Medicare expenditures and utilization under State hospital rate setting.
Cromwell, Jerry L
Date of Pub
Hewes, Helene T
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).
Government : State Government : Economics, Hospital/trends : Fees and Charges : Medicare/economics : Models, Theoretical :
Prospective Payment System/economics : Reimbursement Mechanisms/economics : Statistics : United States