Grimaldi P L
Birch & Davis Health Management Corp, Silver Spring, Maryland, USA.
J Health Care Finance. 2000 Winter;27(2):30-44.
This article explains the construction and principal components of Medicare's new hospital outpatient prospective payment system. Examples illustrate the calculation of the payment rates and other amounts that hospitals are paid under the new system. The article concludes with observations about the new system's construction, and operational steps hospitals will likely take to comply with its reporting requirements and optimize Medicare payments.
本文介绍了医疗保险新的医院门诊前瞻性支付系统的构建及主要组成部分。文中举例说明了新系统下医院所获支付率及其他金额的计算方法。文章最后对新系统的构建进行了评述，并阐述了医院为遵守其报告要求及优化医疗保险支付可能采取的操作步骤。
