The Impact of the Medicare Balanced Budget Refinement Act on Medicare Payments to Hospitals
February 2000
American Hospital Association
In May of 1999, The Lewin Group prepared a report for the American Hospital Association (AHA) showing the impact of the Balanced Budget Act of 1997 (BBA) Medicare provisions on America's hospitals and health systems. The BBA reduced payments for most hospital-based services, e.g. inpatient acute care, outpatient care, home health care, skilled nursing care, medical education, indigent care, and many other services.