Inquiry J Health Car
-
Inquiry J Health Car · Jan 1992
Comparative StudyRural and urban hospital closures, 1985-1988: operating and environmental characteristics that affect risk.
Due to congressional concern that rural hospitals were particularly disadvantaged by Medicare's Prospective Payment System, the U. S. ⋯ When hospital operating and environmental characteristics were held constant, the odds of closure in rural and urban areas differed significantly only for private nonprofit hospitals. Although a number of factors were associated with hospitals' higher risk of closure, we did not find evidence that Medicare was a major factor associated with financial distress or closure during the 1985 to 1988 period.
-
This paper examines the implications of using a Medical Staff Payment System (MSPS) for reimbursing physicians for services provided to inpatients. Inpatient episodes are defined to include seven days before admission and 30 days postdischarge. ⋯ DRGs are strong predictors of expenditures on physician services during the inpatient episode, achieving an R2 of .61. Gains and losses for various types of facilities are simulated, and the characteristics of winning and losing hospitals under an MSPS are identified.