Ruther M, Black C
Health Care Financ Rev. 1987 Winter;9(2):91-9.
In this article, we present data on aged and disabled Medicare hospital insurance enrollees discharged with the principal diagnosis of cataract from short-stay hospitals. Medical technology has reduced the risk of cataract surgery and the time needed to perform the surgery. As a result, the number of enrollees undergoing cataract surgery has increased. Also, such surgery has been shifted from inpatient hospitals to outpatient facilities. However, outpatient reimbursement for cataract surgery often equals or exceeds inpatient payments. To address this inequity, Congress legislated payment limits for cataract surgery.
在本文中,我们展示了从短期医院出院的、以白内障为主要诊断的老年及残疾医疗保险参保人的相关数据。医疗技术降低了白内障手术的风险以及手术所需时间。因此,接受白内障手术的参保人数有所增加。此外,此类手术已从住院医院转移至门诊机构。然而,白内障手术的门诊报销费用往往等于或超过住院费用支付。为解决这一不公平现象,国会制定了白内障手术的支付限额。