The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients
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The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients
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Author : Rand Corporation
language : en
Publisher:
Release Date : 1991
The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients written by Rand Corporation and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991 with Diagnosis related groups categories.
To control rising health care costs, the federal government, in 1983, established a prospective payment system (PPS) to reimburse hospitals for inhospital care of Medicare patients. PPS changed the way Medicare reimbursed hospitals from a cost or charge basis to a prospectively determined fixed-price system in which hospitals are paid according to the diagnosis-related group (DRG) into which a patient is classified. This report constitutes the executive summary of an evaluation of the impact of the DRG-based PPS system. Six conditions were selected for the evaluation: congestive heart failure, acute myocardial infarction, hip fracture, pneumonia, cerebrovascular accident, and depression. The authors used both explicit and implicit measures to assess quality of care. Two key policy conclusions emerge from the findings: (1) at least through the middle of 1986, PPS did not interrupt a long-term trend toward better hospital care; and (2) PPS has had a detrimental effect on patients' stability at discharge. The authors recommend that physicians, hospitals, and professional review organizations undertake a more systematic assessment of a patient's readiness to leave the hospital, and that clinically detailed data on sickness at admission, processes, discharge status, and outcomes continue to be collected regularly as long as PPS is in place.
The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients
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Author : Katherine L. Kahn
language : en
Publisher:
Release Date : 1990
The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients written by Katherine L. Kahn and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1990 with Diagnosis related groups categories.
The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients
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Author :
language : en
Publisher: Rand Corporation
Release Date : 1992
The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients written by and has been published by Rand Corporation this book supported file pdf, txt, epub, kindle and other format this book has been release on 1992 with Diagnosis related groups categories.
In 1983, in an effort to control rising health care costs, the federal government established a prospective payment system (PPS) to reimburse hospitals for inhospital care of Medicare patients. Under PPS, hospitals are paid an amount based largely on flat rates per admission calculated for each of approximately 470 diagnosis-related groups (DRGs). This new payment system has been somewhat successful at slowing the upward spiral of Medicare costs. However, because PPS presents incentives to decrease lengths of stay and to substitute lower-cost services and procedures, patients, physicians, and policymakers are concerned that, despite the introduction of monitoring by professional review organizations, the quality of health care given Medicare patients may have declined under PPS. This report assesses the quality of inhospital care for Medicare patients age 65 and over, before and after the implementation of PPS, and estimates the effects of the PPS intervention on quality of care, by comparing quality of care now with the best estimate of what it would have been without PPS. Specifically, the authors describe the study's design, sampling, and fieldwork; discuss changes in sickness at admission following the introduction of PPS; consider measurements of the quality of care using explicit criteria before and after implementation of the PPS; compare changes in quality of care between 1981 and 1986 for five diseases as measured by implicit review; and discuss PPS and impairment at discharge.
A Summary Of The Effects Of Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients
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Author : Rand Corporation
language : en
Publisher:
Release Date : 1990
A Summary Of The Effects Of Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients written by Rand Corporation and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1990 with Diagnosis related groups categories.
Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients Executive Summary
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Author : Rand Corporation
language : en
Publisher:
Release Date :
Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients Executive Summary written by Rand Corporation and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on with categories.
Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients Final Report
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Author : Rand Corporation
language : en
Publisher:
Release Date :
Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients Final Report written by Rand Corporation and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on with categories.
Medicare Prospective Payment And The American Health Care System
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Author :
language : en
Publisher:
Release Date : 1986
Medicare Prospective Payment And The American Health Care System written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986 with Hospitals categories.
Medicare Reimbursement And The Quality Of Hospital Care
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Author : Michael J. McGinty
language : en
Publisher: DIANE Publishing
Release Date : 1993
Medicare Reimbursement And The Quality Of Hospital Care written by Michael J. McGinty and has been published by DIANE Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 1993 with Hospital care categories.
Examines the relationship between hospital reimbursement per discharge & the clinical quality of care received by Medicare patients before & after the implementation of the PPS in 1993-1984. Objectives were to evaluate the link between program, payments & quality & to identify characteristics of higher & lower quality hospitals for the period 1981 to 1986.
Medicare S Prospective Payment System
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Author :
language : en
Publisher:
Release Date : 1985
Medicare S Prospective Payment System written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1985 with Medicare categories.
Dhhs Publication No Nih
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Author :
language : en
Publisher:
Release Date : 1991
Dhhs Publication No Nih written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991 with Public health categories.