The author is grateful to Rachel Werner for assistance in obtaining access to the MEDPAR
data and to Mark Pauly, Scott Harrington, Guy David, Joel Waldfogel, Jenny Kenney, and Stephen Zuckerman for helpful advice and suggestions.
The 50 PPC cost estimates shown in Table 2, derived from the national MEDPAR
data set, were compared to previous estimates for 49 PPCs (excluding PPC 26) and 47 PPCs (excluding PPCs 54 and 64) for Maryland and California, respectively (Fuller et al.
We used the departmental method to estimate the accounting cost of MEDPAR
Beneficiary liability was calculated as 20 percent of the portion of the bundled payment apportioned to the Part B trust fund under the demonstration, plus the inpatient deductible (if owed) from the MEDPAR
METHOD 1: ESTIMATION OF HOSPITAL COSTS USING MEDPAR
data contain a summarized record for 100 percent of all admissions to acute and longstay hospitals, as well as SNFS.
contains a summarized record of hospital claims for all Medicare hospitalizations in a given calendar year.
Data bases outside the Medicare provider analysis and review (MEDPAR
) files will be used to supplement MEDPAR
data, as has been done in the past.
is an analytical file created from Medicare hospital and SNF claims and maintained by HCFA.