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Journal Article
Journal of Health Politics, Policy and Law (1 August 1994) 19 (4): 729–751.
Published: 01 August 1994
...Michael D. Rosko; Caryl E. Carpenter We examined the relationship between variations in intra-DRG severity of illness classifications and hospital profitability. Unlike in previous studies, we created a direct hospital-level measure of severity, formed from MedisGroup severity scores. We estimated...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1990) 15 (1): 145–167.
Published: 01 February 1990
...Mary Ruggie The introduction of DRGs for financing health care is dramatically changing the system of delivery and provision in the U.S. To understand the consequences, it is important to focus not only on cost-containment issues but also on new institutional mechanisms fashioned to reshape health...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1985) 9 (4): 717–724.
Published: 01 August 1985
...Frank J. Thompson Andrew B. Dunham and James A. Morone, The Politics of Regulation: The Evolution of DRG Rate Regulation in New Jersey , DRG Evaluation, Volume IV-A (Princeton, N. J.: Health Research and Educational Trust of New Jersey, 1983), 165 pp., $7.50 Copyright © 1985 by the...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2010) 35 (4): 455–486.
Published: 01 August 2010
... responses to these deficits. The adaptive responses can be considered as non-system-specific interventions that broaden the portfolio of regulatory policies. Second, we examine diagnosis-related groups (DRGs) as a common approach for financing hospitals efficiently, which are nevertheless shaped by type...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1993) 18 (4): 937–965.
Published: 01 August 1993
...Genevieve M. Kenney This study examines the determinants of home health use after hospitalization for acute illness for eleven diagnosis-related groups (DRGs) in 1985, drawing on data from four primary sources: Medicare hospital bills, Medicare home health bills, the Medicare and Medicaid Automated...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1990) 15 (1): 191–210.
Published: 01 February 1990
... evolution of the typical home care provider toward greater organizational and market rationality. Greater managerial sophistication has introduced changes in management/labor relations. Survey data from the 1986 DRG Impact Study are used to show how the pressure of cost-containment policies has pushed...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1984) 9 (1): 81–101.
Published: 01 February 1984
... evidence suggests that there was cost-shifting in response to this program, which regulated payment for only Blue Cross and Medicaid patients. Structural features of this program and its successor, the New Jersey DRG program, are analyzed; and implications for the Medicare prospective payment system are...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1985) 10 (1): 141–156.
Published: 01 February 1985
... policy and DRG payment needs to be explored more thoroughly. Copyright © 1985 by the Dept. of Health Administration, Duke University 1985 Medicare Coverage, Medicare Costs, and Medical Technology Gloria Ruby, Ofice of Technology Assessment, H. David Banta, World Health...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1986) 11 (1): 83–96.
Published: 01 February 1986
...Richard G. Frank; Judith R. Lave Psychiatric hospitals and clinics are exempted from the Medicare prospective payment system. In this paper we examine the appropriateness of the DRG classification system for psychiatric patients and argue that, using this system as the basis of payment, two types...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1994) 19 (3): 647–662.
Published: 01 June 1994
...: University of Calgary Press. Barer , M. L. , R. G. Evans, and R. J. Labelle. 1988 . Fee Controls as Cost Control: Tales from the Frozen North. Milbank Quarterly 66 ( 1 ): 1 -64. Bentes , M. E. , J. A. Urbano, M. C. Carvalho, and M. S. Tranquada. 1993 . Using DRGs to Fund Hospitals in...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1992) 17 (3): 483–508.
Published: 01 June 1992
.... Hospital and Community Psychiatry 36 ( 7 ): 749 -53. Frank , R. , and J. Lave. 1985b . The Psychiatric DRGs: Are They Different? Medical Care 23 ( 10 ): 1148 -55. Freiman , M. , R. Ellis, and T. McGuire. 1989 . Provider Response to Medicare's PPS: Reductions in Length of Stay for...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1985) 10 (2): 275–282.
Published: 01 April 1985
... into a given “diagnosis-related group” (DRG). If the hospital discharges a patient before the payment allotted for the assigned DRG has been used up, then the hospital may retain the difference between the allotted sum and its actual costs. If the patient uses more resources, however-usually...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1985) 10 (3): 513–532.
Published: 01 June 1985
... powerful tool. Second, if one assumes the continuing necessity of fee-for-service payment for acute hospitalization, at least for a while, then prospective, per-case payment is probably the best available mechanism, and diagnosis-related groups (DRGs), for all their very real shortcomings, are...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1990) 15 (4): 815–831.
Published: 01 August 1990
.... , and D. L. Dunn. 1987 . The Impact of DRG Payment on New Jersey Hospitals. Inquiry 24 ( 3 ): 203 -11. Hsiao , W. C. , H. M. Sapolsky, D. L. Dunn, and S. C. Weiner. 1986 . Lessons of the New Jersey DRG Payment System. Health Affairs 5 ( 2 ): 32 -45. Levit , K. R. , M. S...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1995) 20 (2): 303–327.
Published: 01 April 1995
.... Meckling. 1976 . Theory of the Firm: Managerial Behavior, Agency Costs and Ownership Structure. Journal of Financial Economics 3 : 305 -60. Kimberly , J. R. , L. R. Renshaw, S. Ramsey, A. L. Hillman, and J. S. Schwartz. 1989 . Medical Technology Meets DRGs: Acquiring Magnetic Resonance Imag ing...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1986) 10 (4): 659–674.
Published: 01 August 1986
... buyers of maternity and newborn care. l4 Of the ten highest-volume Diagnosis Related Groups (DRGs) for the HMOs, six involve maternity and newborn care (see Table 2). Obstetrics and newborn patients represent about half of all HMO hospital dis- charges in Twin Cities hospitals, compared to less...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1991) 16 (4): 847–851.
Published: 01 August 1991
... Copyright © 1991 by Duke University Press 1991 News from Affiliated Organizations American College of Healthcare Executives Health Administration Press, the college’s publications division, has recently pub- lished two new books for health care executives: DRGs...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1990) 15 (2): 471–473.
Published: 01 April 1990
... Copyright © 1990 by Duke University Press 1990 News from Affiliated Organizations American College of Healthcare Executives Health Administration Press has recently published two new books: Cancer Care and Cost: DRGs and Beyond, edited by Richard M. Scheffler and Neil C...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1990) 15 (4): 932–933.
Published: 01 August 1990
... (DRGs) have virtue in themselves as devices for changing power relations between physicians and hospital administrators or for improving organizational efficiency. As she points out, limiting increases in Medicare expenditures was the overriding motivation for the reform. Russell relies heavily on...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1983) 7 (4): 987–995.
Published: 01 August 1983
... calculated on the basis of costs per diem, but rather on the basis of costs per discharge, adjusted for a Medicare case- mix measure computed for each hospital by the diagnostic related group (DRG) method. Target rates limiting the cost increases eligible for reim- bursement, progressively more...