Fetter, Thompson: inventors of DRGs look at PPS now

Article Abstract:

Yale professors emeritus Robert B. Fetter and John D. Thompson are generally pleased with the way Medicare and hospitals are using diagnosis-related groups (DRGs). Medicare uses DRGs, which Fetter and Thompson developed, to pay hospitals for Medicare patients. Fetter believes that DRGs made the Medicare payment system more sensible, and Thompson thinks DRGs resulted in substantial savings for the HCFA. Both men would like hospitals to use DRGs to attain better quality management. For example, DRGs can be used to examine the cost and effectiveness of various treatments.

Admin. of social & manpower programs, Usage, Quality management, Interview, Medicare, Prospective payment systems (Medical care), Diagnosis related groups, Fetter, Robert B., Thompson, John D.

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Hospitals seize new opportunities in state privatization efforts

Article Abstract:

Recession conditions are forcing many states to consider privatizing health services, particularly in the area of mental health. Massachusetts has the most comprehensive program. The state recently adopted a plan that would reduce 34 public facilities to 23 and place 2,000 patients in private facilities. Private hospitals welcome the new business but are wary of entering into partnerships with the state. They are also inexperienced in the area of mental health law. Privatization efforts in Maine and New York are described.

Social policy, Massachusetts, Maine, Public health, New York, Community psychiatric services, Community mental health services, New York (State)

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Hospitals become more involved in political process

Article Abstract:

The American Hospital Association (AHA) is spearheading a move into politics to give hospitals a voice in the 1992 presidential election. Since health care is a major factor in the 1992 congressional and presidential races, it is important that the medical profession be highly visible in the debate. Strategies of the AHA include influencing the development of national party platforms and educating major political party delegates to the needs of the medical profession.

Political activity, Political aspects, Medical policy, Health policy, American Hospital Association

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