Effects of the Medicare prospective payment system on hospital cost containment: an early appraisal.
Publication
, Journal Article
Sloan, FA; Morrisey, MA; Valvona, J
Published in: The Milbank quarterly
January 1988
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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Published In
The Milbank quarterly
DOI
EISSN
1468-0009
ISSN
0887-378X
Publication Date
January 1988
Volume
66
Issue
2
Start / End Page
191 / 220
Related Subject Headings
- United States
- Regression Analysis
- Quality of Health Care
- Prospective Payment System
- Program Evaluation
- Medicare
- Hospitals, Voluntary
- Health Policy & Services
- Economics, Hospital
- Cost Control
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MLA
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Sloan, F. A., Morrisey, M. A., & Valvona, J. (1988). Effects of the Medicare prospective payment system on hospital cost containment: an early appraisal. The Milbank Quarterly, 66(2), 191–220. https://doi.org/10.2307/3350030
Sloan, F. A., M. A. Morrisey, and J. Valvona. “Effects of the Medicare prospective payment system on hospital cost containment: an early appraisal.” The Milbank Quarterly 66, no. 2 (January 1988): 191–220. https://doi.org/10.2307/3350030.
Sloan FA, Morrisey MA, Valvona J. Effects of the Medicare prospective payment system on hospital cost containment: an early appraisal. The Milbank quarterly. 1988 Jan;66(2):191–220.
Sloan, F. A., et al. “Effects of the Medicare prospective payment system on hospital cost containment: an early appraisal.” The Milbank Quarterly, vol. 66, no. 2, Jan. 1988, pp. 191–220. Epmc, doi:10.2307/3350030.
Sloan FA, Morrisey MA, Valvona J. Effects of the Medicare prospective payment system on hospital cost containment: an early appraisal. The Milbank quarterly. 1988 Jan;66(2):191–220.
Published In
The Milbank quarterly
DOI
EISSN
1468-0009
ISSN
0887-378X
Publication Date
January 1988
Volume
66
Issue
2
Start / End Page
191 / 220
Related Subject Headings
- United States
- Regression Analysis
- Quality of Health Care
- Prospective Payment System
- Program Evaluation
- Medicare
- Hospitals, Voluntary
- Health Policy & Services
- Economics, Hospital
- Cost Control