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Occupational adjustment of the prospective payment system wage index

In this article, the bias in the Medicare prospective payment system (PPS) hospital wage index that results from its failure to hold hospital occupation mix constant is examined. On average, the difference between the current PPS wage index and a fixed-occupation-mix Laspeyres index is small, approx...

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Autor principal: Pope, Gregory C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1989
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193014/
https://www.ncbi.nlm.nih.gov/pubmed/10313354
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author Pope, Gregory C.
author_facet Pope, Gregory C.
author_sort Pope, Gregory C.
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description In this article, the bias in the Medicare prospective payment system (PPS) hospital wage index that results from its failure to hold hospital occupation mix constant is examined. On average, the difference between the current PPS wage index and a fixed-occupation-mix Laspeyres index is small, approximately 2 percent. However, occupation-mix distortions are substantially larger for a small proportion of labor market areas, especially some in the South. Biases in the wage index resulting from its failure to appropriately account for labor substitution and intra-occupational worker characteristics are also analyzed but are not found to be significant.
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spelling pubmed-41930142014-11-04 Occupational adjustment of the prospective payment system wage index Pope, Gregory C. Health Care Financ Rev Research Article In this article, the bias in the Medicare prospective payment system (PPS) hospital wage index that results from its failure to hold hospital occupation mix constant is examined. On average, the difference between the current PPS wage index and a fixed-occupation-mix Laspeyres index is small, approximately 2 percent. However, occupation-mix distortions are substantially larger for a small proportion of labor market areas, especially some in the South. Biases in the wage index resulting from its failure to appropriately account for labor substitution and intra-occupational worker characteristics are also analyzed but are not found to be significant. CENTERS for MEDICARE & MEDICAID SERVICES 1989 /pmc/articles/PMC4193014/ /pubmed/10313354 Text en
spellingShingle Research Article
Pope, Gregory C.
Occupational adjustment of the prospective payment system wage index
title Occupational adjustment of the prospective payment system wage index
title_full Occupational adjustment of the prospective payment system wage index
title_fullStr Occupational adjustment of the prospective payment system wage index
title_full_unstemmed Occupational adjustment of the prospective payment system wage index
title_short Occupational adjustment of the prospective payment system wage index
title_sort occupational adjustment of the prospective payment system wage index
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193014/
https://www.ncbi.nlm.nih.gov/pubmed/10313354
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