Medicare prospective payment without separate urban and rural rates.

Submitted by Matthew.Gregor… on Mon, 11/04/2019 - 07:27
Title
Medicare prospective payment without separate urban and rural rates.
First Author
O'Dougherty, Sheila M
Date of Pub
1992 Winter
Pages
31-47
Volume
14
Issue
2
Other Authors
Ault, Thomas; Cotterill, Philip G; DeLew, Nancy; Phillips, Steven M; Richter, Elizabeth; Wynn, Barbara
Abstract
The elimination of urban-rural differences in the Medicare prospective payment system (PPS) standard rates implies a need to re-examine all the PPS payment adjustments. Refinements for case mix, outliers, and the wage index can make a significant contribution to avoiding payment disparities in a single-rate system. However, changes in the adjustments for teaching and disproportionate-share (DSH) hospitals are also needed. The typically urban location of these hospitals makes it difficult to balance PPS payments and costs among major groups of urban and rural hospitals without some form of higher payment for all hospitals located in large urban areas.
Abstract Continued
N/A
MeSH
Diagnosis-Related Groups/economics : Hospitals, Rural/economics : Hospitals, Teaching/economics : Hospitals, Urban/economics : Medicare Part A/economics/statistics & numerical data : Outliers, DRG/economics : Prospective Payment System/standards : Rate Setting and Review/standards : Regression Analysis : United States
NTIS Number
PB2001-105739