Hospital cost and efficiency under per service and per case payment in Maryland: a tale of the carrot and the stick

Inquiry. 1986 Spring;23(1):56-66.

Abstract

The simultaneous operation of per case and per service payment systems in Maryland, and the varying levels of stringency used in setting per case rates, allows a comparison of the effects of differing incentive structures on hospital costs. This paper presents such a comparison with 1977-1981 data. Regressions performed on cost-per-case and total cost data indicate that costs were lower only when per case payment limits were very stringent. Positive net revenue incentives appeared to be insufficient to induce a reduction in length of stay or ancillary services use. These changes in medical practice patterns thus appear more likely under the threat of financial losses--that is, under the threat of the stick rather than the inducement of the carrot.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Ancillary Services, Hospital / economics
  • Cost Control / methods
  • Costs and Cost Analysis
  • Diagnosis-Related Groups / economics*
  • Economics, Hospital / trends*
  • Efficiency
  • Hospitals, Teaching / economics
  • Length of Stay
  • Maryland
  • Prospective Payment System / methods*
  • Reimbursement Mechanisms / methods*
  • Reimbursement, Incentive / economics