Reforming Medicare Payment: Early Effects of the 1997 Balanced Budget Act on Postacute Care
| Autor: | Nelda McCall, Jodi Korb, Andrew Petersons, Stanley Moore |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Budgets
Balanced budget medicine.medical_treatment media_common.quotation_subject Medicare Postacute Care Patient Readmission Rehabilitation Centers Nursing Health care medicine Humans Reimbursement Health policy media_common Rehabilitation Prospective Payment System business.industry Hospitals Convalescent Health Policy Public Health Environmental and Occupational Health Original Articles Payment Home Care Services United States Logistic Models Outcome and Process Assessment Health Care Health Care Surveys Prospective payment system business Subacute Care |
| Zdroj: | The Milbank Quarterly. 81:277-303 |
| ISSN: | 1468-0009 0887-378X |
| Popis: | The 1997 Balanced Budget Act (BBA) reformed payment for Medicare postacute services. This article examines postacute care use just before and immediately after implementation of the BBA for hospital discharges for five diagnosis-related groups that commonly use postacute care. Changes in treatment patterns were more beneficiaries receiving no postacute care, much less use of home health services both initially and after initial institutional postacute care, and slightly more use of rehabilitation and long-term care hospitals. But no consistent increases in adverse outcomes were observed using logistic regression models. These results demonstrate that financing changes can affect use patterns, that less use does not automatically imply poorer quality, and that the interrelationship of services should be considered when designing reimbursement methodologies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
| Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |