Achieving cost control in the hospital outpatient department.
Sulvetta, Margaret B
Date of Pub
The rapid growth in outpatient expenditures and the congressional mandate for development of a prospective payment system
(PPS) for these expenditures are discussed. Extension of diagnosis-related groups to outpatient care is shown to be infeasible.
Alternative patient classification schemes and options for defining the unit of payment and establishing weights and rates
are discussed. A PPS primarily controls price and can only address volume by defining a broad unit of payment, such as an
episode of care. Therefore, adoption of a volume performance standard approach could be effective. Outpatient payment policies
must be integrated with those of other ambulatory care providers.
Ambulatory Care Information Systems : Ambulatory Care/classification/economics : Ambulatory Surgical Procedures/economics
: Cost Control/methods : Diagnosis-Related Groups : Health Expenditures/trends : Medicare/statistics & numerical data/trends
: Outpatient Clinics, Hospital/economics/utilization : Prospective Payment System/trends : Tax Equity and Fiscal Responsibility
Act : United States