The effect of case-mix adjustment on admission-based reimbursement.
AUTOR(ES)
Kinzer, D
RESUMO
This paper addresses two questions: (1) Does adjusting for case mix have any effect on prospective admission-based reimbursement? and (2) How does the way in which case type is defined (DRG, ICD9CM, Age, etc) affect reimbursement systems? Data from 20 Maryland hospitals provided the basis for analysis, and the results illustrate how hospital reimbursement is affected under alternative definitions of case type (including no case type), showing highly significant variation. Implications for cost control and existing and proposed prospective reimbursement systems are discussed.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1068747Documentos Relacionados
- Comments on Kinzer and Warner's “The Effect of Case-Mix Adjustment on Admission-Based Reimbursement”
- Case-mix adjustment using objective measures of severity: the case for laboratory data.
- A comparison of patient-centered and case-mix reimbursement for nursing home care.
- Case‐mix adjustment in non‐randomised observational evaluations: the constant risk fallacy
- Nursing home performance under case-mix reimbursement: responding to heavy-care incentives and market changes.