Feasibility analysis of adopting Medicare's health prospective payment system for TRICARE beneficiaries treated in inpatient psychiatric facilities
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Authors
Carr, Nigel
Taylor, Jared
Nagle, Dennis
Subjects
Per diem
Medicare
prospective payment
PPS
inpatient psychiatric facility
IPF
TRICARE
mental health
Medicare
prospective payment
PPS
inpatient psychiatric facility
IPF
TRICARE
mental health
Advisors
Shen, Yu-Chu
Doyle, Richard
Date of Issue
2005-12
Date
December 2005
Publisher
Monterey, California. Naval Postgraduate School
Language
Abstract
This project will examine the feasibility of implementing Medicare's mental health prospective payment system (PPS) for Tricare beneficiaries treated in inpatient psychiatric facilities. Background information will be presented on both Tricare's current per diem system and Medicare's mental health PPS to facilitate a comparison of the systems. Specifically, a financial analysis will be performed to determine if the adoption of Medicare's mental health PPS can be a cost savings measure for the Department of Defense. This project will compare payments for mental diagnoses under the per diem system and PPS. The anticipated product of this project is a proposal to Tricare Management Activity, Aurora, CO to either implement Medicare's mental health PPS or to stay with the current system. The premise for adopting Medicare's mental health PPS would be to demonstrate potential for tangible cost savings over the current system. Should this project demonstrate the potential for little or no cost savings then the recommendation would be to reject Medicare's mental health PPS.
Type
Description
MBA Professional Report
Series/Report No
Department
Graduate School of Business & Public Policy (GSBPP)
Organization
Identifiers
NPS Report Number
Sponsors
Funder
Format
xiv, 69 p. : ill. ; 28 cm.
Citation
Distribution Statement
Approved for public release; distribution is unlimited.