Publications [#238787] of Frank A. Sloan

Journal Articles

1. Sloan, FA; Morrisey, MA; Valvona, J, Effects of the Medicare prospective payment system on hospital cost containment: an early appraisal., The Milbank quarterly, vol. 66 no. 2 (January, 1988), pp. 191-220 [doi]
   (last updated on 2025/05/31)

   Abstract:
   In 1983 federal efforts to contain hospital costs were coalesced under the Medicare prospective payment system (PPS)--a "self-interest" approach to administered prices. Diagnosis-related groups (DRGs) and the tougher peer review organizations (PROs) serve to define "products"; PPS sets the price on each. The effects of PPS go beyond Medicare; they have been system-wide. Differential impacts on hospital utilization, substitution of capital for labor, and quality are examined through a variety of data sources and descriptive as well as regression analyses. The greatest cost savings are attributed to a reduction in hospital admissions per capita.