Document Detail


The impact of transfer patients on Medicare inpatient cost per discharge.
MedLine Citation:
PMID:  10169954     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The cost of inpatient transfer cases has concerned hospitals as well as rate-setters. Reform of transfer payment in Medicare's Prospective Payment System has been suggested to ensure access and adequate treatment for these cases in a period where inpatient revenue has been declining. This analysis indicates that both transfer cases received and cases transferred to other hospitals have above average costs per case but their impact on Medicare inpatient cost per discharge is smaller than that of variables such as case-mix, area wages and resident/bed ratio which are used directly in PPS payment. Evidence is provided indicating the desirability of reform of PPS payment methods for transfer cases.
Authors:
W Buczko
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of health & social policy     Volume:  9     ISSN:  0897-7186     ISO Abbreviation:  J Health Soc Policy     Publication Date:  1997  
Date Detail:
Created Date:  1997-10-14     Completed Date:  1997-10-14     Revised Date:  2000-12-18    
Medline Journal Info:
Nlm Unique ID:  9000937     Medline TA:  J Health Soc Policy     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  63-76     Citation Subset:  H    
Affiliation:
Health Care Financing Administration, Baltimore, MD 21244, USA.
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MeSH Terms
Descriptor/Qualifier:
Cost Control
Hospital Costs / statistics & numerical data*
Hospitals / classification
Medicare Part A / statistics & numerical data*
Models, Organizational
Organizational Policy
Ownership
Patient Discharge / economics*
Patient Transfer / economics*,  statistics & numerical data
Prospective Payment System
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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