Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 2 , Pages 198-202 , February 2006

Early Effects of the Prospective Payment System on Inpatient Rehabilitation Hospital Performance

  • Michael J. McCue, DBA

      Affiliations

    • Department of Health Administration, Virginia Commonwealth University, Medical College of Virginia Campus, Richmond, VA
    • Corresponding Author InformationCorrespondence to Michael J. McCue, DBA, Dept of Health Administration, Virginia Commonwealth University, Medical College of Virginia Campus, PO Box 980203, Richmond, VA 23298-0203
  • ,
  • Jon M. Thompson, PhD

      Affiliations

    • Health Services Administration Program, James Madison University, Harrisonburg, VA.

,Accepted 21 October 2005.

References 

  1. Esselman P . Inpatient rehabilitation outcome trends (implications for the future) . JAMA . 2004;292:1746–1748
  2. Wheatley B , DeJong G , Sutton J . Consolidation of the inpatient medical rehabilitation industry . Health Aff (Millwood) . 1998;17:209–215
  3. Medicare Payment Advisory Commission . Rehabilitation facilities (inpatient) payment system . Briefing . 2004; July 13, Available at: http://www.medpac.gov/publications/other_reports/071304_PPS13_Rehab.pdf. Accessed November 3, 2005
  4. Grimaldi PL . Inpatient rehabilitation facilities are now paid under prospective rates . J Health Care Finance . 2002;28:32–38
  5. Medicare Payment Advisory Commission . Report to Congress (Medicare payment policy) . 2000; Mar, Available at: http://www.medpac.gov/publications/congressional_reports/Mar00%20Table%20of%20Contents.pdf. Accessed November 7, 2005
  6. Carter GM , Relles DA , Ridgeway GK , Rimes CM . Measuring function for Medicare inpatient rehabilitation payment . Health Care Financ Rev . 2003;24:25–44
  7. Langenbrunner J , Willis P , Jencks S , Dobson A , Iezzoni L . Developing payment refinements and reforms under Medicare for excluded hospitals . Health Care Financ Rev . 1989;10:91–107
  8. Centers for Medicaid and Medicare Services. 2004 CMS statistics . Washington (DC): U.S: Department of Health and Human Services; 2004; Oct, CMS Publication No. 03455
  9. Health Care Financing Administration . Report to Congress (developing a prospective payment system for excluded hospitals) . Washington (DC): Dept of Health and Human Services; 1987;
  10. Hadley J , Zuckerman S , Feder J . Profits and fiscal pressure in the prospective payment system (their impacts on hospitals) . Inquiry . 1989;26:354–365
  11. Cook DC , Campbell DT . Quasi-experimentation design & analysis issues for field setting . Boston: Houghton Mifflin; 1979;
  12. Carter GM , Paddock SM . Preliminary analyses of changes in coding and case mix under inpatient rehabilitation facility prospective payment system . Santa Monica: Rand; 2002;
  13. Ottenbacher KJ , Smith PM , Illig SB , Linn RT , Sotir GV , Granger CV . Trends in length of stay, living setting, functional outcome, and mortality following medical rehabilitation . JAMA . 2004;292:1687–1695
  14. Feder J , Hadley J , Zuckerman S . How did Medicare’s prospective payment system affect hospitals? . N Engl J Med . 1987;317:867–873
  15. White C . Rehabilitation therapy in skilled nursing facilities (effects of Medicare’s new prospective payment system) . Health Aff (Millwood) . 2003;22:214–223
  16. Zinn JS , Mor V , Intrator O , Feng Z , Angellini J , Davis JA . The impact of the prospective payment system for skilled nursing facilities on therapy service provision (a transaction cost approach) . Health Serv Res . 2003;38:1467–1485
  17. Ward GA . Preserving high-quality care. Greg A. Ward, Rehabilitation Institute of Chicago . Healthc Financ Manage . 2002;56:36–39
  18. Thompson JM , McCue MJ . Organizational and market factors associated with Medicare dependence in inpatient rehabilitation hospitals . Health Serv Manage Res . 2004;17:13–23
  19. Chan L , Ciol M . Medicare’s payment system (its effect on discharges to skilled nursing facilities from rehabilitation hospitals) . Arch Phys Med Rehabil . 2000;81:715–719

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.Reprints are not available from the author.

PII: S0003-9993(05)01380-8

doi: 10.1016/j.apmr.2005.10.029

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 2 , Pages 198-202 , February 2006