{"id":"https://openalex.org/W2052393768","doi":"https://doi.org/10.1177/0272989x8500500102","title":"DRGs and Prospective Payment Under Medicare","display_name":"DRGs and Prospective Payment Under Medicare","publication_year":1985,"publication_date":"1985-02-01","ids":{"openalex":"https://openalex.org/W2052393768","doi":"https://doi.org/10.1177/0272989x8500500102","mag":"2052393768","pmid":"https://pubmed.ncbi.nlm.nih.gov/3934493"},"language":"en","primary_location":{"id":"doi:10.1177/0272989x8500500102","doi":"https://doi.org/10.1177/0272989x8500500102","is_oa":false,"landing_page_url":"https://doi.org/10.1177/0272989x8500500102","pdf_url":null,"source":{"id":"https://openalex.org/S103359281","display_name":"Medical Decision Making","issn_l":"0272-989X","issn":["0272-989X","1552-681X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-3","ki-jl-1","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Decision Making","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103966004","display_name":"Donald A. Young","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Donald A. Young","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5103966004"],"corresponding_institution_ids":[],"apc_list":{"value":4400,"currency":"USD","value_usd":4400},"apc_paid":null,"fwci":6.3534,"has_fulltext":false,"cited_by_count":5,"citation_normalized_percentile":{"value":0.95635957,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":null,"biblio":{"volume":"5","issue":"1","first_page":"7","last_page":"13"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diagnosis-related-groups","display_name":"diagnosis-related groups","score":0.7879999876022339},{"id":"https://openalex.org/keywords/medicare-prospective-payment-system","display_name":"Medicare prospective payment system","score":0.7749999761581421},{"id":"https://openalex.org/keywords/hospital-reimbursement","display_name":"hospital reimbursement","score":0.7250000238418579},{"id":"https://openalex.org/keywords/expense-reimbursement","display_name":"cost reimbursement","score":0.8190000057220459},{"id":"https://openalex.org/keywords/financial-incentives-in-health-care","display_name":"financial incentives in health care","score":0.7519999742507935},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.9070000052452087},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9620000123977661},{"id":"https://openalex.org/keywords/hospital-specialization","display_name":"hospital specialization","score":0.7419999837875366},{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.367000013589859}],"concepts":[{"id":"https://openalex.org/C2779245251","wikidata":"https://www.wikidata.org/wiki/Q7250835","display_name":"Prospective payment system","level":3,"score":0.9407047033309937},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.8215287327766418},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.7122268676757812},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.7049275636672974},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5426045656204224},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.5204218029975891},{"id":"https://openalex.org/C2776034101","wikidata":"https://www.wikidata.org/wiki/Q1509347","display_name":"Commission","level":2,"score":0.5041905641555786},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.41017428040504456},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.3969880938529968},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3820970952510834},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3284217119216919},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.32607945799827576},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.258217453956604},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.09140601754188538},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.08281001448631287},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003363","descriptor_name":"Cost Control","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D003953","descriptor_name":"Diagnosis-Related Groups","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D005544","descriptor_name":"Forecasting","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011445","descriptor_name":"Prospective Payment System","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D012051","descriptor_name":"Reimbursement Mechanisms","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1177/0272989x8500500102","doi":"https://doi.org/10.1177/0272989x8500500102","is_oa":false,"landing_page_url":"https://doi.org/10.1177/0272989x8500500102","pdf_url":null,"source":{"id":"https://openalex.org/S103359281","display_name":"Medical Decision Making","issn_l":"0272-989X","issn":["0272-989X","1552-681X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-3","ki-jl-1","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Decision Making","raw_type":"journal-article"},{"id":"pmid:3934493","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/3934493","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical decision making : an international journal of the Society for Medical Decision Making","raw_type":"Journal Article"},{"id":"pmh:oai:RePEc:sae:medema:v:5:y:1985:i:1:p:7-13","doi":null,"is_oa":false,"landing_page_url":"https://journals.sagepub.com/doi/10.1177/0272989X8500500102","pdf_url":null,"source":{"id":"https://openalex.org/S4306401271","display_name":"RePEc: Research Papers in Economics","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I77793887","host_organization_name":"Federal Reserve Bank of St. Louis","host_organization_lineage":["https://openalex.org/I77793887"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.428600013256073,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2994802040","https://openalex.org/W2088429406","https://openalex.org/W4229621400","https://openalex.org/W2474513607","https://openalex.org/W2149877457","https://openalex.org/W1999985667","https://openalex.org/W2097209148","https://openalex.org/W2992560168","https://openalex.org/W1993151166","https://openalex.org/W2059012999"],"abstract_inverted_index":{"In":[0],"moving":[1],"from":[2],"cost-based":[3],"reimbursement":[4],"to":[5,32,44],"a":[6],"DRG-based":[7],"prospective":[8],"system,":[9],"the":[10,19,23,50,75,78],"Medicare":[11],"Prospective":[12,61],"Payment":[13,62],"System":[14],"(PPS)":[15],"has":[16],"radically":[17],"restructured":[18],"financial":[20],"incentives":[21,28],"for":[22,84],"care":[24],"of":[25,38,42,77],"patients.":[26],"The":[27,60],"potentially":[29],"may":[30],"lead":[31],"increased":[33,53],"hospital":[34],"admissions,":[35],"decreased":[36,40],"lengths":[37],"stay,":[39],"volume":[41],"services":[43],"some":[45],"individuals,":[46],"service":[47],"shifts":[48],"outside":[49],"hospital,":[51],"and":[52,72,80],"selectivity/specialization":[54],"by":[55],"hospitals":[56],"in":[57],"limited":[58],"DRGs.":[59],"Assessment":[63],"Commission":[64],"(ProPAC)":[65],"is":[66],"charged":[67],"with":[68,81],"evaluating":[69],"important":[70],"issues":[71],"factors":[73],"affecting":[74],"implementation":[76],"PPS":[79],"making":[82],"recommendations":[83],"improving":[85],"system":[86],"performance.":[87]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}