Incentives in case-mix measures for long-term care.
Health Care Financ Rev
; 6(2): 53-9, 1984.
Article
en En
| MEDLINE
| ID: mdl-10310952
ABSTRACT
Several States now use patient-based payments for skilled nursing facilities and intermediate care facilities; others are in the process of developing case-mix systems. The Health Care Financing Administration is working under congressional mandate to develop a prospective case-mix system for Medicare payments to skilled nursing facilities. If new payment methods follow the existing pattern, they will be based not on the patient's clinical characteristics but rather on a mixture of clinical characteristics and services delivered. As a result, innate incentives are contained in data collection systems which are cost-increasing at best and dangerous at worst. A preferable approach would be to develop payment schemes based on the patient's degree of dependence.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Mecanismo de Reembolso
/
Instituciones de Cuidados Especializados de Enfermería
/
Sistema de Pago Prospectivo
/
Grupos Diagnósticos Relacionados
/
Costos y Análisis de Costo
/
Instituciones de Cuidados Intermedios
/
Casas de Salud
Tipo de estudio:
Health_economic_evaluation
País como asunto:
America do norte
Idioma:
En
Año:
1984
Tipo del documento:
Article