Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Utilization trends before and after PPS.

J D Chesney1

  • 1College of Urban, Labor, and Metropolitan Affairs, Wayne State University, Detroit, MI 48202.

Inquiry : a Journal of Medical Care Organization, Provision and Financing
|January 1, 1990
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Profitable and unprofitable DRGs: the implications for access.

Health services management research·1993
Same author

The impact of diagnosis related group profitability on the skimming and dumping of psychiatric diagnosis related groups.

The International journal of social psychiatry·1993
Same author

The measurement of mortality. A risk-adjusted variable time window approach.

Medical care·1991
Same author

A reassessment of hospital product and productivity changes over time.

Health care financing review·1991
Same author

Were hospitals selective in their product and productivity changes? The top 50 DRGs after PPS.

Health services research·1989
Same author

The Risk-Adjusted Mortality Index. A new measure of hospital performance.

Medical care·1988
Same journal

Designing Care Beyond the Hospital: Revealing Hidden Care Demands in Hospital-At-Home Services.

Inquiry : a journal of medical care organization, provision and financing·2026
Same journal

Fundamental Values in Nursing Care: The Person's Perspective.

Inquiry : a journal of medical care organization, provision and financing·2026
Same journal

Network Analysis of Healthcare Worker Burnout: Organizational Factors Show Highest Centrality.

Inquiry : a journal of medical care organization, provision and financing·2026
Same journal

Corrigendum to: "A Systematic Review on the Effectiveness of the Cure Violence Approach".

Inquiry : a journal of medical care organization, provision and financing·2026
Same journal

Nurse Influencers: The Digital Performance of Care, Professional Identity, and the Commodification of Empathy-An Integrative Narrative Review.

Inquiry : a journal of medical care organization, provision and financing·2026
Same journal

Digital Access and Primary Care Use in Chronic Disease Management: Preliminary Evidence From Three Caribbean Cities in Colombia.

Inquiry : a journal of medical care organization, provision and financing·2026
See all related articles

Medicare

Area of Science:

  • Health Services Research
  • Healthcare Policy
  • Hospital Administration

Background:

  • The Prospective Payment System (PPS) was introduced by Medicare to control healthcare costs.
  • Understanding its impact on hospital utilization is crucial for policy evaluation.

Purpose of the Study:

  • To compare inpatient care utilization trends before and after Medicare's PPS implementation.
  • To analyze the effects of PPS on hospital discharge rates, length of stay, and resource utilization.

Main Methods:

  • Analysis of discharge data from a consistent cohort of 419 hospitals over an eight-year period.
  • Examination of Medicare and non-Medicare utilization trends, including total discharges, average length of stay (ALOS), and ICU/CCU usage.

Main Results:

Related Experiment Videos

  • Initial decreases in admissions and ALOS aligned with PPS objectives.
  • Post-PPS increases in ALOS, particularly postoperative ALOS, contradicted program goals.
  • No significant changes were observed in consultant use or ICU/CCU facility utilization.

Conclusions:

  • While initial PPS implementation showed some alignment with cost-containment goals, subsequent increases in ALOS suggest unintended consequences.
  • Further research is needed to understand and address the factors driving prolonged postoperative stays under PPS.