Hospital Outpatient Prospective Payment System
نویسندگان
چکیده
منابع مشابه
Medicare hospital outpatient services and costs: Implications for prospective payment
Medicare expenditures of hospital outpatient department (HOPD) services are growing rapidly, prompting congressional interest in a prospective payment system. In this article, the authors identify frequently provided services and examine service volume and charges in the HOPD. Relatively few services drive Medicare HOPD spending, and volume is dominated by visits, imaging and laboratory tests, ...
متن کاملHospital volume responses to Medicare's Outpatient Prospective Payment System: evidence from Florida.
Effective in 2000, Medicare's Outpatient Prospective Payment System (OPPS) sets pre-determined reimbursement rates for hospital outpatient services, replacing the prior cost-based methods of reimbursement. Using Florida outpatient discharge data, we study the effect of OPPS on hospital outpatient volume. We find that on average Medicare rate cuts either decreased or had no significant effect on...
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The paper provides theoretical analysis for hospitalsheterogeneity in the response to the change from the the fee-for-service (FFS) system to a per diem prospective payment system with a length-of-stay dependent step-down rate (SDR): hospitals with shorter (longer) average length of stay under FFS have longer (shorter) average length of stay under SDR. We also show that for FFS hospitals with ...
متن کاملProspective payment system and other effects on post-hospital Services
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 f...
متن کاملPayment levels and hospital response to prospective payment.
Nearly ten years after the implementation of Medicare's Prospective Payment System (PPS), some of its major impacts remain hard to explain using existing economic models. We develop a simple model of the hospital's choice of intensity of care, which affects demand for admissions. The model suggests an important role for the level of prospective payment, independent of the effect of marginal inc...
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ژورنال
عنوان ژورنال: American Journal of Neuroradiology
سال: 2012
ISSN: 0195-6108,1936-959X
DOI: 10.3174/ajnr.a3050