Are U.S. naval hospitals operated efficiently: a study using dianosis related groups
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Authors
Long, Albert Benjamin III
Osment, Howard Thomas
Subjects
hospital cost
DRG
diagnosis related groups
hospital efficiency
naval hospital
NTF
PPS
MEPR
naval treatment facility
DRG
diagnosis related groups
hospital efficiency
naval hospital
NTF
PPS
MEPR
naval treatment facility
Advisors
Whipple, David R. Jr.
Date of Issue
1986-12
Date
December 1986
Publisher
Language
en_US
Abstract
In an effort to control rampant hospital-cost
inflation, Congress passed the Tax Equity and Fiscal
Responsibility Act of 1982 and the Social Security
Amendments of 1983. The result of these two initiatives
is the implementation of a prospective payment system
(PPS) that uses diagnosis related groups (DRGs) in
classifying patients and reimbursing hospitals for
Medicare patients. Using the Health Care Financing
Administration's (HCFA) methods (i.e., rates, weights and
ICD-9-CM DRGs) for determining reimbursable amounts, this
analysis examines the postulation that the typical U.S.
naval hospital--if reimbursed for actual inpatient
workload--would have received more than its incurred
expenses. Data for three naval hospitals over a two-year
period (FY83 and FY84) are used. Findings of this
analysis suggest that on the average the typical naval
hospital would have been reimbursed 32 percent more than
actual inpatient expenses had it been reimbursed under
Medicare.
Type
Thesis
Description
Series/Report No
Department
Administrative Sciences
Organization
Naval Postgraduate School (U.S.)
Identifiers
NPS Report Number
Sponsors
Funding
Format
227 p.
Citation
Distribution Statement
Approved for public release; distribution is unlimited.
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.