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Title
Policy issues related to prospective payment for pediatric hospitalization.
First Author
Payne, Susan M
Date of Pub
1987 Fall
Pages
71-82
Volume
9
Issue
1
Other Authors
Restuccia, Joseph D
Abstract
Children's hospitals have been excluded from the Medicare prospective payment system (PPS) because of concerns over the applicability of the DRG case-mix system and PPS payment weights to pediatric hospitalization. Nevertheless, DRG-based payment systems are being adopted by State Medicaid agencies and private third-party payers, and the Health Care Financing Administration has been mandated to report to Congress on the feasibility of including children's hospitals in the Federal PPS. This article summarizes policy research on this issue and discusses options in the design of prospective payment systems for pediatric hospitalization.
Abstract Continued
N/A
MeSH
Adolescence : Age Factors : Child : Child, Preschool : Diagnosis-Related Groups/classification : Hospitals, Pediatric/economics : Hospitals, Special/economics : Human : Infant : Infant, Newborn : Medicaid : Medicare : Patient Transfer : Prospective Payment System/methods : Support, U.S. Gov't, Non-P.H.S. : United States
NTIS Number
PB88-160221