Resource title

New Evidence on Medicare?s Prospective Payment System: A Survival Analysis based on the NHANES I Epidemiologic Followup Study

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Resource description

Medicare?s prospective payment system (PPS), introduced in 1983, pays hospitals a fixed price for each stay rather than reimbursing costs. Previous studies evaluated its first few years using endogenous measures to control for heterogeneity in patients? health. We examine PPS over a full decade using competing risks Cox survival models and a national longitudinal survey with independent information on patients? health. New findings include: risk of death in hospital increased; risk of discharge to a nursing home continued to increase as PPS matured; and risk of nursing home admission from the community following hospital discharge rose. HMOs may have contributed to these outcomes.

Resource author

Xufeng Qian, Louise B. Russell, Elmira Valiyeva, Jane E. Miller

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Resource publish date

Resource language

eng

Resource content type

text/html

Resource resource URL

http://hdl.handle.net/10419/23243

Resource license

Adapt according to the presented license agreement and reference the original author.