Gerber David R, Bekes Carolyn E, Parrillo Joseph E
Section of Critical Care Medicine, Division of Cardiovascular Disease and Critical Care Medicine, Cooper University Hospital, Camden, NJ, USA.
Crit Care Med. 2006 Mar;34(3 Suppl):S82-7. doi: 10.1097/01.CCM.0000199986.04094.35.
To review the effect of Medicare part A payments (to hospitals) and part B payments (to providers) on critical care in the United States.
Sources included U.S. government data and published literature reviewing the impact of Medicate payments on critical care.
Government data were reviewed to assess the history and status of reimbursement to hospitals and healthcare providers. These data, along with input from published literature, was used to assess the adequacy of current and projected Medicare reimbursements and the implications of these payments.
Medicare payments to hospitals, particularly for critically ill patients, seem to fall short of the costs of caring for these patients. Reimbursements to providers seem more encouraging, although the opportunity exists to improve in this area as well.
回顾美国医疗保险A部分（支付给医院）和B部分（支付给医疗服务提供者）对重症监护的影响。
数据来源包括美国政府数据以及已发表的关于医疗保险支付对重症监护影响的文献综述。
对政府数据进行审查，以评估医院和医疗服务提供者报销的历史和现状。这些数据，连同已发表文献的意见，被用于评估当前和预计的医疗保险报销的充足性以及这些支付的影响。
医疗保险向医院的支付，尤其是针对重症患者的支付，似乎不足以支付照顾这些患者的成本。向医疗服务提供者的报销似乎更令人鼓舞，不过在这方面也有改进的空间。
