The health-care field is increasingly sensitive to the effect of third-party reimbursement policies on health-care organization performance. The ability to attain low costs and high net income, for example, is particularly affected by prospective reimbursement. Theoretically, prospective payments should provide an incentive to health-care organizations to implement better control overperformance. These ideas are examined in a study of nursing homes. Results of this analysis indicate that management controlpractices contribute to efficient performance. The association of thisfinding with prospective reimbursement is discussedfrom theperspective of implicationsfor health-care organizations.
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References
1.
BECKER, S. W.
, S. M. SHORTELL, and D. NEUHAUSER (1980) "Management practices and hospital length of stay."Inquiry17: 318-330.
2.
BUCHANAN, R. J.
(1983) "Medicaid cost containment: prospective reimbursement for long-term care."Inquiry20: 334-342.
3.
COELEN, C.
and D. SULLIVAN (1981) "An analysis of the effects of prospective reimbursement programs on hospital expenditures."Health Care Financing Rev.5: 1-40.
4.
DOWLING, W. L.
(1980) "Prospective rate setting: concept and practice," pp. 61-98 in G. E. Bisbee and R. A. Vraciu (eds.) Managing the Finances of Health Care Organizations. Ann Arbor, MI: Health Administration Press.
5.
FOTTLER, M. D.
, H. L. SMITH, and W. L. JAMES (1981) "Profits and patient care quality in nursing homes: are they compatible?"Gerontologist21: 532-538.
6.
GREENE, V. L.
and D. J. MONAHAN (1981) "Structural and operational factors affecting quality of patient care in nursing homes."Public Policy29: 399-415.
7.
JAMES, L. R.
(1982) "Aggregation bias in estimates of perceptual agreement."J. of Applied Psychology66: 219-229.
8.
LONGEST, B. B.
(1980) Management Practices for the Health Care Professional. Reston, VA: Reston Publishing.
9.
ROSKO, M. D.
(1984) "The impact of prospective payment: a multidimensional analysis of New Jersey's SHARE Program."J. of Health Politics, Policy, and Law9: 81-101.
10.
SHORTELL, S. M.
, S. W. BECKER, and D. NEUHAUSER (1976) "The effects of management practices on hospital efficiency and quality of care," in S. M. Shortell and M. Brown (eds.) Organization Research in Hospitals. Chicago: Blue Cross Association Inquiry Book.
11.
SLOAN, F. A.
and B. STEINWALD (1980) "Effects of regulation on hospital costs and input use."J. of Law and Economics23: 81-109.
12.
SMITH, H. L.
and M. D. FOTTLER (1981) "Costs and cost containment in nursing homes."Health Services Research16: 17-41.
13.
WINN, S.
(1975) "Assessment of cost related characteristics and conditions of long-term care patients."Inquiry12: 344-353.
14.
YOUNG, D. W.
and R. B. SALTMAN (1983) "Prospective reimbursement and the hospital power equilibrium: a matrix-based management control system."Inquiry20: 20-23.
