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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
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