Redesigning the medicare inpatient PPS to reduce payments to hospitals with high readmission rates

Health Care Financing Review

Volumn 30, Issue 4, 2009, Pages 1-15

  Averill, Richard F ^a   McCullough, Elizabeth C ^a   Hughes, John S ^b   Goldfield, Norbert I ^a   Vertrees, James C ^a   Fuller, Richard L ^a  

^a 3M COMPANY   (United States)

^b YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE HEART INFARCTION; ARTICLE; CARDIOVASCULAR PROCEDURES; CHRONIC OBSTRUCTIVE LUNG DISEASE; CORONARY ARTERY BYPASS GRAFT; COST CONTROL; DISEASE SEVERITY; HEALTH CARE POLICY; HEART FAILURE; HIP ARTHROPLASTY; HOSPITAL CHARGE; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HOSPITAL READMISSION; HOSPITAL RUNNING COST; HUMAN; INFECTION; KIDNEY FAILURE; LARGE INTESTINE; MEDICAL PRACTICE; MEDICARE; PERCUTANEOUS CORONARY INTERVENTION; PNEUMONIA; PROSPECTIVE PAYMENT; SEPTICEMIA; SMALL INTESTINE; UNITED STATES;

HUMANS; MEDICARE; ORGANIZATIONAL INNOVATION; PATIENT READMISSION; PROSPECTIVE PAYMENT SYSTEM; UNITED STATES;

EID: 69249086623     PISSN: 01958631     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (11)

1. Averill, R. F., Goldfield, N.I., Muldoon, J., et al.: A Closer Look at All-Patient Refined DRGs. Journal of AHIMA 73(1): 46-50, January 2002. (Pubitemid 37309427)
2. Averill, R. F., Hughes, J.S., Goldfield, N. I., et al.: Hospital Complications: Linking Payment Reductions to Preventability. The Joint Commission Journal on Quality and Patient Safety 35(5): 283-285, May 2009.
3. Federal Register, August 22, 2007; 72 (162): 48168.
4. Federal Register, April 30, 2008; 73 (84): 23673.
5. Federal Register, May 22, 2009; 74(98): 24666.
6. Goldfield, N. I., McCullough, E. C., Hughes, J.S., et al.: Identifying Potentially Preventable Readmissions. Health Care Financing Review 30(1): 75-91, Fall 2008.
7. Inouye, S. K., Brown, C. J., and Tinetti, M. E.: Medicare Nonpayment, Hospital Falls, and Unintended Consequences. New England Journal of Medicine 360(23): 2390-2393, June 4, 2009.
8. Medicare Payment Advisory Commission: Payment Policy for Inpatient Readmissions: Promoting Greater Efficiency in Medicare. Report to Congress. June 2007.
9. Medicare Payment Advisory Commission: A Path to Bundled Payment Around a Hospitalization. Medicare Payment Policy. Report to Congress. June 2008.
10. Pronovost, P. J., Goeschel, C. A., Wachter, R. M.: The Wisdom and Justice of Not Paying for "Preventable Complications". JAMA 299(18): 2197-2199, 2008.
11. Schweiker, R. S.: Hospital Prospective Payment for Medicare. Report to Congress. December 1982.