Scanlon William J
National Health Policy Forum, Washington, DC, USA.
Health Aff (Millwood). 2006 Jan-Feb;25(1):70-80. doi: 10.1377/hlthaff.25.1.70.
The combination of health care cost growth exceeding general inflation and the swelling of beneficiary rolls with baby boomers will create fiscal pressure for Medicare. Despite dramatic declines in the growth of hospital costs following the introduction of Medicare's prospective payment system (PPS), the growth in Medicare hospital spending per beneficiary has been close to three times the overall rate of inflation since 2000. This paper examines issues related to Medicare's using its pricing policies to more aggressively pursue hospital cost containment. I discuss the need to calibrate payments to reflect expected necessary costs to reduce potential effects on beneficiaries' access, quality of care, or technological improvements.
医疗保健成本增长超过总体通货膨胀率，加上婴儿潮一代受益人数的增加，将给医疗保险带来财政压力。尽管在医疗保险的预期支付系统（PPS）推出后，医院成本增长大幅下降，但自2000年以来，医疗保险每位受益人的医院支出增长已接近总体通货膨胀率的三倍。本文探讨了医疗保险利用其定价政策更积极地控制医院成本所涉及的问题。我讨论了校准支付以反映预期必要成本的必要性，以减少对受益人获得医疗服务、医疗质量或技术改进的潜在影响。
