Medicare's disproportionate share adjustment and the cost of low-income patients

Article Abstract:

The disproportionate share payments for Medicare cannot be justified by higher costs of medical treatment in hospitals. There are no residual cost differences to justify the Medicare's Disproportionate Share Adjustment System after controlling the determinants of higher expenses such as the hospital where the patients are treated, among others. Hospital payments under Medicare can still be sufficient to cover additional costs from the treatment of low-income patients due to the adjustments in the basic per-admission payment for the group concerned with the diagnosis.

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Adverse selection: does it preclude a competitive health insurance market?

Article Abstract:

The view that the US' pluralistic multipayer health insurance system permits for the satisfaction of diverse preferences and that universal coverage can be achieved by a fixed government subsidy while leaving the choice of plan to the individual is reasonable. However, there is some pessimism regarding this proposal which relies on private insurance markets with individual choice.

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Hospital ownership and cost and quality of care: is there a dime's worth of difference?

Article Abstract:

Research is presented concerning the analysis of quality of care and program cost of patients who were hospitalized under the Medicare scheme. The payments made to profit making and nonprofit making organizations are discussed.

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