Developing payment refinements and reforms under Medicare for excluded hospitals.
Langenbrunner, John C
Date of Pub
Dobson, Allen; Iezzoni, Lisa I; Jencks, Stephen F; Willis, Patricia
Four classes of specialty hospitals (children's, psychiatric, rehabilitation, and long-term) and two types of distinct-part
units in general hospitals (psychiatric and rehabilitation) have been excluded from the Medicare hospital prospective payment
system since it was enacted by Congress in 1983. The number of these facilities and the Medicare dollars expended have more
than doubled in less than 5 years, prompting renewed policy interest in developing payment reform. In this context, the substantial
research and policy development efforts to refine case-mix classification and payment policies for these facilities are reviewed
and examined. Findings are discussed relative to possible legislative and regulatory directions.
Data Collection : Hospitals, Pediatric/economics : Hospitals, Psychiatric/economics : Hospitals, Special/economics : Medicare/organization
& administration : Prospective Payment System/methods : Rehabilitation Centers/economics : Tax Equity and Fiscal Responsibility
Act : United States : United States Health Care Financing Administration