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Impact of Proposed MedPAC Index by Hospital Group

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                                Mean percentage change from current

                                 (post-reclassification) index to MedPAC

                        index:


                                           Inpatient payments      Wage index value   

Hospital Group   Number of Hospitals

                                            (dollar weighted)       (hospital weighted)      


Total                       3,586                 0.0%                         0.5%


No exception                                      2,135        0.4          1.6
Out-commuting only                            227        0.1          1.2
Reclassification                                   777       -1.3         -2.8
Special exception                                  18        -4.2         -6.9
Other hospitals                                    429         0.1          1.1

Rural                                                   1,010       -0.7           0.7
<100 beds                                             722        0.2           1.6
100 + beds                                            288       -1.3         -1.6

Urban                                                   2576        0.1           0.5
<300 beds                                          1,988      -0.2           0.3
300+ beds                                             588        0.3           1.0

Teaching status
Major teaching                                       298       0.2           0.9
Other teaching                                       786       0.2           0.6
Nonteaching                                        2502      -0.2           0.5

Ownership
Not for profit                                        2,114       0.0            0.5
Proprietary                                             873        0.0            0.1
Government                                           596       0.1            1.1


Source: MedPAC, Report to Congress: Promoting Greater Efficiency in Medicare, June 2007, p.137.
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