• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>Journal of the National Medical Association >Prospective Payment for Hospital Costs Using Diagnosis-Related Groups: Will Cost Inflation Be Reduced?
【2h】

Prospective Payment for Hospital Costs Using Diagnosis-Related Groups: Will Cost Inflation Be Reduced?

机译：使用诊断相关组来为医院费用提供预期付款：费用通货膨胀会减少吗？

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

In response to rapidly rising costs in the medical care industry, especially for inpatient hospital charges, the Reagan administration has sent the first component of a plan for prospective payment of medical care to Congress. This first phase would involve changing reimbursement for hospital charges under Medicare using a system of predetermined rates for particular illnesses. Reimbursement rates have been set for 467 patient-illness categories, or diagnosis-related groups (DRGs), in an attempt to eliminate the variance in hospital costs and stem inflation under Medicare for patients with similar illnesses. But such a system is still subject to manipulation by hospitals that seek to increase reimbursement either to meet costs not covered by the appropriate DRG or to increase profit. The DRG reimbursement system does not prevent cost shifting to private insurance patients and does not involve physicians in efforts to improve cost efficiency. Although the DRG approach may seem conceptually appropriate, implementation will be difficult and the dampening effect on rapidly rising medical care costs may be overestimated. An alteration in the reimbursement mechanism for all medical care may be indicated to reduce significantly the inflation in medical care costs.
机译：为了应对医疗行业（尤其是住院病人的医疗费用）迅速上涨的成本，里根政府已向国会发送了预期医疗支付计划的第一部分。第一阶段将涉及使用针对特定疾病的预定费率系统来改变医疗保险下的医院费用报销。为消除类似疾病患者在Medicare下的住院费用和医疗费用上涨的差异，已经为467种患者疾病类别或诊断相关组（DRG）设置了报销率。但是，这样的系统仍然受到医院的操纵，这些医院试图增加费用报销，以支付适当的DRG所未涵盖的费用或增加利润。 DRG报销系统无法防止将成本转移给私人保险患者，也不会让医生参与提高成本效率的工作。尽管DRG方法在概念上似乎是适当的，但实施起来会很困难，并且对快速上涨的医疗费用的抑制作用可能被高估了。可以指示对所有医疗服务的报销机制进行更改，以显着减少医疗服务成本的上涨。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号