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Title
Medicare expenditures and utilization under State hospital rate setting.
First Author
Cromwell, Jerry L
Date of Pub
1985 Fall
Pages
97-109
Volume
7
Issue
1
Other Authors
Hewes, Helene T
Abstract
In this study we analyzed the National Hospital Rate-Setting Study findings concerning the effects of State prospective reimbursement (PR) programs on Medicare expenditures and utilization; we used Medicare beneficiary-based data complied from a sample of approximately 1,300 counties in States with and without rate-setting programs for the 5-year period 1974-78. The statistical evidence suggests that stringent PR programs have not resulted in hospitals using Medicare to cross-subsidize losses elsewhere. In addition, it appears that Medicare has been a passive recipient of the same kinds of regulatory benefits accruing to PR-covered patients (i.e., costs and intensity of care have been constrained).
Abstract Continued
N/A
MeSH
Government : State Government : Economics, Hospital/trends : Fees and Charges : Medicare/economics : Models, Theoretical : Prospective Payment System/economics : Reimbursement Mechanisms/economics : Statistics : United States
NTIS Number
PB86-156759