title: Analysis of the effect of disproportionately large share of low-income patients on psychiatric costs in general hospitals.
abstract: This study focuses on the disproportionate share payment adjustment of the Medicare Prospective Payment System and examines the relationship between share of low-income patients and the cost of inpatient psychiatric care. All general hospitals without distinct psychiatric units that treated more than 20 Medicare psychiatric patients in general medical-surgical beds are included in the cost analysis. The difference between official adjustment factors and the estimates of this analysis suggests that in 16% of the large urban disproportionate share hospitals poverty psychiatric cases are systematically underpaid.
authors.forename: A
authors.initials: A
authors.lastname: Rupp
authors.forename: C A
authors.initials: CA
authors.lastname: Taube
mesh_terms: D006769:Hospitals, General / Q000191:economics*; D006786:Hospitals, Urban / Q000191:economics; D008489:Medical Indigency / Q000191:economics*; D006278:Medicare / Q000191:economics; D008605:Mental Health Services / Q000191:economics*; D011445:Prospective Payment System; D011567:Psychiatric Department, Hospital / Q000191:economics; D012959:Socioeconomic Factors; D014481:United States