Utilization and case-mix impacts of per case payment in Maryland

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 costlines...

Descripción completa

Detalles Bibliográficos
Autores principales: Salkever, David S., Steinwachs, Donald M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1988
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4192872/
https://www.ncbi.nlm.nih.gov/pubmed/10312515
_version_ 1782338858972610560
author Salkever, David S.
Steinwachs, Donald M.
author_facet Salkever, David S.
Steinwachs, Donald M.
author_sort Salkever, David S.
collection PubMed
description 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.
format Online
Article
Text
id pubmed-4192872
institution National Center for Biotechnology Information
language English
publishDate 1988
publisher CENTERS for MEDICARE & MEDICAID SERVICES
record_format MEDLINE/PubMed
spelling pubmed-41928722014-11-04 Utilization and case-mix impacts of per case payment in Maryland Salkever, David S. Steinwachs, Donald M. Health Care Financ Rev Research Article 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. CENTERS for MEDICARE & MEDICAID SERVICES 1988 /pmc/articles/PMC4192872/ /pubmed/10312515 Text en
spellingShingle Research Article
Salkever, David S.
Steinwachs, Donald M.
Utilization and case-mix impacts of per case payment in Maryland
title Utilization and case-mix impacts of per case payment in Maryland
title_full Utilization and case-mix impacts of per case payment in Maryland
title_fullStr Utilization and case-mix impacts of per case payment in Maryland
title_full_unstemmed Utilization and case-mix impacts of per case payment in Maryland
title_short Utilization and case-mix impacts of per case payment in Maryland
title_sort utilization and case-mix impacts of per case payment in maryland
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4192872/
https://www.ncbi.nlm.nih.gov/pubmed/10312515
work_keys_str_mv AT salkeverdavids utilizationandcasemiximpactsofpercasepaymentinmaryland
AT steinwachsdonaldm utilizationandcasemiximpactsofpercasepaymentinmaryland

Ejemplares similares