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Könyv Medicare's New Hospital Payment System Louise B. Russell

Medicare's New Hospital Payment System

Is it Working?

Szerző: Louise B. Russell
Nyelv: Angol
Kötés: Puha kötésű
Kiadó: Brookings Institution
Elérhetőség: Beszállítói készleten
Küldés 14-21 napon belül
10 332 Ft
In 1983 Congress changed the way Medicare pays for hospital care. Under the new prospective payment...

Információk a könyvről

Szerző
Louise B. Russell
Nyelv
Angol
Kötés
Könyv - Puha kötésű
Kiadva
1989
oldal
120
EAN
9780815776239
ISBN
0815776233
Enbook ID
04728280
Kiadó
Brookings Institution
Súly
200
Méretek
155 x 230 x 9

Teljes leírás

In 1983 Congress changed the way Medicare pays for hospital care. Under the new prospective payment system, hospitals are paid a fixed rate, set in advance, to cover a patient's stay. If costs are less than the fixed rates, the hospital keeps the profit; if the costs are more, it absorbs the loss. From the beginning, prospective payment was recognized as a revolutionary change in Medicare. Congress wanted a system that would make federal expenditures more predictable and controllable, and expected hospitals to respond by becoming more efficient. Some observers have hailed it as a successful way to control the spiraling costs of the Medicare program. Others have criticized it as arbitrary and a threat to the health of the elderly. In the six years since prospective payment was introduced, a substantial amount of evidence has accumulated about its effects. Russell looks at the major characteristics of the rate payment system, how it has changed the pattern of medical service, how these changes have affected the health of the beneficiaries, and the system's effects on Medicare outlays. She reviews what is known and what needs to be learned to arrive at a valid assessment of the system. Moreover, she contributes to the larger debate on Medicare by making what are frequently quite technical evaluations accessible to the general public.

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