| Autor: |
Finkler MD; Lawrence University, Appleton, WI 54912-0599., Wirtschafter DD |
| Jazyk: |
angličtina |
| Zdroj: |
Inquiry : a journal of medical care organization, provision and financing [Inquiry] 1993 Summer; Vol. 30 (2), pp. 208-15. |
| Abstrakt: |
Third-party insurers typically pay at least 50% more for cesarean sections than for vaginal deliveries, suggesting that a reduced national cesarean-section rate could save payers more than $1 billion annually. This paper discusses the payment implications of a cost-effectiveness study, based on the experience within one health maintenance organization, in which cesarean-section rates were unrelated either to direct costs or to perinatal outcomes. Given these results, insurers should consider paying a flat fee for obstetric services unless differing risk levels or risk-adjusted outcomes justify different amounts. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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