| Autor: |
Helena Temkin-Greener, Mark R. Meiners, Leonard Gruenberg |
| Jazyk: |
angličtina |
| Rok vydání: |
2001 |
| Předmět: |
|
| Zdroj: |
Inquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 38 (2001) |
| Druh dokumentu: |
article |
| ISSN: |
0046-9580 |
| DOI: |
10.5034/inquiryjrnl_38.1.60 |
| Popis: |
This paper investigates the impact of the Medicare principal inpatient diagnostic cost group (PIP-DCG) payment model on the Program of All-Inclusive Care for the Elderly (PACE). Currently, more than 6,000 Medicare beneficiaries who are nursing home certifiable receive care from PACE, a program poised for expansion under the Balanced Budget Act of 1997. Overall, our analysis suggests that the application of the PIP-DCG model to the PACE program would reduce Medicare payments to PACE, on average, by 38%. The PIP-DCG payment model bases its risk adjustment on inpatient diagnoses and does not capture adequately the risk of caring for a population with functional impairments. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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