医疗补助疗养院支付系统的比较。
Comparison of Medicaid nursing home payment systems.
作者信息
Schlenker R E
机构信息
University of Colorado Health Sciences Center, Denver 80222.
出版信息
Health Care Financ Rev. 1991 Fall;13(1):93-109.
This article summarizes the main findings of a study comparing three generic Medicaid nursing home payment systems: case-mix, facility-specific, and class-rate. The major comparative analyses examined patient-level case mix and quality, facility-level costs, Medicaid payment rates, and profitability. The study also analyzed case-mix payment systems in greater detail, emphasizing the earlier systems. The results suggest advantages and disadvantages for all system types and highlight important considerations for policyplanners, particularly in States considering case-mix systems. The article concludes with a discussion of issues important to further research on nursing home payment.
本文总结了一项比较三种普通医疗补助疗养院支付系统的研究的主要发现
病例组合、特定机构和统一费率。主要的比较分析考察了患者层面的病例组合与质量、机构层面的成本、医疗补助支付率以及盈利能力。该研究还更详细地分析了病例组合支付系统，重点是早期的系统。结果表明了所有系统类型的优缺点，并突出了政策规划者的重要考虑因素，特别是在考虑采用病例组合系统的州。文章最后讨论了对疗养院支付进一步研究至关重要的问题。
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