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Title
Achieving cost control in the hospital outpatient department.
First Author
Sulvetta, Margaret B
Date of Pub
1991 Supp.
Pages
95-106
Volume
Supp.
Issue
N/A
Other Authors
N/A
Abstract
The rapid growth in outpatient expenditures and the congressional mandate for development of a prospective payment system (PPS) for these expenditures are discussed. Extension of diagnosis-related groups to outpatient care is shown to be infeasible. Alternative patient classification schemes and options for defining the unit of payment and establishing weights and rates are discussed. A PPS primarily controls price and can only address volume by defining a broad unit of payment, such as an episode of care. Therefore, adoption of a volume performance standard approach could be effective. Outpatient payment policies must be integrated with those of other ambulatory care providers.
Abstract Continued
N/A
MeSH
Ambulatory Care Information Systems : Ambulatory Care/classification/economics : Ambulatory Surgical Procedures/economics : Cost Control/methods : Diagnosis-Related Groups : Health Expenditures/trends : Medicare/statistics & numerical data/trends : Outpatient Clinics, Hospital/economics/utilization : Prospective Payment System/trends : Tax Equity and Fiscal Responsibility Act : United States
NTIS Number
PB99-106478