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http://hdl.handle.net/10419/23243
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| Title: | | New Evidence on Medicare?s Prospective Payment System: A Survival Analysis based on the NHANES I Epidemiologic Followup Study  |
| Authors: | | Qian, Xufeng Russell, Louise B. Valiyeva, Elmira Miller, Jane E. |
| Issue Date: | | 2005 |
| Series/Report no.: | | Working papers / Rutgers University, Department of Economics 2005,06 |
| Abstract: | | Medicare?s prospective payment system (PPS), introduced in 1983, pays hospitals a fixed price for each stay rather than reimbursing costs. Previous studies evaluated its first few years using endogenous measures to control for heterogeneity in patients? health. We examine PPS over a full decade using competing risks Cox survival models and a national longitudinal survey with independent information on patients? health. New findings include: risk of death in hospital increased; risk of discharge to a nursing home continued to increase as PPS matured; and risk of nursing home admission from the community following hospital discharge rose. HMOs may have contributed to these outcomes. |
| JEL: | | C41 I18 |
| Document Type: | | Working Paper |
| Appears in Collections: | | Working Papers, Department of Economics, Rutgers University
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