...Richard W. Foster Prospective payment is distinguished from the imposition of a regulatory ceiling on hospital costs. While a regulatory ceiling could potentially be effective in controlling expenditure growth, its success depends upon the political climate. Prospective payment, as a distinct...

...Lawrence D. Brown Copyright © 1983 by the Department of Health Administration, Duke University 1983 Washington Report The Prospects for Prospective Payment Lawrence D. Brown In Washington the word is out that costs are dead. Since the Tax Equity and Fiscal...

...Michael D. Rosko The SHARE program, which set per diem prospective rates for New Jersey hospitals during the period 1975–1982, is evaluated. Analysis suggests that this program did contain hospital cost increases. However, the program threatened the viability of most inner-city hospitals. Indirect...

...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...

... . Washington, DC: MEDPAC. Duke University Press 2007 Rick Mayes and Robert A. Berenson. Medicare Prospective Payment and the Shaping of U.S. Health Care. Baltimore: Johns Hopkins University Press, 2006. 245 pp. $48.95 cloth. Books James H...

...Maqbool Dada; William D. White; Houston H. Stokes; Paul Kurzeja The Medicare prospective payment system (PPS) was designed to create financial incentives for providers to contain costs, but it also places them at financial risk. The system includes provisions to mitigate the risk, but, because...

...: American Psychiatric Press. Ehrman , C. M. , G. Funk, and J. Cavanaugh. 1989 . Psychiatric DRGs: More Risk for Hospitals? Journal of Health Care Marketing 9 : 67 -71. Gibson , R. W. , and J. Namerow. 1988 . Prospective Payment for Private Psychiatric Specialty Hospitals: The National...

...Robert Newcomer; Juanita Wood; Andrea Sankar The switch to prospective payment for hospitals under Medicare is expected to have ramifications in a number of different areas. This paper addresses a select number of those areas: hospital organization and management, other community agencies...

...Harvey M. Sapolsky Prospective payment promises improvement for a health care system plagued by inefficiency and rising costs, but is likely to disappoint. Serious efforts to control costs threaten the system's access and quality objectives and will be resisted. Moreover, serious cost containment...

... of state rate setting; as a result, broader outcome measures are required to determine their overall impact. The New York Prospective Hospital Reimbursement Methodology (NYPHRM) is evaluated in this broader context. The NYPHRM successfully channeled revenues to fiscally blighted hospitals, increasing...

...Michael D. Rosko; Robert W. Broyles; William E. Aaronson This article evaluates the potential efficacy of implementing a prospective payment system based on case mix in the nursing home industry. The analysis of structural differences between the nursing home and hospital industries suggests...

...Gitta Meier This article reviews the five-year experience of the Key Plan, a county-operated, prepaid health plan for certain persons eligible for Medicaid. Reasons for the Plan's failure to increase enrollment and to reach financial self-sufficiency are analyzed. Prospects for the Contra Costa...

...Marshall B. Kapp Stuart H. Altman and Harvey M. Sapolsky, eds., Federal Health Programs: Problems and Prospects (Lexington, Mass.: Lexington Books, 1981), 249 pp., $25.95. Copyright © 1982 by the Department of Health Administration, Duke University Press 1982 526 Journal of Health...

... and Recommendations Concerning the Issue of County Maintenance of Effort for Long-Term Care Services in Arizona. Unpublished manuscript. Pritzlaff Commission on Long-Term Care. 1984 . Long-Term Care in Arizona. Phoenix, AZ: PCLTC. The Prospects for Prepaid Long-Term Care: The Arizona Medicaid...

.... Copyright © 1995 by Duke University Press 1995 Continuing Care Retirement Communities: Prospects for Reducing Institutional Long-Term Care Frank A. Sloan...

... Technical Information Service. Coulam , Ronald F. , and Gary Gaumer. 1991 . Medicare’s Prospective Payment System: A Critical Appraisal. Health Care Financing Review 13 ( Annual Suppl. ): 45 -78. Cowing , Thomas G. , and Alphonse G. Holtmann. 1983 . Multiproduct Short-Run Hospital Cost...

... consider few, if any,health outcomes. Respondents differed on the prospects for HIA. Most agreed that HIA could contribute to EIA in several areas, including assessment of cumulative impacts and impacts to environmental justice. Reasons given for not incorporating HIA into EIA were uncertainties about...

... states and the federal interest is too diffused. Medicaid Myths: Trends in Medicaid Expenditures and the Prospects for Reform Stephen M. Davidson, Boston University School of Management, and Jerry Crornwell and Rachel Schurman, Center for Health Economics...

... expected based on statistical norms is difficult and should be viewed as no more than a first step in evaluating quality and price performance. Actual data on 37 hospitals that provide coronary artery bypass graft surgery in a metropolitan region are used to illustrate some major prospects, problems...