US hospital payment adjustments for innovative technology lag behind those in Germany, France, and Japan

Health Affairs

Volumn 34, Issue 2, 2015, Pages 261-270

  Hernandez, John ^a   Machacz, Susanne F ^a   Robinson, James C ^b  

^a ABBOTT VASCULAR   (United States)

^b School of Public Health   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADD ON PAYMENT PROGRAM; ARTICLE; COST EFFECTIVENESS ANALYSIS; DIAGNOSIS RELATED GROUP; FRANCE; GERMANY; HOSPITAL ADMISSION; HOSPITAL COST; HOSPITAL SERVICE; HUMAN; JAPAN; MEDICAL DEVICE; MEDICAL TECHNOLOGY; MEDICARE; PROSPECTIVE PAYMENT; REIMBURSEMENT; UNITED STATES; BIOMEDICAL TECHNOLOGY ASSESSMENT; COST; CULTURAL FACTOR; ECONOMICS; GOVERNMENT; HEALTH ECONOMICS; INSURANCE; PROCEDURES; RETROSPECTIVE STUDY; SEVERITY OF ILLNESS INDEX; STANDARDS; TRENDS;

CENTERS FOR MEDICARE AND MEDICAID SERVICES (U.S.); COSTS AND COST ANALYSIS; CROSS-CULTURAL COMPARISON; DIAGNOSIS-RELATED GROUPS; ECONOMICS, HOSPITAL; FRANCE; GERMANY; HUMANS; INSURANCE COVERAGE; JAPAN; PATIENT ADMISSION; PROSPECTIVE PAYMENT SYSTEM; RETROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; TECHNOLOGY ASSESSMENT, BIOMEDICAL; UNITED STATES;

EID: 84922738954     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2014.1017     Document Type: Article

References (20)

1. Garrison LP Jr, Wilensky GR. Cost containment and incentives for technology. Health Aff (Millwood). 1986;5(2):46-58.
2. Anderson G, Steinberg E. To buy or not to buy Technology acquisition under prospective payment. N Engl J Med. 1984;311(3):182-5.
3. Kane NM, Manoukian PD. The effect of the Medicare prospective payment system on the adoption of new technology. The case of cochlear implants . N Engl J Med. 1989; 321(20):1378-83.
4. Foote SB. Managing the medical arms race: innovation and public policy in the medical device industry. Berkeley (CA): University of California Press; 1992.
5. Centers for Medicare and Medicaid Services. Medicare program: changes to the hospital IPPS and FY 2009 rates. Fed Regist. 2008; 73(161):48434-9083.
6. Sorenson C, Drummond M, Torbica A, Callea G, Mateus C. The role of hospital payments in the adoption of new medical technologies: an international survey of current practice. Health Econ Policy Law. 2014 Oct 17:1-27. [Epub ahead of print].
7. Medicare Payment Advisory Commission. Report to the Congress: Medicare payment policy [Internet]. Washington (DC): MedPAC; 2003 Mar [cited 2014 Dec 22]. Available from: http://www.medpac.gov/documents/reports/Mar03_Entire_report.pdf?sfvrsn=0
8. Medicare Payment Advisory Commission. Report to the Congress:Medicare payment policy [Internet]. Washington (DC): MedPAC; 2002 Mar [cited 2014 Dec 22]. Available from: http://www.medpac.gov/documents/reports/Mar02_Entire_report.pdf?sfvrsn=0
9. Clyde AT, Bockstedt L, Farkas JA, Jackson C. Experience with Medicare's new technology add-on payment program. Health Aff (Millwood). 2008;27(6):1632-41.
10. Centers for Medicare and Medicaid Services. Medicare program: hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and fiscal year 2013 rates. Fed Regist. 2012; 77(170):53258-750.
11. Henschke C, Baeumler M, Gaskins M, Busse R. Coronary stents and the uptake of new medical devices in the German system of inpatient reimbursement. J Interv Cardiol. 2010;23(6):546-53.
12. Henschke C, Bäumler M, Weid S, Gaskins M, Busse R. Extrabudgetary ("NUB") payments: a gateway for introducing new medical devices into the German inpatient reimbursement system? Int J Healthc Manag. 2010;3(2):119-33.
13. Martelli N, van den Brink H. Special funding schemes for innovative medical devices in French hospitals: the pros and cons of two different approaches. Health Policy. 2014; 117(1):1-5.
14. Scheller-Kreinsen D, Quentin W, Busse R. DRG-based hospital payment systems and technological innovation innovation in 12 European countries. Value Health. 2011;14(8):1166-72.
15. Haute Autorité de Santé. Rapport d'activite annuel. Saint-Denis La Plaine: HAS; 2005-13. 16 Ministry of Health, Labor, and Welfare. Chuikyo proceedings: Chuikyo document reference material. Tokyo: The Ministry; 2013.
16. Ministry of Health, Labor, and Welfare. Chuikyo proceedings. Tokyo: The Ministry; 2014.
17. InEK-Institut für das Entgeltsystem im Krankenhaus. Neue Untersuchungs-und Behandlungsmethoden (NUB). Seigburg: InEK; 2005-13 [cited 2015 Jan 1]. Available from: http://www.g-drg.de/cms/Neue_Untersuchungs-_und_Behandlungsmethoden_NUB
18. Authors' analysis of Medicare Provider Analysis and Review (Med-PAR) files for fiscal years 2006-13 and proposed and final rules for Medicare's prospective payment system for fiscal years 2006-13.
19. Dalton K, Freeman S, Bragg A. Refining cost to charge ratios for calculating APC and DRG relative payment weights. Interim report. Research Triangle Park (NC): RTI International; 2008. (RTI Project No. 0209853.008).
20. Haute Autorité de Santé. Medical device assessment in France. Saint-Denis La Plaine: HAS; 2009. French.