Prospective Payment for CHAMPUS Exempt Services. An Analysis of Children's Hospitals, Substance Abuse Services, and Psychiatric Services

reportActive / Technical Report | Accession Number: ADA252690 | Open PDF

Abstract:

In October 1987, the Civilian Health and Medical Program of the Uniformed Services CHAMPUS implemented a prospective payment system for covered hospital services, based on diagnosis-related groups DRGs. CHAMPUS exempted several categories of hospital services from its DRG payment system, including childrens hospitals, substance-abuse services, and psychiatric alternatives for extending prospective payment to these services. The study also included an analysis of payment for neonatal services, the results of which will be published in a separate report. The results should be of interest to those conducting research or making policy decisions related to prospective payment systems. The research was initiated in 1987 and was completed in 1989.

Author(s):
Zwanziger, Jack ; Sloss, Elizabeth M. ; Hosek, Susan D. ; Bamezai, Anil ; Davis, Lois M. ; Cameron, Kirk
Author Organization(s):
RAND CORP SANTA MONICA CA
Descriptive Note:
Research rept.
Pagination:
0125

Security Markings

DOCUMENT & CONTEXTUAL SUMMARY

Distribution:
Approved For Public Release
Distribution Statement:
Approved For Public Release; Distribution Is Unlimited.

RECORD

Collection: TR
Identifying Numbers
Report Number(s):
RAND-R-3700-HA
Contract/Grant Number(s):
MDA903-90-C-0004
Monitor Series:
OASD/HA
 Subject Terms
Joint Capability Areas:
JCA_4.6.1_General Engineering; JCA_4.6_Engineering; JCA_4.7.2_Installation Services; JCA_4.7_Base and Installations Support; JCA_5_Command and Control; JCA_5.3_Planning; JCA_1.2.1_Training; JCA_7.2.1_Mitigate Lethal Effects; JCA_7.2_Mitigate; JCA_7_Protection; JCA_1.2.3_Educating; JCA_1.2.5_Lessons Learned; JCA_1.3.1_Personnel and Family Support; JCA_1.3.2_Personnel Management; JCA_5.4_Decide
Communities of Interest:
No COI(s) Identified
Descriptor(s):
*FAMILY MEMBERS, *MILITARY MEDICINE, CIVILIAN PERSONNEL, HEALTH CARE FACILITIES
Field(s)/Group(s):
Personnel Management and Labor Relations, Medicine and Medical Research, Medical Facilities, Equipment and Supplies
Keyword(s):
CHAMPUS EXEMPT SERVICES, DRG(DIAGNOSIS RELATED GROUPS), EXEMPTED SERVICES, PROSPECTIVE PAYMENT SYSTEM, CHILDREN S HOSPITALS, SUBSTANCE ABUSE, CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE UNIFORMED SERVICES
Report Date:
1992 Jan 01