Medicare Prospective Payment and the Shaping of U.S. Health Care

Acknowledgments ix List of Acronyms xiii Introduction 1(12) Origins and Policy Gestation 13(17) Development, Growing Appeal, and Passage of Prospective Payment 30(17) The Phase-In Years and Beginning of ``Rough Justice'' for Hospitals 47(17) Medicare Policy's Subordination to Budget Policy, Increased Hospital Cost Shifting, and the Rise of Managed Care 64(17) The Resource-Based Relative-Value Scale Reforms for Physician Payment 81(12) The Calm before the Storm 93(19) The Reckoning and Reversal 112(22) Conclusion. How Medicare Does and Should Shape U.S. Health Care 134(23) Appendix. Interviews 157(4) Notes 161(50) References 211(26) Index 237