National Hospital Prospective Payment Evaluation. Case Study Site Report: Northeastern Iowa, November 3-7, 1986

摘要

The Medicare Hospitals Prospective Payment System (PPS) was enacted by the Congress in 1983. That legislation requires that the Secretary study this major change in the way hospitals are paid and report annually (Public Law 98-211, Section 603 (a) (2) (A). As a part of the development of the annual report, the Office of Research and Demonstrations commissioned a series of ten (10) case studies to describe how the program was being implemented. The sites were chosen to reflect different geographic areas, urban vs. rural settings, and health care markets. They are not scientifically representative samples but they are illustrative of what was happening at the time. The sites were visited between mid-September and early December, 1986 after the new system was well underway. Health Economics Research was the subcontractor who had the lead responsibility for these case studies but they were conducted and written in close cooperation with the prime contractor, Abt Associates. This is the report on Northeastern Iowa which was visited November 3-7, 1986. There are nine (9) other site visit reports in the series.