Winter Ariel
Medicare Payment Advisory Commission (Med'PAC), Washington, DC, USA.
Health Aff (Millwood). 2003 Nov-Dec;22(6):68-75. doi: 10.1377/hlthaff.22.6.68.
Medicare's facility payment rates for an ambulatory surgical procedure differ among settings. These differences raise questions about how Medicare should pay for the same procedure in various settings. In exploring this issue, it is important to look at whether the type of patients treated varies by setting. The recent growth in specialty facilities offers another reason to analyze the mix of patients. This study compares the medical complexity of Medicare beneficiaries treated in ambulatory surgical centers (ASCs) and outpatient departments. Outpatient departments treat beneficiaries who are more medically complex, so ASCs might incur lower costs when providing similar procedures.
医疗保险针对门诊外科手术的机构支付率在不同环境中存在差异。这些差异引发了关于医疗保险应如何在不同环境中为同一手术支付费用的问题。在探讨这个问题时，重要的是要看所治疗患者的类型是否因环境而异。专科机构近期的发展为分析患者构成提供了另一个理由。本研究比较了在门诊手术中心（ASC）和门诊部接受治疗的医疗保险受益人的医疗复杂性。门诊部治疗的受益人医疗复杂性更高，因此门诊手术中心在提供类似手术时可能产生更低的成本。
