title: An examination of winners and losers under Medicare's prospective payment system.
abstract: Through case studies of 10 matched pairs of winner and loser hospitals under the Medicare prospective payment system (PPS), specific characteristics and management actions were identified that are related to strong financial performance. Because other payers are increasingly adopting PPS-like cost control incentives and because managed care is fundamental to the national health care reform debate, the successful strategies identified in this article may be of increasing importance to hospital managers.
authors.affiliation: Lewin-VHI, Washington, DC.
authors.forename: N
authors.initials: N
authors.lastname: Bray
authors.forename: C
authors.initials: C
authors.lastname: Carter
authors.forename: A
authors.initials: A
authors.lastname: Dobson
authors.forename: J M
authors.initials: JM
authors.lastname: Watt
authors.forename: S
authors.initials: S
authors.lastname: Shortell
mesh_terms: D003363:Cost Control; D003953:Diagnosis-Related Groups / Q000191:economics; D017598:Efficiency, Organizational; D005377:Financial Management, Hospital / Q000706:statistics & numerical data*; D006302:Health Services Research; D006742:Hospital Bed Capacity; D017721:Hospital Costs; D006779:Hospitals, Public / Q000191:economics* / Q000458:organization & administration; D006780:Hospitals, Rural / Q000191:economics / Q000458:organization & administration; D006786:Hospitals, Urban / Q000191:economics / Q000458:organization & administration; D006788:Hospitals, Voluntary / Q000191:economics* / Q000458:organization & administration; D006801:Humans; D008329:Managed Care Programs / Q000191:economics; D016555:Matched-Pair Analysis; D006278:Medicare / Q000191:economics*; D010067:Ownership; D011445:Prospective Payment System / Q000191:economics*; D014481:United States