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首页> 美国政府科技报告 >Change in Profitability and Financial Distress of Critical Access Hospitals from Loss of Cost-Based Reimbursement.
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Change in Profitability and Financial Distress of Critical Access Hospitals from Loss of Cost-Based Reimbursement.

机译：关键准入医院的盈利能力和财务困境的变化，以免基于成本的报销。

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This brief is part of a series of three briefs providing information for policy makers and stakeholders as policy changes for Critical Access Hospitals (CAHs) are considered. This one focuses on the projected financial impact that a reduction in Medicare payments might have on CAHs. The others focus on the potential increases in beneficiary travel distance if financially-vulnerable CAHs close, and the rural-urban differences in inpatient costs and use among Medicare beneficiaries. Concerns about the use of the Medicare Prospective Payment System (PPS) for rural hospitals arose in the 1990s. Rural and small hospitals face factors, such as diseconomies of scale, which could hinder financial performance in comparison to urban and larger hospitals. For these reasons, federal law makers created special payment classifications under the Medicare program, recognizing that many rural hospitals are the only health facility in their community, and their survival is vital to ensure access to health care. One of these classifications was created under the Medicare Rural Hospital Flexibility Program: Critical Access Hospital (CAH).

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