Related Experiment Video

Updated: Oct 22, 2026

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
06:55

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

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

D S Salkever, D M Steinwachs

    Health Care Financing Review
    |January 4, 1989
    PubMed

    Insights

    Maryland

    Area of Science:

    • Health economics
    • Hospital payment systems analysis
    • Healthcare policy research

    Background:

    • Maryland has utilized both per case and per service hospital payment systems since 1976.
    • The stringency of per case rates has varied over time.
    • Understanding the impact of these systems is crucial for healthcare management.

    Purpose of the Study:

    • To compare the effects of per case versus per service payment systems on hospital utilization.
    • To analyze the impact on admissions, length of stay, and case-mix costliness.
    • To assess the relationship between payment system stringency and utilization responses.

    Main Methods:

    • Regression analyses were employed to compare the two payment systems.
    • Data spanned from July 1, 1976, to June 30, 1981.
    • Key performance indicators analyzed included admissions, length of stay, and case-mix costliness.

    Main Results:

    • The per case payment approach showed a positive effect on hospital admissions.
    • Conversely, per case payments were associated with negative effects on case mix and length of stay.
    • Increased stringency in per case payment rates correlated with stronger utilization responses.

    Conclusions:

    • The per case hospital payment system significantly influences utilization patterns compared to the per service system.
    • Payment system design and rate stringency are key determinants of hospital admissions and efficiency.
    • Findings provide insights for optimizing hospital reimbursement strategies.

    More Related Videos

    Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies08:34

    Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies

    Published on: February 6, 2019

    Related Concept Videos

    Methods of Documentation VI: Case Management Model01:15

    Methods of Documentation VI: Case Management Model

    The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
    For example, a patient with a chronic illness...
    Health Information Technology and Healthcare Information System01:30

    Health Information Technology and Healthcare Information System

    Health Information Technology (HIT)
    Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
    Methods Of Healthcare Delivery System01:26

    Methods Of Healthcare Delivery System

    At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
    Managed Care System:
    The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
    Methods of Documentation II: POMR01:26

    Methods of Documentation II: POMR

    The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
    Standards of Care I01:22

    Standards of Care I

    Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
    Standards of Care II01:19

    Standards of Care II

    Nurses bear specific legal responsibilities under several federal statutes, including: