Hospital Department Cost and Employment Increases: 1980-92

Hospital costs have continued to rise at rates well in excess of inflation generally, even after the introduction of Medicare's per case prospective payment system (PPS). This article uses a hospital subscriber microcost reporting system to show trends in costs, wages, labor hours, and outputs for more than 50 individual departments from 1980-92. Descriptive results show dramatic growth in the operating room, catheter lab, and other technologically driven cost centers. Administrative costs also increased rapidly through 1988, but slowed thereafter. The paperwork billing and collection burden of hospitals is estimated to be $6 billion in 1992, or approximately 4 percent of total expenses.

• Publication year

  1995

• Venue

  Health Care Financing Review

• Publication date

  Unknown publication date

• Fields of study

  Medicine, Economics

• Identifiers
  PMID 10153468PMCID 4193578
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Trends in hospital labor and total factor productivity, 1981-86

  1989cited by this paper
• Hospital productivity and intensity trends: 1980-87.

  1989cited by this paper
• Medicare case-mix index increase

  1986cited by this paper
• Health Care Financing Review

  1980cited by this paper

• Administrative costs in health care-A scoping review.

  2018cites this paper
• The effects of hospitals' governance on optimal contracts: bargaining vs. contracting.

  2011cites this paper
• The effect of disability on personal quality of primary care received by older adults

  2009cites this paper
• The impact of Medicare's Prospective Payment System on staffing of long-term acute care hospitals: the early evidence.

  2008cites this paper
• Analyzing administrative costs in hospitals.

  2006cites this paper
• Medical Devices: Competitiveness and Impact on Public Health Expenditure

  2005cites this paper
• Cost Savings and Physician Responses to Global Bundled Payments for Medicare Heart Bypass Surgery

  1997cites this paper