This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2018 to implement changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates fo...

The per-case payment rates of Medicare's prospective payment system are annually updated. As one element of the update factor, Congress required consideration of changes in hospital productivity. In this article, calculations of annual changes in labor and total factor productivity during 1981-86 of hospitals eligible for prospective payment are presented using several output and input variants...

Background: In Iran, a combination of three methods of budget payment, fee for service and case-based payment (known as the global payment system) is used to reimburse the cost of hospital services. The aim of this study was to investigate the costs of 90 services of the Global Hospital Reimbursement System at Tehran University of Medical Sciences. Methods: This descriptive cross-sectional app...

Changes to reimbursement levels and reimbursement methodology have become increasingly common as public health insurance programs seek to slow the rate of cost growth. Despite the fact that Medicaid is a major public health insurance program, little is known about how hospitals respond to price cuts by Medicaid. On the other hand, existing research on hospital response to a commonly used paymen...

Aging and declining health are intrinsically related and are resulting in increasing healthcare spending in many countries. Control of healthcare spending and patient usage behavior are linked. This study examines the healthcare usage behavior of chronically ill elderly patients in Taiwan following an increase in co-payments. The differences in usage behavior are interpreted by comparing the fr...

This paper analyzes the effect of capitation payment and patient choice on waiting time and the comprehensive quality of hospital care. The study assumes that two local public hospitals are located in two cities with different population sizes and compete with each other. We find that the comprehensive quality of hospital care as well as waiting time of both hospitals improve with an increase i...

A preliminary study of the employment effects of medicare payments based on Diagnosis Related Groups suggests that cost-cutting responses by hospitals will result in smaller, more highly skilled staff and a higher proportion of clerical to health care workers.