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首页> 外文期刊>Journal of health economics >Effects of Medicare payment reform: Evidence from the home health interim and prospective payment systems
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Effects of Medicare payment reform: Evidence from the home health interim and prospective payment systems

机译：医疗保险支付改革的影响：家庭健康中期和预期支付系统的证据

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摘要

Medicare continues to implement payment reforms that shift reimbursement from fee-for-service toward episode-based payment, affecting average and marginal payment. We contrast the effects of two reforms for home health agencies. The home health interim payment system in 1997 lowered both types of payment; our conceptual model predicts a decline in the likelihood of use and costs, both of which we find. The home health prospective payment system in 2000 raised average but lowered marginal payment with theoretically ambiguous effects; we find a modest increase in use and costs. We find little substantive effect of either policy on readmissions or mortality.
机译：Medicare继续实施支付改革，将报销从按服务付费转变为基于事件的支付，从而影响平均和边际支付。我们对比了两项针对家庭保健机构的改革的效果。 1997年的家庭保健临时付款制度降低了两种付款方式；我们的概念模型预测使用和成本的可能性都会下降，而这两者我们都发现。 2000年的家庭健康预期付款系统提高了平均水平，但降低了边际付款，从理论上讲是模棱两可的；我们发现使用和成本有所增加。我们发现，无论是再入院率还是死亡率，政策都没有实质性影响。

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  • 来源
    《Journal of health economics》 |2014年第3期|1-18|共18页
  • 作者

    Peter J. Huckfeldt; Neeraj Sood; Jose J. Escarce; David C. Grabowski; Joseph P. Newhouse;

  • 作者单位

    RAND Corporation, 1776 Main Street, Santa Monica,CA 90401, United States;

    RAND Corporation, Santa Monica, CA, United States,University of Southern California (USC), Los Angeles, CA, United States,National Bureau of Economic Research (NBER), Cambridge, MA, United States;

    RAND Corporation, Santa Monica, CA, United States,National Bureau of Economic Research (NBER), Cambridge, MA, United States,University of California - Los Angeles, Los Angeles, CA, United States;

    Harvard University, Boston, MA, United States;

    National Bureau of Economic Research (NBER), Cambridge, MA, United States,Harvard University, Boston, MA, United States;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Medicare; Treatment intensity; Selection; Prospective payment;

    机译：医疗保险;治疗强度;选择;预期付款;

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