Design of a prospective payment patient classification system for ambulatory care.
Averill, Richard F
Date of Pub
Bender, Judith A; Goldfield, Nobert I; Gregg, Laurence W; McGuire, Thomas E; Mullin, Robert L; Wynn, Mark E
The Ambulatory Patient Group (APGs) are a patient classification system that was developed to be used as the basis of a prospective
payment system (PPS) for the facility costs of outpatient care. This article will review the key characteristics of a patient
classification system for ambulatory care, describe the APG development process, and describe a payment model based on the
APGs. We present the results of simulating the use of APGs in a prospective payment system, and conclude with a discussion
of the implementation issues associated with an outpatient PPS.
Ambulatory Care/classification/economics/statistics & numerical data : Ancillary Services, Hospital/classification/economics/statistics
& numerical data : Diagnosis-Related Groups/classification : Episode of Care : Health Services Research : Hospital Costs/statistics
& numerical data : Medicare/organization & administration : Outpatient Clinics, Hospital/economics/utilization : Prospective
Payment System/organization & administration : Support, U.S. Gov't, Non-P.H.S. : United States : United States Health Care