Indirect medical education and disproportionate share adjustments to medicare inpatient payment rates

Medicare and Medicaid Research Review

Volumn 1, Issue 4, 2011, Pages

  Nguyen, Nguyen Xuan ^a   Sheingold, Steven H ^a  

^a U S DEPARTMENT OF HEALTH AND HUMAN SERVICES   (United States)

Author keywords

Disproportionate Share Adjustment (DSH); Empirically determined level of adjustment; Hospital cost functions; Indirect Medical Education adjustment (IME); Medicare inpatient prospective payment system; Medicare Payment Policy; Physician training

Indexed keywords

ARTICLE; HEALTH CARE COST; HOSPITAL; HOSPITAL PATIENT; HUMAN; LAW; LOWEST INCOME GROUP; MEDICAL EDUCATION; MEDICARE; REIMBURSEMENT; TEACHING; ECONOMICS; HEALTH CARE POLICY; HOSPITAL COST; ORGANIZATION AND MANAGEMENT; POVERTY; PROSPECTIVE PAYMENT; STATISTICAL MODEL; STATISTICS; UNITED STATES;

EDUCATION, MEDICAL; HOSPITAL COSTS; HUMANS; INPATIENTS; INTERNSHIP AND RESIDENCY; MEDICARE; MODELS, ECONOMIC; PATIENT PROTECTION AND AFFORDABLE CARE ACT; POVERTY; PROSPECTIVE PAYMENT SYSTEM; REIMBURSEMENT, DISPROPORTIONATE SHARE; UNITED STATES;

EID: 84930473028     PISSN: 21590354     EISSN: None     Source Type: Journal    
DOI: 10.5600/mmrr.001.04.a01     Document Type: Article

References (16)

1. Anderson, G. F., & Lave, J. R. (1986). summer). Financing Graduate Medical Education Using Multiple Regression to Set Payment Rates. Inquiry, 23(2), 191-199. PubMed
2. The Congress of the United States, Congressional Budget Office (CBO). (2011, March). Baseline. Washington, DC: Congressional Budget Office.
3. Dalton, K., Norton, E. C., & Kilpatrick, K. (2001, February). A Longitudinal Study of the Effects of Graduate Medical Education on Hospital Operating Costs. Health Services Research, 35(6), 1267-1291. PubMed
4. Department of Health and Human Services (DHHS) (1982). Report on Hospital Prospective payment Systems Mandated by Section 2173 of Public Law 97-35. Washington, DC: DHHS.
5. Department of Health and Human Services (DHHS) (1986, August). Report to Congress on the Impact of the Medicare Hospital Prospective Payment System: 1984 Annual Report. HCFA Publication No. 02321. Washington, DC: DHHS.
6. Evans, R. C. (1971). Behavioral Cost Functions for Hospitals. The Canadian Journal of Economics. Revue Canadienne d'Economique, 4, 198-214. doi:10.2307/133526
7. Hackbarth, G., & Boccuti, C. (2011, February 9). Transforming Graduate Medical Education to Improve Health Care Value. Retrieved from http://www.nejm.org/doi/full/10.1056/NEJMp1012691.
8. Lave, J. R., & Lave, L. B. (1984). Hospital Cost Functions. Annual Review of Public Health, 5, 193-213. PubMed doi:10.1146/annurev.pu.05.050184.001205
9. Lave, J. R. (1985). The Medicare Adjustment for the Indirect Costs of Medical Education: Historical Development and Current Status. Washington, DC: Association for American Medical Colleges.
10. Medicare Payment Advisory Commission (MedPAC). (2006, October 5). Payment Adjustments in the Acute Inpatient PPS-Indirect Medical Education, Disproportionate Share, and Capital. [Hand-out by Jack Ashby and Craig Lisk].
11. Medicare Payment Advisory Commission (MedPAC) (2007, March). Report to the Congress: Medicare Payment Policy [pp. 68 & 71]. Retrieved from: http://www.medpac.gov/documents/Mar07_EntireReport.pdf.
12. Pettengill, J., & Vertrees, J. (1982, December). Reliability and Validity in Hospital Case-Mix Measurement. Health Care Financing Review, 4, 101-128. PubMed
13. Phillips, S. M. (1992, Winter). Measuring Teaching Intensity with the Resident-to-Average Daily Census Ratio. Health Care Financing Review, 14(2), 59-68. PubMed
14. Sheingold, S. H. (1990, Spring). Alternatives for Using Multivariate Regression to Adjust Prospective Payment Rates. Health Care Financing Review, 11(3), 31-41. PubMed
15. Sloan, F. A., Feldman, R., & Steinwald, B. (1983). Effects of Teaching on Hospital Costs. Journal of Health Economics, 2(1), 1-28. PubMed doi:10.1016/0167-6296(83)90009-7
16. Thorpe, K. E. (1988, Summer). The Use of Regression Analysis to Determine Hospital Payment: The Case of Medicare's Indirect Teaching Adjustment. Inquiry, 25, 219-231. PubMed