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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
Growth and payment adequacy of medicare postacute care rehabilitation.
S. Kaplan
Archives of Physical Medicine and Rehabilitation
2007
Corpus ID: 22059934
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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Review
1993
Review
1993
Design of a Prospective Payment Patient Classification System for Ambulatory Care
R. Averill
,
N. Goldfield
,
+4 authors
J. Bender
Health Care Financing Review
1993
Corpus ID: 7742854
The Ambulatory Patient Groups (APGs) are a patient classification system that was developed to be used as the basis of a…
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Review
1991
Review
1991
Registered nurse staffing in Pennsylvania nursing homes: comparison before and after implementation of Medicare's Prospective Payment System.
K. Kanda
,
M. Mezey
The gerontologist
1991
Corpus ID: 27618424
This paper examines changes in resident acuity and registered nurse staffing in all nursing homes in Pennsylvania before and…
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1990
1990
Using hospital-specific costs to improve the fairness of prospective reimbursement.
G. Pope
Journal of Health Economics
1990
Corpus ID: 4166368
Highly Cited
1988
Highly Cited
1988
Medicare Prospective Payment and Posthospital Transfers to Subacute Care
M. Morrisey
,
F. Sloan
,
J. Valvona
Medical Care
1988
Corpus ID: 23733343
This study analyzed the early effects of the Medicare Prospective Payment System (PPS) on the likelihood of hospital’s…
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Review
1988
Review
1988
Capitation payment: Using predictors of medical utilization to adjust rates
A. Epstein
,
E. Cumella
Health Care Financing Review
1988
Corpus ID: 15709489
The current adjusted average per capita cost methodology has been strongly criticized because the subgroup classifications…
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1988
1988
Trends and regional variations in hospital utilization and quality during the first two years of the prospective payment system.
S. Desharnais
,
J. Chesney
,
S. Fleming
Inquiry : a journal of medical care organization…
1988
Corpus ID: 27717063
The Commission on Professional and Hospital Activities monitored both Medicare and non-Medicare hospital discharges for a cohort…
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1988
1988
Toward a fairer prospective payment system.
S. Essock
,
G. Norquist
Archives of General Psychiatry
1988
Corpus ID: 21150325
A fundamental assumption of categorical payment systems such as Medicare's diagnosis related groups (DRGs) is that one can…
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Review
1984
Review
1984
Prospective reimbursement and the diffusion of new technologies in hospitals.
Anthony A. Romeo
,
Judith L. Wagner
,
Robert H. Lee
Journal of Health Economics
1984
Corpus ID: 26822250
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