Arbeitspapier

Medicare's prospective payment system for hospitals: new evidence on transitions among health care settings

Previous studies of Medicare’s prospective payment system for hospitals (PPS), introduced in 1983, evaluated only its first few years, using data collected during the hospital stay to control for patients’ health. We examine transitions among health care settings over a full decade following implementation of PPS, using survival models and a national longitudinal survey with independent information on health. We find that the rate of discharge from hospitals to nursing homes continued to rise as PPS matured, hospital readmissions from the community dropped after the early years, and risk of nursing home admission from the community soon after hospital discharge tripled. Evaluations of new payment systems for one type of provider need to be comprehensive in order to capture the full effects on other providers.

Sprache
Englisch

Erschienen in
Series: Working Paper ; No. 2007-07

Klassifikation
Wirtschaft
Health: Government Policy; Regulation; Public Health
Duration Analysis; Optimal Timing Strategies
Thema
Medicare
prospective payment
Krankenhauskosten
Krankenversicherung
Gesundheitspolitik
USA

Ereignis
Geistige Schöpfung
(wer)
Qian, Xufeng
Russell, Louise B.
Valiyeva, Elmira
Miller, Jane E.
Ereignis
Veröffentlichung
(wer)
Rutgers University, Department of Economics
(wo)
New Brunswick, NJ
(wann)
2007

Handle
Letzte Aktualisierung
10.03.2025, 11:45 MEZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.

Objekttyp

  • Arbeitspapier

Beteiligte

  • Qian, Xufeng
  • Russell, Louise B.
  • Valiyeva, Elmira
  • Miller, Jane E.
  • Rutgers University, Department of Economics

Entstanden

  • 2007

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