Are DRGs Coming To Psychiatric Hospital Near You?


Reps. Jim McCrery of Louisiana, a Republican, and Benjamin Cardin, a Maryland Democrat, have introduced legislation that would move reimbursement for psychiatric hospitals and units to a prospective payment system within three years, while phasing in payment cuts required under the Balanced Budget Act of 1997 over the same period.

Psychiatric inpatient providers are getting the short end of the stick under Medicare, say supporters of the legislation, the Medicare Psychiatric Hospital Prospective Payment System Act of 1998. According to a recent report from the Medicare Payment Advisory Committee, psychiatric hospitals and units now are actually experiencing cuts in reimbursement, without any phase-in period.

Leaders on both sides of the aisle are reviewing the bill to determine whether to hold hearings this summer.

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.