Testimony and Statement Submitted to the Senate Finance Committee

Quality of Care and Medicare's Prospective Payment System

by Mark R. Chassin

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback11 pages $20.00 $16.00 20% Web Discount

This paper, which was originally presented as testimony before the Finance Committee of the U.S. Senate, draws on the author's background as a practicing physician and health services researcher. It briefly describes three studies that examine (1) geographic differences in the use of health services, (2) variations in the outcomes of hospital care, and (3) the effect of prospective payment on quality of care. The testimony is accompanied by a statement that reviews the major changes in health care financing caused by the establishment of the prospective payment system (PPS) and their implications for quality of care provided to Medicare beneficiaries. Finally, the author discusses major questions concerning the impact of PPS and summarizes research now in progress to answer them.

This report is part of the RAND Corporation Paper series. The paper was a product of the RAND Corporation from 1948 to 2003 that captured speeches, memorials, and derivative research, usually prepared on authors' own time and meant to be the scholarly or scientific contribution of individual authors to their professional fields. Papers were less formal than reports and did not require rigorous peer review.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/principles.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.