Reimbursement of sole community hospitals under Medicare's prospective payment system.
Freiman, Marc P
Date of Pub
Cromwell, Jerry L
Under the prospective payment system (PPS), designated sole community hospitals (SCH's), usually smaller than other rural
hospitals but offering comparable services, have had higher average cost levels, in part because of underutilization of plant
and equipment. This has resulted in negative operating margins on patient revenues, although local financial support and other
revenue sources bring margins on total revenues into the positive range. The PPS legislation has also provided SCH's temporary
protection from volume declines. SCH's are more likely than other rural hospitals to experience large volume swings, but only
for declines greater than the threshold specified under PPS.
Bed Occupancy : Catchment Area (Health) : Data Collection : Hospital Departments/economics : Hospitals, Community/economics
: Medicare : Ownership : Patient Admission/trends : Population Dynamics : Prospective Payment System/methods : Statistics
: United States : United States Health Care Financing Administration