《平衡账单调整法案》对急性后期医疗服务利用的影响。
Impact of the BBA on post-acute utilization.
作者信息
Gage B
机构信息
Urban Institute, 2100 M Street, NW, Washington, D.C. 20037, USA.
出版信息
Health Care Financ Rev. 1999 Summer;20(4):103-26.
Abstract
In this article, the author summarizes recent changes in Medicare post-acute payment policies, discusses the implications of certain design and implementation issues, and analyzes whether different types of patients are using skilled nursing facilities (SNFs), home health agencies (HHAs), and rehabilitation hospitals and units. If similar populations are treated by these three types of providers, service patterns may be affected by the financial incentives in the new, more restrictive payment policies. The author describes new post-acute care (PAC) payment policies, service patterns prior to the Balanced Budget Act of 1997 (BBA), differences in the populations using these providers, and possible effects of the new payment systems on site-of-care decisions.
摘要
在本文中，作者总结了医疗保险急性后期支付政策的近期变化，讨论了某些设计和实施问题的影响，并分析了不同类型的患者是否正在使用专业护理机构（SNFs）、家庭健康机构（HHAs）以及康复医院和康复单元。如果这三类医疗服务提供者所治疗的人群相似，那么新的、更具限制性的支付政策中的经济激励措施可能会影响服务模式。作者描述了新的急性后期护理（PAC）支付政策、1997年《平衡预算法案》（BBA）之前的服务模式、使用这些医疗服务提供者的人群差异，以及新支付系统对护理地点决策的可能影响。
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