Shifting medicare patients out of the hospital

Academic Article


  • 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.
  • Published In

  • Health Affairs  Journal
  • Digital Object Identifier (doi)

    Author List

  • Morrisey MA; Sloan FA; Valvona J
  • Start Page

  • 52
  • End Page

  • 64
  • Volume

  • 7
  • Issue

  • 5