The cost-shift payment 'hydraulic': foundation, history, and implications.
Health Aff (Millwood)
; 25(1): 22-33, 2006.
Article
em En
| MEDLINE
| ID: mdl-16403741
ABSTRACT
The cost-shift payment "hydraulic" is an integral component of the fragmented U.S. health care financing system. If private payers' acceptance of the cost-shifting burden were to erode, our system of health care financing could become unstable. This is especially true for the hospital industry. In this paper we provide a series of examples of cost shifting and a historical profile of the cost shift in the hospital industry since 1980, noting that cost-shifting pressures seem to fluctuate over time and across health care markets. Cost shifting need not be dollar per dollar, as hospitals can absorb some degree of cost-shifting pressure through increased efficiency and decreases in service provision.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Custos Hospitalares
/
Alocação de Custos
Tipo de estudo:
Health_economic_evaluation
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Health Aff (Millwood)
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Estados Unidos