Value-Based Care Happened 40 Years Ago... Medicare's Prospective Payment System Explained

Value-Based Care Was First Put Into Place Almost 40 Years Ago by Medicare with Its Prospective Payment System.
The Prospective Payment System Changed Medicare Payment for Hospital Inpatient Services from 'Cost-Plus' for the Hospital Services to a Fix Amount Per Diagnosis Related Group (DRG) Regardless of the Length of Stay.
The Result:
Length of Say Decreased 17%
Admits/Discharges Decreased by 3.5%
Readmissions Remained Unchanged
30 Day Post Admission Mortality Increased by 0.6 Percentage Points
Medicare Inflation Decreased from 10.1% Per Year to 5.7% Per Year.
Why Was Medicare Able to Bring About So Much Value-Based Payment Change in 3 Years ('83-'86) Compared to the Relatively Little Change That Has Occurred in the 11 Years Since the Affordable Care Act?
Watch the Video to Find Out.
Sources:
www.ncbi.nlm.nih.gov/pmc/arti...
www.princeton.edu/~ota/disk2/...
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Disclosure: Dr. Bricker is the Chief Medical Officer of Virtual Care Company First Stop Health.
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[@nipatel1760]

I am glad you are here. I am glad you and David Belk have shed light on the situation. The healthcare is at war with the consumer's pocketbook and the consumer needs to know what they are up against.

[@ahealthcarez]

Thank you for watching and for your feedback.

[@eymanfarhat7274]

Thank you for making this simple as possible. This helped me understand one of the chapters in my healthcare class.

[@ahealthcarez]

Super! Great to hear. Thank you for watching!!

[@TFhello-world]

Your videos are so incredibly helpful

[@katiemarie6515]

How did this impact the therapy professions? (Occupational therapy, physical therapy, speech therapy, etc.?)

[@jlsobraske]

Dead on, as usual. I remember well when both HMOs and PPS were implemented. Back to the future...

[@ahealthcarez]

Yup! Thank you for watching.

[@mjmjmj28]

Can you touch upon the impact and trickle down effect this has on surgical specialties that are private practices?

[@ahealthcarez]

Biggest impact of Medicare DRG on surgeries is to move them from inpatient to outpatient… which is not subject to prospective payment. Thank you for watching and for your question.