- Title
- Medicare expenditures and utilization under State hospital rate setting.
- First Author
- Cromwell, Jerry L
- Date of Pub
- 1985 Fall
- Pages
- 97-109
- Volume
- 7
- Issue
- 1
- Other Authors
- Hewes, Helene T
- Abstract
- In this study we analyzed the National Hospital Rate-Setting Study findings concerning the effects of State prospective reimbursement (PR) programs on Medicare expenditures and utilization; we used Medicare beneficiary-based data complied from a sample of approximately 1,300 counties in States with and without rate-setting programs for the 5-year period 1974-78. The statistical evidence suggests that stringent PR programs have not resulted in hospitals using Medicare to cross-subsidize losses elsewhere. In addition, it appears that Medicare has been a passive recipient of the same kinds of regulatory benefits accruing to PR-covered patients (i.e., costs and intensity of care have been constrained).
- Abstract Continued
- N/A
- MeSH
- Government : State Government : Economics, Hospital/trends : Fees and Charges : Medicare/economics : Models, Theoretical : Prospective Payment System/economics : Reimbursement Mechanisms/economics : Statistics : United States
- NTIS Number
- PB86-156759
