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  • Title: Achieving cost control in the hospital outpatient department.
    Author: Sulvetta MB.
    Journal: Health Care Financ Rev Annu Suppl; 1991; ():95-106. PubMed ID: 10170944.
    Abstract:
    The rapid growth in outpatient expenditures and the congressional mandate for development of a prospective payment system (PPS) for these expenditures are discussed. Extension of diagnosis-related groups to outpatient care is shown to be infeasible. Alternative patient classification schemes and options for defining the unit of payment and establishing weights and rates are discussed. A PPS primarily controls price and can only address volume by defining a broad unit of payment, such as an episode of care. Therefore, adoption of a volume performance standard approach could be effective. Outpatient payment policies must be integrated with those of other ambulatory care providers.
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