation focusing on global budget and Neo-KDRG-based payment systems.

Authors:  Yang-Kyun Kim
Journal:  J Korean Med Sci       Date:  2012-05-18       Impact factor: 2.153

9.  Utilization management as a cost-containment strategy.

Authors:  Howard L Bailit; Cary Sennett
Journal:  Health Care Financ Rev       Date:  1992-03

10.  A Review of the Use of Medicare Claims Data in Plastic Surgery Outcomes Research.

Authors:  Elham Mahmoudi; Sandra V Kotsis; Kevin C Chung
Journal:  Plast Reconstr Surg Glob Open       Date:  2015-10-26
  10 in total

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