Severity of illness and profitability: a patient level analysis
| Autor: | D Z Louis, C E Carpenter, Michael D. Rosko, E J Yuen |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject Breast Neoplasms Coronary Disease macromolecular substances Disease Medicare Insurance Hospitalization Severity of Illness Index Hospitals University 03 medical and health sciences 0504 sociology Accounting Severity of illness medicine Cholecystitis Revenue Humans Hospital Costs Intensive care medicine health care economics and organizations Health policy Diagnosis-Related Groups media_common Philadelphia 030505 public health business.industry Prospective Payment System Health Policy 05 social sciences 050401 social sciences methods Hospital Bed Capacity 500 and over Payment United States Predictive power Income Profitability index Prospective payment system 0305 other medical science business |
| Zdroj: | Health services management research. 12(4) |
| ISSN: | 0951-4848 |
| Popis: | Crafting a payment mechanism for hospitals that provides for the legitimate operating needs of efficient institutions is an enduring health policy dilemma. The Prospective Payment System used by Medicare and some other payers in the US has been criticized for not adjusting for differences in severity of illness within diagnosis-related groups (DRGs). Previous studies have examined the relationship between profitability and severity of illness at the hospital level. This study examines the relationships between severity of illness and cost, revenue, and profit at the patient level. Two measures of severity (disease stage and number of unrelated diseases) were significant predictors of cost per case, and often had better predictive power than DRGs. In most instances, payers did not compensate adequately for severity so that higher values for the severity variables resulted in financial losses for the hospital. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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