From 3M Health Information Systems
Looking back and moving forward: The Medicare Inpatient Prospective Payment System
Forty years after its implementation, the Medicare Inpatient Prospective Payment System (IPPS) has been a largely successful payment system. What led to this victory and what best practices can we take away on the road to value-based care? Take a step back in time with Rich Averill as he describes the history of IPPS and glimpse into the future of how this history could inform future programs.
The Medicare IPPS: 40 years later
Russell, L.B. & Manning, C.L. (1989, February 16). The effects of prospective payment on Medicare expenditures. The New England Journal of Medicine, 320(7), 439-44.
Thompson, J.D., Averill, R.F. & Fetter, R.B. (1979, Summer). Planning, budgeting, and controlling – one look at the future: Casemix cost accounting. Health Services Research, 14(2), 111-125.
Schweiker R.S. (1982, December). Report to Congress: Hospital prospective payment for Medicare. U.S. Department of Health and Human Services.
Averill, R.F., Hughes, J.S. & Goldfield, N.I. (2011, April). Paying for Outcomes, Not Performance: Lessons from the Medicare Inpatient Prospective Payment System. The Joint Commission Journal on Quality and Patient Safety, 37(4), 184-192.
Averill, R, Mills, R, (2023, April-June). The Medicare IPPS 40 Years Later Lessons Learned and What to Do Next. J Ambulatory Care Manage. 46(2), 73–82.