title: Developing a Medicare prospective payment system for inpatient psychiatric care.
abstract: Under the Balanced Budget Refinement Act (BBRA) of 1999, the secretary of health and human services was mandated to implement a prospective payment system (PPS) for psychiatric inpatient facilities that were exempt from the Medicare inpatient PPS. This paper reviews the reason for the initial "distinct-part" exemption, describes research that has been conducted to inform the development of a psychiatric inpatient PPS, and examines some of the issues that must be addressed as a PPS is designed. In addition, some changes in the overall inpatient psychiatric hospital sector are discussed.
mesh_terms: D000368:Aged; D003953:Diagnosis-Related Groups; D006302:Health Services Research; D006778:Hospitals, Psychiatric / Q000191:economics*; D006801:Humans; D006278:Medicare / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D001523:Mental Disorders / Q000145:classification / Q000191:economics* / Q000628:therapy; D011445:Prospective Payment System / Q000331:legislation & jurisprudence*; D011567:Psychiatric Department, Hospital / Q000191:economics*; D011907:Rate Setting and Review; D014481:United States; D014483:United States Dept. of Health and Human Services