- Title
- Cost savings and physician responses to global bundled payments for Medicare heart bypass surgery.
- First Author
- Cromwell, Jerry L
- Date of Pub
- 1997 Fall
- Pages
- 41-57
- Volume
- 19
- Issue
- 1
- Other Authors
- Dayhoff, Debra A; Thoumaian, Armen H
- Abstract
- In 1991 the Health Care Financing Administration (HCFA) began the Medicare Participating Heart Bypass Center Demonstration, in which hospitals and physicians are paid a single negotiated global price for all inpatient care for heart bypass patients. During the first 27 months of the demonstration, the Government and beneficiaries together saved more than $17 million on bypass surgery in four participating institutions. Average total cost per case fell in three of the four hospitals during the 1990-93 period as the alignment of physician and hospital incentives resulted in physicians changing their practice patterns to shorten stays and reduce costs.
- Abstract Continued
- N/A
- MeSH
- Aged : Coronary Artery Bypass/economics : Cost Savings/statistics & numerical data : Female : Health Services Research : Hospital Costs/trends : Human : Length of Stay : Male : Medicare/economics/statistics & numerical data : Physician's Practice Patterns/economics : Pilot Projects : Rate Setting and Review/methods : Support, U.S. Gov't, P.H.S. : United States
- NTIS Number
- PB99-109621
