A comprehensive payment model for short- and long-stay psychiatric patients.
Fries, Brant E
Date of Pub
Ashcraft, Marie L; Durance, Paul W; Nerenz, David R
In this article, a payment model is developed for a hospital system with both acute- and chronic-stay psychiatric patients.
"Transition pricing" provides a balance between the incentives of an episode-based system and the necessity of per diem long-term
payments. Payment is dependent on two new psychiatric resident classification systems for short- and long-term stays. Data
on per diem cost of inpatient care, by day of stay, was computed from a sample of 2,968 patients from 100 psychiatric units
in 51 Department of Veterans Affairs (VA) Medical Centers. Using a 9-month cohort of all VA psychiatric discharges nationwide
(79,337 with non-chronic stays), profits and losses were simulated.
Acute Disease/classification/economics : Diagnosis-Related Groups/classification/economics : Episode of Care : Health Services
Research : Hospital Costs/statistics & numerical data : Hospitals, Veterans/economics : Human : Insurance, Health, Reimbursement/statistics
& numerical data : Length of Stay/economics/statistics & numerical data : Long-Term Care/classification/economics : Mental
Disorders/classification/economics : Models, Statistical : Psychiatric Department, Hospital/economics : Rate Setting and Review/methods
: Support, Non-U.S. Gov't : Support, U.S. Gov't, Non-P.H.S. : United States : United States Department of Veterans Affairs