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首页> 外文期刊>Journal of health economics >Does how much and how you pay matter? Evidence from the inpatient rehabilitation care prospective payment system
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Does how much and how you pay matter? Evidence from the inpatient rehabilitation care prospective payment system

机译:多少钱和付款方式有关系吗?住院康复护理前瞻性支付系统的证据

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摘要

We use the implementation of a new prospective payment system (PPS) for inpatient rehabilitation facilities (IRFs) to investigate the effect of changes in marginal and average reimbursement on costs. The results show that the IRF PPS led to a significant decline in costs and length of stay. Changes in marginal reimbursement associated with the move from a cost-based system to a PPS led to a 7-11% reduction in costs. The elasticity of costs with respect to average reimbursement ranged from 0.26 to 0.34. Finally, the IRF PPS had little or no impact on mortality or the rate of return to community residence.
机译:我们使用针对住院康复设施(IRF)的新的预期付款系统(PPS)的实施情况,以调查边际费用和平均费用变化对费用的影响。结果表明,IRF PPS导致费用和住院时间显着下降。从基于成本的系统过渡到PPS带来的边际报销变化导致成本降低了7-11%。费用相对于平均偿还额的弹性范围为0.26至0.34。最后,IRF PPS对死亡率或返回社区居住率几乎没有影响。

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