James B. Couch, MD, JD; David B. Nash, MD, MBA
The prospective payment system for health services for Medicare beneficiaries has reversed the tide of "pay-as-you-go" reimbursement (1). In addition to the Medicare program, several state medical assistance programs and private health insurance plans have adopted this method of setting reimbursement in advance. Through prospective reimbursement, providers have gained the ability to analyze the costs of care more systematically, and usefully. But those who pay for the provision of health-care services—insurers, managed care organizations, corporations, labor unions, governmental agencies, consumers—also gained this ability. These purchasers are now beginning to demand accountability from providers for the quality and efficiency ("value") of
Learn more about subscription options.
Register Now for a free account.
Couch JB, Nash DB. Severity of Illness Measures: Opportunities for Clinicians. Ann Intern Med. 1988;109:771–773. doi: 10.7326/0003-4819-109-10-771
Download citation file:
Published: Ann Intern Med. 1988;109(10):771-773.
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only