Shifting Medicare patients out of the hospital. uri icon


  • Medicare's prospective payment system (PPS) created incentives for the early discharge of hospitalized patients to sub-acute care: skilled nursing and intermediate care facilities, home health agencies, and long-term care hospitals. This study by Michael Morrisey, Frank Sloan, and Joseph Valvona examines changes in the proportion of patients transferred, the length-of-stay prior to transfer, and mean case-mix complexity of transferred patients. Their conclusions raise a number of issues for health policy and health care management.

author list (cited authors)

  • Morrisey, M. A., Sloan, F. A., & Valvona, J.

citation count

  • 28

complete list of authors

  • Morrisey, MA||Sloan, FA||Valvona, J