1. Congressional Budget Office , “Medicare Spending on Post-Acute Care Services: A Preliminary Analysis” ( Washington: CBO , January 1997 ).
2. Health Care Episodes: Definition, Measurement and Use
3. The actual payment system has adjustments for teaching status and other complexities. The standard deviation of actual margins is twenty-two percentage points, which summarizes the distribution of margins as reported in Prospective Payment Assessment Commission
,
Medicare and the American Health Care System
(
Washington: ProPAC
,
June 1996
),
71
.