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Medicare Part B growth slumps in 1992; low 5.3% increase may be linked to RBRVS; Part A up 15.8%

Article Abstract:

Medicare Part B expenditures increased only 5.3% in 1992, possibly caused by a decrease in physician compensation. At the same time, Part A expenditures rose 15.8% due to increases in inpatient hospital, skilled nursing facility and home health spending. Healthcare industry analysts believe that physician compensation may increase as the system is adjusted slightly and more procedures are covered. However, hospital expenses left unchecked may come under close scrutiny by the Clinton administration as it plans health care reform.

Hospitalization, Hospital care, Home care

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Medicare's bumpy ride into private sector

Article Abstract:

Republicans in Congress want to limit the growth of health care spending and restructure Medicare and Medicaid to promote managed care plans, as a cost-control measure. Hospitals and physicians fear loss of revenue and further endangerment for persons who have no insurance. Problems include Medicare's formula for determining payments, which is based on the prevailing cost in each county. Some counties with inflated prices benefit while others suffer.

Health Care, Health Care and Social Assistance, HEALTH SERVICES, Administration of Public Health Programs, Health Programs, Health aspects, Laws, regulations and rules, Forecasts and trends, Medical care, Medically uninsured persons, Public health, Managed care plans (Medical care), Health care reform

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Impending reform threatens Medicare hospital update

Article Abstract:

Average Medicare hospital prospective payments, which may grow 5.5% in FY 1994, are insufficient to meet many hospitals' operating costs, which are growing at an annual rate of 9.2%. Expenses are high because hospitals feel they have to keep their technology updated in order to retain and attract physicians. However, such spending habits may be lethal if the Clinton administration's plan to freeze Medicare price increases is adopted.

Hospitals, Analysis, Prospective payment systems (Medical care)

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