Utilization and case-mix impacts of per case payment in Maryland.
Salkever, David S
Date of Pub
Steinwachs, Donald M
Maryland has simultaneously operated per case and per service hospital payment systems since 1976 with varying levels of stringency
in setting per case rates. Regression analyses of this experience are used to compare the impacts of these systems on admissions,
length of stay, and case-mix costliness from July 1, 1976 to June 30, 1981. Our results indicate a positive effect on admissions
and negative effects on case mix and length of stay for the per case payment approach relative to the per service approach.
More stringent levels of per case payment are associated with stronger utilization responses.
Reimbursement Mechanisms : Data Collection : Diagnosis-Related Groups/economics : Hospitals/utilization : Length of Stay/economics
: Maryland : Medicare/organization & administration : Patient Admission/economics : Rate Setting and Review/methods : Regression
Analysis : Statistics : Support, U.S. Gov't, P.H.S.