Medicare's disproportionate share adjustment and the cost of low-income patients.
J Health Econ
; 16(2): 177-90, 1997 Apr.
Article
em En
| MEDLINE
| ID: mdl-10169093
We investigated whether or not hospitals have higher costs for inpatient care provided low-income Medicare patients, after controlling for other cost differences already accounted for by Medicare payments. We estimated differences in Prospective Payment System-adjusted costs and outlier-adjusted length of stay for low-income patients relative to matching non-low-income cases from the same hospital in 85 high-volume diagnosis-related groups (N = 1,247,670). Low-income Medicare patients do not have costlier hospital stays, although their stays are 2.5% longer. We conclude that disproportionate share payments are not justified on grounds of higher treatment costs.
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Base de dados:
MEDLINE
Assunto principal:
Pobreza
/
Sistema de Pagamento Prospectivo
/
Medicare Part A
/
Custos Hospitalares
Tipo de estudo:
Diagnostic_studies
/
Health_economic_evaluation
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
1997
Tipo de documento:
Article