Document Detail


Does how much and how you pay matter? Evidence from the inpatient rehabilitation care prospective payment system.
MedLine Citation:
PMID:  18423657     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We use the implementation of a new prospective payment system (PPS) for inpatient rehabilitation facilities (IRFs) to investigate the effect of changes in marginal and average reimbursement on costs. The results show that the IRF PPS led to a significant decline in costs and length of stay. Changes in marginal reimbursement associated with the move from a cost-based system to a PPS led to a 7-11% reduction in costs. The elasticity of costs with respect to average reimbursement ranged from 0.26 to 0.34. Finally, the IRF PPS had little or no impact on mortality or the rate of return to community residence.
Authors:
Neeraj Sood; Melinda Beeuwkes Buntin; José J Escarce
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-03-10
Journal Detail:
Title:  Journal of health economics     Volume:  27     ISSN:  0167-6296     ISO Abbreviation:  J Health Econ     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-10     Completed Date:  2008-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8410622     Medline TA:  J Health Econ     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1046-59     Citation Subset:  H    
Affiliation:
RAND & NBER, USA. sood@rand.org
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MeSH Terms
Descriptor/Qualifier:
Evidence-Based Medicine*
Inpatients*
Prospective Payment System*
Rehabilitation Centers / economics*,  utilization*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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