Автор |
Schlenker, Robert E. |
Автор |
Shaughnessy, Peter W. |
Дата выпуска |
1993 |
dc.description |
This paper presents a conceptual analysis of access, quality, and cost containment incentives created bv several current and potential Medicare reimbursement methodologies. The alternatives examined are methods used by health-maintenance organizations (HMOs) and three options receiving national policy consideration: prospective per-visit and per-episode payment, and "bundling." The analysis found better incentives (from a policy perspective) for HMOs with integral home health units than for HMOs using outside contractors. Of the other options, per-episode payment appeared most promising, but requires accurate case mix adjustments. All approaches also require quality assurance tailored to reimbursement incentives. Topics for further research and demonstrations are suggested. |
Формат |
application.pdf |
Издатель |
Taylor & Francis Group |
Копирайт |
Copyright Taylor and Francis Group, LLC |
Название |
Medicare Home Health Reimbursement Alternatives |
Тип |
research-article |
DOI |
10.1300/J027v13n01_05 |
Electronic ISSN |
1545-0856 |
Print ISSN |
0162-1424 |
Журнал |
Home Health Care Services Quarterly |
Том |
13 |
Первая страница |
91 |
Последняя страница |
115 |
Аффилиация |
Schlenker, Robert E.; Associate Professor, Department of Medicine, University of Colorado Health Sciences Center |
Аффилиация |
Shaughnessy, Peter W.; Professor and Director, Department of Medicine, University of Colorado Health Sciences Center |
Выпуск |
1-2 |