Rethinking the Chosen Eleven | JCO Oncology Practice
An elite club of 11 medical centers started with the introduction of the inaugural eight members in 1983 through the Social Security Amendments Act, with additional members added in 1989 through the Omnibus Reconciliation Act and in 1997 through the Balanced Budget Act. 1 Who are these 11? They are the prospective payment system (PPS)–exempt hospitals (PCHs). For context, it is important to recognize that the concept of PCHs began when Medicare shifted its payment model to the PPS system in 1983, setting
