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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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Book Synopsis The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients by : Rand Corporation
Download or read book The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients written by Rand Corporation and published by . This book was released on 1991 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients by : Katherine L. Kahn
Download or read book The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients written by Katherine L. Kahn and published by . This book was released on 1990 with total page 45 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients by :
Download or read book The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients written by and published by Rand Corporation. This book was released on 1992 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis A Summary of The Effects of DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients by : Rand Corporation
Download or read book A Summary of The Effects of DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients written by Rand Corporation and published by . This book was released on 1990 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis EFFECTS OF THE DRG-BASED PROSPECTIVE PAYMENT SYSTEM ON QUALITY OF CARE FOR HOSPITALIZED MEDICARE PATIENTS: EXECUTIVE SUMMARY. by : Rand Corporation
Download or read book EFFECTS OF THE DRG-BASED PROSPECTIVE PAYMENT SYSTEM ON QUALITY OF CARE FOR HOSPITALIZED MEDICARE PATIENTS: EXECUTIVE SUMMARY. written by Rand Corporation and published by . This book was released on with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis EFFECTS OF THE DRG-BASED PROSPECTIVE PAYMENT SYSTEM ON QUALITY OF CARE FOR HOSPITALIZED MEDICARE PATIENTS - FINAL REPORT. by : Rand Corporation
Download or read book EFFECTS OF THE DRG-BASED PROSPECTIVE PAYMENT SYSTEM ON QUALITY OF CARE FOR HOSPITALIZED MEDICARE PATIENTS - FINAL REPORT. written by Rand Corporation and published by . This book was released on with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A Summary of the Effects of DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients ; an Introduction to the Series by : Katherine L. Kahn
Download or read book A Summary of the Effects of DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients ; an Introduction to the Series written by Katherine L. Kahn and published by . This book was released on 1990 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Implications of Prospective Payment for the Health Care System and Health Planning by : Laura A. Dummit
Download or read book Implications of Prospective Payment for the Health Care System and Health Planning written by Laura A. Dummit and published by . This book was released on 1985 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Prospective Payment and the American Health Care System by :
Download or read book Medicare Prospective Payment and the American Health Care System written by and published by . This book was released on 1986 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Effects of Medicare's Prospective Payment System on the Quality of Hospital Care by :
Download or read book Effects of Medicare's Prospective Payment System on the Quality of Hospital Care written by and published by . This book was released on 2006 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This research brief summarizes a study of how Medicare's prospective payment system (PPS) affected the quality of care for hospitalized Medicare patients.
Book Synopsis Medicare Reimbursement and the Quality of Hospital Care by : Michael J. McGinty
Download or read book Medicare Reimbursement and the Quality of Hospital Care written by Michael J. McGinty and published by DIANE Publishing. This book was released on 1993 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Impact of the Medicare Prospective Payment System for Hospitals by : Stuart Guterman
Download or read book Impact of the Medicare Prospective Payment System for Hospitals written by Stuart Guterman and published by . This book was released on 1986 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Post-hospital Care by : United States. General Accounting Office
Download or read book Post-hospital Care written by United States. General Accounting Office and published by . This book was released on 1986 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Impact of the Medicare Hospital Prospective Payment System by :
Download or read book Impact of the Medicare Hospital Prospective Payment System written by and published by . This book was released on 1984 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Diagnosis Related Groups (DRGs) and the Medicare Program by :
Download or read book Diagnosis Related Groups (DRGs) and the Medicare Program written by and published by . This book was released on 1983 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Impact of DRGs on the Not-for-profit Community Hospital by : Jeanna Marie Bertolini
Download or read book The Impact of DRGs on the Not-for-profit Community Hospital written by Jeanna Marie Bertolini and published by . This book was released on 1987 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Impact of Medicare Prospective Payment on the Quality of Medical Care by : Kathleen N. Lohr
Download or read book Impact of Medicare Prospective Payment on the Quality of Medical Care written by Kathleen N. Lohr and published by Rand Corporation. This book was released on 1985 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: Under the prospective payment system (PPS) introduced in 1983, hospitals are to be paid for each Medicare admission on the basis of a price per case set in advance, thus giving hospitals and other providers incentives for delivering care that are radically different from those of cost-reimbursement financing. This report identifies major issues relating to quality of care, sketches conceptual and practical aspects of carrying out appropriate studies of these issues, and outlines a quality-of-care research agenda. It emphasizes changes in hospital care that are most likely to occur secondary to PPS, those likely to have the most direct impact on patients' outcomes, and changes that can be defined, detected, and measured with relative ease. Certain themes for future research efforts are stressed: (1) the overall research agenda must be strong enough to detect clinically meaningful impacts on patient outcomes and to be able to assign those impacts to PPS; (2) outcomes other than death must be examined; (3) interpreting the impacts of PPS requires understanding the clinical circumstances of Medicare patients; (4) developing better outcome measures is essential; (5) targeting impact studies on high-priority topics will be unavoidable; and (6) a full picture of the effects of PPS requires a long-term perspective, extending beyond FY 1987.
