Cost containment through program design
| Autor: | Mary K. Uyeda, Barbara Dickey, Paul R. Binner, Mark Schlesinger, Stephen Leff |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
Service system
medicine.medical_specialty Inpatient care business.industry Health Policy Public health Public Health Environmental and Occupational Health medicine.disease Mental health Health informatics Health administration Test (assessment) Psychiatry and Mental health Medicine Medical emergency Program Design Language Pshychiatric Mental Health business health care economics and organizations |
| Zdroj: | Administration and Policy in Mental Health. 16:141-154 |
| ISSN: | 1573-3289 0894-587X |
| DOI: | 10.1007/bf00706185 |
| Popis: | This study describes how data from a mental health service system costeffectiveness study was used to develop and test a model for estimating savings in mental health inpatient care reimbursed by Medicare. Simulation resulted in estimated actual savings per admission which vary according to covered length of stay and per diem unit costs, but average at 20% of the Medicare reimbursement. When the model is applied to DRG430 (psychoses) admissions, the savings increased to about thirty percent. The authors caution that costcontainment limited to fiscal incentives may have negative consequences for patient care. Program restructuring designed to better balance the service system through levels of care may be more clinically sound, and less costly, than Medicare's current prospective system. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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