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Title
Simulating the impact of case-mix adjusted hospice rates.
First Author
Mor, Vincent
Date of Pub
1986 Winter
Pages
53-64
Volume
8
Issue
2
Other Authors
Laliberte, Linda
Abstract
The Medicare hospice benefit prospectively reimburses hospices based on the inpatient status of the patient, whether or not the patient is at home, and whether the patient is receiving round-the-clock nursing. Using national Hospice Study data, two case-mix adjusters based on patient functioning and living arrangement were found to be significantly related to per diem cost. These were tested by simulating their impact on hospice revenues. Increasing per diem reimbursements 35 percent for nonambulatory patients living alone only increases hospice revenues by 4 percent; hospices with sicker patients benefit the most.
Abstract Continued
N/A
MeSH
Analysis of Variance : Costs and Cost Analysis : Data Collection : Diagnosis-Related Groups/economics : Feasibility Studies : Hospices/economics : Income : Length of Stay/economics : Medicare/economics : Prospective Payment System/methods : Socioeconomic Factors : Statistics : United States : United States Health Care Financing Administration
NTIS Number
PB88-131586