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Title
Vulnerability of rural hospitals to Medicare outpatient payment reform
First Author
Mohr, Penny E
Date of Pub
1999 Fall
Pages
1-18
Volume
21
Issue
1
Other Authors
Blanchfield, Bonnie B; Cheng, C Mickael; Evans, William N; Franco, Sheila J
Abstract
Because the Balanced Budget Act (BBA) of 1997 requires implementation of a Medicare prospective payment system (PPS) for hospital outpatient services, the authors evaluated the potential impact of outpatient PPS on rural hospitals. Areas examined include: (1) How dependent are rural hospitals on outpatient revenue? (2) Are they more likely than urban hospitals to be vulnerable to payment reform? (3) What types of rural hospitals will be most vulnerable to reform? Using Medicare cost report data, the authors found that small size and government ownership are more common among rural than urban hospitals and are the most important determinants of vulnerability to payment reform.
Abstract Continued
N/A
MeSH
Hospitals, Rural/economics : Prospective Payment System : Cost Control/methods : Evaluation Studies : Hospitals, Urban/economics : Medicare : Multivariate Analysis : Outpatient Clinics, Hospital/economics/utilization : Support, U.S. Gov't, P.H.S. : United States
NTIS Number
N/A