We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

The Impact of Medicare's Prospective Payment System on Wisconsin Nursing Homes-Reply

Mark A. Sager, MD; Elaine A. Leventhal, MD, PhD
JAMA. 1987;258(5):612. doi:10.1001/jama.1987.03400050053020.
Text Size: A A A
Published online


In Reply.—  The letter by Langer et al provides additional data from the Wisconsin Veterans Home about the impact of the prospective payment system (PPS) on nursing homes in our state. Average hospital length of stay for their residents in 1986 was 6·35 days, which is significantly shorter than the 8·0 days we reported for Wisconsin's institutionalized Medicaid population in 1984. If these length-of-stay data are confirmed by other nursing homes, then the average length of hospital stays for nursing home residents has continued to decline since 1984 and is now significantly shorter than the 7·9 days reported by the Wisconsin Hospital Association for all Medicare beneficiaries in 1986.Although Langer et al do not provide pre-PPS data for comparison, their findings are consistent with the results of our study. The short hospital stays, the readmission rate, and the number of residents dying within 15 days of a hospital discharge


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.