State rate -setting in conjunction with Medicare prospective payment: The effects of the Maine program

Maine implemented a hospital rate-setting program in 1984 at approximately the same time as Medicare started the Prospective Payment System (PPS). This study examines the effectiveness of the program in controlling cost over the period 1984-1989. Hospital costs in Maine are compared to costs in 36 non rate-setting states and 11 other rate-setting states. Changes in cost per equivalent admission, adjusted patient day, per capita, admissions, and length of stay are described and analyzed using multivariate techniques. A number of supply and demand variables which were expected to influence costs independently of rate-setting were controlled for in the study. Results indicate the program was effective in containing costs measured in terms of cost per adjusted patient day. However, this was not true for the other two cost variables. The average length of stay increased during the period in Maine hospitals indicating an association with rate-setting. Several supply variables, especially the number of beds per 1,000 population were strongly associated with the cost and use of hospitals. ^

Medicare coverage for the treatment of alcoholism : excerpts.

"Excerpts from DHEW's September, 1978 report to Congress required by P.L. 95-210 on The Advantages and disadvantages of extending medicare coverage to Mental Health, Alcohol, and Drug Abuse Centers"--P. [2] of cover.

Home health care benefits under Medicare and Medicaid, Department of Health, Education, and Welfare : report to the Congress /

Publication date stamped on cover.

Need to more consistently reimburse health facilities under Medicare and Medicaid, Department of Health, Education, and Welfare : report to the Congress /

"B-164031(4)."

Investigations of Medicare and Medicaid fraud and abuse--improvements needed, Department of Health, Education, and Welfare : report to the Subcommittee on Health, Senate Committee on Finance /

"B-164031(4)."

Reference guide for Medicare physician & supplier billers : helping front office personnel navigate Medicare rules for Part B claims processing.

"ICN 006209"--P. [4] of cover.

Delays in Medicare payment [microform] : hearing before the Subcommittee on Health and Long-Term Care of the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, second session, July 11, 1986, Miami, FL.

"Comm. pub. no. 99-589."

Medicare's prospective payment system : strategies for evaluating cost, quality, and medical technology.

"OTA-H-262"--P. [4] of cover.

Report to the Congress : context for a changing Medicare program.

Mode of access: Internet.

1970 census of population and housing; evaluation and research program. The medicare record check: an evaluation of the coverage of persons 65 years of age and over in the 1970 census.

"PHC(E)-7."

Perspectives on medicaid and medicare management.

"Health Care Financing Administration, Bureau of Program Operations, Medicaid/Medicare Management Institute, Improvements Promotion Division"--P. ii.

Cobertura de Medicare para los servicios de diálisis y trasplante [sic] de riñón.

Description based on: 1996; title from cover.

Profiles of medicare : 30th anniversary /

Cover title.

Medicare financial management : further improvements needed to establish adequate financial control and accountability : report to the Administrator, Health Care Financing Administration /

"B-284462"--P. 3.

Medicare : communications with physicians can be improved : report to congressional requesters /

"GAO-02-249."