Coronary angioplasty under the prospective payment system: The need for a severity-adjusted payment scheme

The Medicare prospective payment system.

In 1983 Congress adopted the most significant change in the Medicare program since its inception in 1965. Along with measures to ensure the solvency of the Social Security System into the next century, Congress approved a system of prospective payment for hospital inpatient services, whereby hospitals are paid a fixed sum per case according to a schedule of diagnosis related groups (DRGs). The ...

Reimbursement of sole community hospitals under Medicare's prospective payment System

Under the prospective payment system (PPS), designated sole community hospitals (SCH's), usually smaller than other rural hospitals but offering comparable services, have had higher average cost levels, in part because of underutilization of plant and equipment. This has resulted in negative operating margins on patient revenues, although local financial support and other revenue sources bring ...

Paying Hospitals Under Medicare's Prospective Payment System: Another Perspective

Medicare's prospective payment system: A critical appraisal

Implementation of the Medicare prospective payment system (PPS) for hospital payment has produced major changes in the hospital industry and in the way hospital services are used by physicians and their patients. The substantial published literature that examines these changes is reviewed in this article. This literature suggests that most of the intended effects of PPS on costs and intensity o...

Internet Payment System: A New Payment System for Internet Transactions

Payment systems need to address a number of security issues in order to be an effective and secure means of transferring payments across the Internet. To be accessible to a wider audience, they also need to be easy to use for their end-users (customers and merchants). Trying to address these issues, we created the Internet Payment System (IPS). IPS tries to combine the advantages of several exi...