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June 1988 (Volume 66)
Frank A. Sloan
Michael A. Morrisey
Milbank Memorial Fund
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In 1983 federal efforts to contain hospital costs were coalesced under the Medicare prospective payment system (PPS)-a “self-interest” approach to administered prices. Diagnosis-related groups (DRGs) and the tougher peer review organizations (PROs) serve to define “products”; PPS sets the price on each. The effects of PPS go beyond Medicare; they have been system-wide. Differential impacts on hospital utilization, substitution of capital for labor, and quality are examined through a variety of data sources and descriptive as well as regression analyses. The greatest cost savings are attributed to a reduction in hospital admissions per capita.
Author(s): Frank A. Sloan; Michael A. Morrisey; Joseph Valvona
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Volume 66, Issue 2 (pages 191–220) Published in 1988
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, historical, legal, and ethical dimensions of health and health care policy.