The 2008 American Hospital Association (AHA) Annual Survey, a national survey of US hospitals with a 70% annual response, (13) contained information on HOPDs, whereas the 2010 full-year Medicare Provider of Services (POS) Extract, created from the Centers for Medicare and Medicaid Services (CMS) Online Survey and Certification Reporting System (OSCAR) database, contained information on ASCs.
There were 178 433 claims, of which 132 541 (74%) were from HOPDs and 45 892 (26%) were from ASCs.
Simply, the 'bundling payment policy' advanced in the ASC and HOPD proposed rules would destroy the present system, resulting in the closure of almost all eye banks.
Under the complicated reimbursement system, HCFA is proposing to pay ASCs a bundled payment of $1648 and HOPDs a bundled payment of $1476.
Tables 3 and 4 present results generated from the regression models comparing ASC and HOPD quality performance across all studied procedures and both risk-adjustment approaches.
Future research also needs to evaluate the effects of nonreporting of secondary diagnoses on ASC and HOPD payment mechanisms.
Until recently, HOPD services were paid on a retrospective, facility-specific, cost-based system.
Hoping to emulate the success of Medicare's inpatient PPS Congress, with the Omnibus Budget Reconciliation Act of 1990, has directed the Health Care Financing Administration (HCFA) to develop a PPS for HOPD services.
Although movement toward the outpatient setting began in the late 1970s, more recently there has been unprecedented growth in outpatient services generally, and HOPD services specifically.
The growth in HOPD services is reflected in changes in hospital organization, utilization, and revenues.
Misaligned reimbursement rates also cause patients to pay higher out-of-pocket costs for treatment at HOPDs