Others titles
- Medicare Aged Beneficiaries Inpatient Discharge Charges 1972-2011
- Medicare Aged Beneficiaries Average Length Of Stay And Cost 1972-2011
- Medicare Aged Beneficiaries Program Payments Short Stay Hospitals 1972-2011
Keywords
- Discharge Payments
- Average Length of Hospital Stay
- Medicare Short-Stay Hospital Inpatient Services
- Utilization Trends and Patterns Discharge Cost
- Hospital Statistics
- Hospital Discharge Statistics
- Hospital Inpatient
- Average Hospital Stay Cost
- Hospitalization Statistics
- Diagnosis Related Groups
- Prospective Payment System (PPS)
Medicare Beneficiary Short Stay Hospital Charges and Discharges
The dataset gives information on the Discharges, Total Days of Care, Total Charges, and Program Payments for Medicare Beneficiaries Discharged from Short-Stay Hospitals, by Type of Entitlement for the Calendar Years 1972-2011. Here the type of entitlement is for Aged Beneficiaries.
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Description
Medicare beneficiaries short-stay hospital inpatient services provide a means of comparing changes during the study period in the number of discharges, average length of stay and number of health insurance enrollees. The 1983 amendments to the Social Security Act (Public Law 98-21) provided for a prospective payment system (PPS), effective October 1, 1983, for most short-stay hospitals certified to provide inpatient services to Medicare beneficiaries. Diagnosis-Related Groups code (DRG code) is assigned to short-stay hospital discharge record in the Medicare prospective payment to the hospital. Shifts in the distribution of the discharges and the average length of stay among the DRGs since 1983 reflect the adaptation of hospitals to the incentives embedded in PPS and the ongoing refinements in the methods of assigning DRGs to discharges from short-stay hospitals. Utilization trends and patterns in Medicare short-stay hospital inpatient services have shown substantial changes since the implementation of PPS. Coinciding with the introduction of PPS, the number of short-stay hospital discharges declined for the first time in the history of the Medicare program. There was an 11.3 percent decline in the number of annual discharges from 1983 (11.55 million) to 1988 (10.26 million). Interpretation of the shifts is based on a consideration of the significant refinements in the medical coding system, the technological and scientific advances in the practice of medicine, the effect of shifting patient treatment to alternative sites, policy or legislative changes affecting Medicare coverage, and the annual recalibration of the DRG weights.
About this Dataset
Data Info
Date Created | 2012 |
---|---|
Last Modified | 2012 |
Version | 2012 |
Update Frequency |
Never |
Temporal Coverage |
1972-2011 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicaid and Medicare Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Discharge Payments, Average Length of Hospital Stay, Medicare Short-Stay Hospital Inpatient Services, Utilization Trends and Patterns Discharge Cost, Hospital Statistics, Hospital Discharge Statistics, Hospital Inpatient, Average Hospital Stay Cost, Hospitalization Statistics, Diagnosis Related Groups, Prospective Payment System (PPS) |
Other Titles | Medicare Aged Beneficiaries Inpatient Discharge Charges 1972-2011, Medicare Aged Beneficiaries Average Length Of Stay And Cost 1972-2011, Medicare Aged Beneficiaries Program Payments Short Stay Hospitals 1972-2011 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Type_Of_Beneficiary | Beneficiary category; All or Aged or Disabled | string | - |
Year | Year of data | date | - |
Number_Of_Discharges_In_1000 | Number of discharges | integer | level : Ratio |
Rate_Of_Discharges_Per_1000_Enrollees | Rate of discharge per 1000 health insurance enrollees | number | level : Ratio |
Total_Days_Of_Care_Number_In_1000 | Total days of hospital stay | integer | level : Ratio |
Total_Days_Of_Care_Rate_Per_1000_Enrollees | Rate of days of hospital stay per 1000 enrollees | number | level : Ratio |
Total_Days_Of_Care_Per_Discharge | Rate of days of hospital stay per discharge | number | level : Ratio |
Total_Charges_Amount_In_Millions | Total charge of short stay of hospitalization | number | level : Ratio |
Total_Charges_Per_Discharge | Total charge of short stay of hospitalization per discharge of the year | number | level : Ratio |
Program_Payments_Amount_In_Millions | Medicare program payment amount | number | level : Ratio |
Program_Payments_Per_Discharge | Medicare program payment amount per discharge | number | level : Ratio |
Program_Payments_Per_Enrollee | Medicare program payment amount per enrollee | number | level : Ratio |
Program_Payments_Per_Day | Medicare program payment amount per day | number | level : Ratio |
Program_Payments_Percent_Of_Total_Charges | Medicare program payment amount as percent of total charges | number | level : Ratio |
Program_Payments_Percent_Of_Total_Medicare_Payments | Medicare program payment amount as percent of total Medicare payments | number | level : Ratio |
Data Preview
Type Of Beneficiary | Year | Number Of Discharges In 1000 | Rate Of Discharges Per 1000 Enrollees | Total Days Of Care Number In 1000 | Total Days Of Care Rate Per 1000 Enrollees | Total Days Of Care Per Discharge | Total Charges Amount In Millions | Total Charges Per Discharge | Program Payments Amount In Millions | Program Payments Per Discharge | Program Payments Per Enrollee | Program Payments Per Day | Program Payments Percent Of Total Charges | Program Payments Percent Of Total Medicare Payments |
Aged beneficiaries | 1972 | 6380 | 302 | 77198 | 3656 | 12.1 | 7401 | 1160 | 5576 | 874 | 264 | 72 | 75.3 | 69.5 |
Aged beneficiaries | 1973 | 6751 | 313 | 78987 | 3662 | 11.7 | 8227 | 1219 | 6245 | 925 | 290 | 79 | 75.9 | 69.1 |
Aged beneficiaries | 1974 | 7033 | 320 | 80880 | 3677 | 11.5 | 9614 | 1367 | 7209 | 1025 | 328 | 89 | 75.0 | 70.3 |
Aged beneficiaries | 1975 | 7285 | 324 | 81592 | 3631 | 11.2 | 11853 | 1627 | 8859 | 1216 | 394 | 109 | 74.7 | 67.9 |
Aged beneficiaries | 1976 | 7607 | 332 | 84438 | 3684 | 11.1 | 14263 | 1875 | 10589 | 1392 | 462 | 125 | 74.2 | 67.7 |
Aged beneficiaries | 1977 | 7850 | 334 | 86967 | 3705 | 11.1 | 17072 | 2175 | 12455 | 1587 | 531 | 143 | 73.0 | 69.1 |
Aged beneficiaries | 1978 | 8133 | 339 | 88557 | 3692 | 10.9 | 19772 | 2431 | 14182 | 1744 | 591 | 160 | 71.7 | 68.9 |
Aged beneficiaries | 1979 | 8478 | 345 | 91239 | 3717 | 10.8 | 22938 | 2706 | 16251 | 1917 | 662 | 178 | 70.8 | 67.7 |
Aged beneficiaries | 1980 | 9051 | 361 | 96772 | 3855 | 10.7 | 28114 | 3106 | 19460 | 2150 | 775 | 201 | 69.2 | 66.6 |
Aged beneficiaries | 1981 | 9400 | 367 | 98223 | 3838 | 10.4 | 33564 | 3571 | 22814 | 2427 | 891 | 232 | 68.0 | 62.3 |