TY  - BOOK
AU  - Melnick,Glenn A.
AU  - Mann,Joyce
AU  - Serrato,Carl
ED  - Rand Corporation.
ED  - Rand/UCLA Center for Health Care Financing Policy Research.
ED  - United States.
TI  - Hospital costs and patient access under the New Jersey hospital rate-setting system
SN  - 0833009249
AV  - RA981.N5 M44 1988
PY  - 1988///
CY  - Santa Monica, CA
PB  - RAND
KW  - Hospital patients
KW  - New Jersey
KW  - Hospitals
KW  - Rates
KW  - Economics, Hospital
KW  - Patient Admission
KW  - economics
KW  - Rate Setting and Review
N1  - "RAND/UCLA Center for Health Care Financing Policy Research."; "September 1988."; Includes bibliographical references (p. 81-82); Also available on the internet via WWW in PDF format
N2  - In an effort to control the increase in health care expenditures, while at the same time improving or at least maintaining access to hospital services, several states enacted prospective hospital rate-setting systems in the 1970s and early 1980s. This report evaluates New Jersey's system, which was unique because it elected to pay hospitals on the basis of the then newly created case-mix classification system, diagnosis-related groups (DRGs). The authors evaluate New Jersey's hospital rate-setting system and analyze the responses of hospitals in the early years of the program. Their analyses show that the New Jersey all-payor DRG rate-setting system has been successful in improving intermediate measures of hospital efficiency but unsuccessful in controlling hospital cost inflation, measured in terms of either total hospital expenses or net revenues. The findings also show that Medicare patients consume more resources than privately insured patients, but because of the structure of the rate-setting methodology and other features of the New Jersey system, differences in profitability between Medicare and non-Medicare patients were not as great as differences in resource use
UR  - http://www.rand.org/pubs/reports/R3601/
ER  -