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Prospective Payment System
Known as:
Reimbursement, Prospective
, Prospective Reimbursement
, Payment Systems, Prospective
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A system wherein reimbursement rates are set, for a given period of time, prior to the circumstances giving rise to actual reimbursement claims.
National Institutes of Health
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Related topics
Related topics
6 relations
Narrower (3)
Adjustment, Discretionary
Discretionary Adjustment Factor
Prospective Pricing
Insurance, Health, Reimbursement
legislation & jurisprudence
standards characteristics
Papers overview
Semantic Scholar uses AI to extract papers important to this topic.
Review
2007
Review
2007
Has the Medicare prospective payment system led to increased nursing home efficiency?
N. Zhang
,
Lynn Unruh
,
T. Wan
Health Services Research
2007
Corpus ID: 22558764
RESEARCH OBJECTIVE To assess the impact of recent Medicare prospective payment system (PPS) changes on efficiency in skilled…
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2000
2000
An Examination of Medicare Home Health Services: A Descriptive Study of the Effects of the Balanced Budget Act Interim Payment System on Access to and Quality of Care
Barbara Markham Smith
,
K. Maloy
,
D. J. B. Hawkins
Care Management Journals
2000
Corpus ID: 44982066
Between 1987 and 1993 sharp increases in Medicarefinanced home health care utilization occurred, peeking in 1990 at a growth rate…
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Review
1996
Review
1996
The Arizona Long Term Care System.
T. Riley
,
R. Mollica
Journal of case management
1996
Corpus ID: 38297145
The Arizona Long Term Care System (ALTCS) is the first statewide capitated managed care system that combines Medicaid acute and…
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1988
1988
Hospital prospective payment and the quality of care.
B. Vladeċk
New England Journal of Medicine
1988
Corpus ID: 45652140
Even before the advent of the Medicare prospective payment system (PPS) on October 1, 1983, concern was expressed that this new…
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1987
1987
Differences in resource use and cost among facilities treating alcohol, drug abuse, and mental disorders: implications for design of a prospective payment system.
T. Mcguire
,
B. Dickey
,
G. Shively
,
I. Strumwasser
American Journal of Psychiatry
1987
Corpus ID: 40370099
Specialized psychiatric facilities, including qualified distinct-part units in general hospitals, are exempt from Medicare's…
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1987
1987
Prospective payment system and quality: Early results and research strategy
P. Eggers
Health Care Financing Review
1987
Corpus ID: 25190013
The implementation of the prospective payment system (PPS) in Medicare has raised concerns in both the public and private health…
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Review
1987
Review
1987
Physician Awareness of Cost Under Prospective Reimbursement Systems
D. R. Thomas
,
K. M. Davis
Medical Care
1987
Corpus ID: 42410774
The failure of some strategies to reduce physician use of costly hospital services has been attributed in part to retrospective…
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1987
1987
Capitation Payment Systems for the Chronically Mentally
H. Babigian
,
S. Reed
1987
Corpus ID: 72601417
1987
1987
Reimbursement of sole community hospitals under Medicare's prospective payment System
M. Freiman
,
J. Cromwell
Health Care Financing Review
1987
Corpus ID: 6958257
Under the prospective payment system (PPS), designated sole community hospitals (SCH's), usually smaller than other rural…
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1986
1986
The impact of prospective reimbursement on trauma centers. An alternative payment plan.
L. Jacobs
,
R. Schwartz
Archives of Surgery
1986
Corpus ID: 22625434
We studied 1,526 patients entered into the Trauma Registry by demographic, physiologic, anatomic, investigational, and clinical…
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