H.R.4511 - A bill to amend title XVIII of the Social Security Act to provide for payment of hospitals under the DRG prospective payment system on the basis of a blend of hospital-specific rates and a national rate, depending on the degree of variation of costs within specific diagnosis-related groups.100th Congress (1987-1988)
|Sponsor:||Rep. Skelton, Ike [D-MO-4] (Introduced 05/03/1988)|
|Committees:||House - Ways and Means|
|Latest Action:||House - 05/09/1988 Referred to Subcommittee on Health. (All Actions)|
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Summary: H.R.4511 — 100th Congress (1987-1988)All Information (Except Text)
Introduced in House (05/03/1988)
Amends title XVIII (Medicare) of the Social Security Act to determine the payments to be made to hospitals under Medicare's prospective payment system on the basis of a blend of hospital-specific rates and a national rate, depending on the degree to which costs vary within specific diagnosis-related groups. Eliminates the urban or rural classification of an area as a consideration in hospital payment determinations.
Requires the Secretary of Health and Human Services to: (1) identify relevant labor markets for hospitals; (2) establish a methodology to determine the proportion of hospital costs which are wage-related and compare the hospital wage level in each labor market with the national average hospital wage level; and (3) take into account differences among hospitals in part and full-time employment patterns.