Kinney E D, Lefkowitz B
American Hospital Association.
J Health Polit Policy Law. 1982 Fall;7(3):648-66. doi: 10.1215/03616878-7-3-648.
Issues in current capital cost reimbursement to community hospitals by Medicare and Medicaid are described, and options for change analyzed. Major reforms in the way the federal government pays for capital costs--in particular substitution of other methods of payment for existing depreciation reimbursement--could have significant impact on the structure of the health care system and on government expenditures. While such reforms are likely to engender substantial political opposition, they may be facilitated by broader changes in the reimbursement system.
描述了医疗保险和医疗补助计划目前向社区医院偿还资本成本的问题，并分析了变革的选项。联邦政府支付资本成本方式的重大改革——特别是用其他支付方式取代现有的折旧偿还——可能会对医疗保健系统的结构和政府支出产生重大影响。虽然此类改革可能会引发大量政治反对，但报销系统的更广泛变革可能会推动这些改革。
