Medicare funding for inpatient rehabilitation: How did we get to this point and what do we do now?
Medicare funding for inpatient rehabilitation: How did we get to this point and what do we do now?
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DOI：
10.1016/j.apmr.2005.01.004
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发表时间：
2005-07-01
影响因子：
4.3
通讯作者：
Braddom, RL
中科院分区：
文献类型：
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作者：
Braddom, RL
Braddom RL。医疗保险为住院病人康复提供资金：我们是如何走到这一步的？我们现在该怎么做？中华医学杂志2005；86:1287-92。这篇2004年Zeiter讲座的编辑文稿旨在强调住院康复设施（irf）当前的困境，以及在应对联邦“75%规则”限制的同时向患者提供服务的尝试。联邦资助住院病人康复的历史可以追溯到1916年第一次尝试将医疗保险国有化到2004年10月讲座时的资助状况。这一过程中的重要事件被重点强调，包括1965年签署的《医疗保险法案》，允许那些依靠社会保障残疾收入的人在残疾24个月后有资格获得医疗保险（1972年）；1982年开始实施医院住院病人预期付款制度和IRF豁免；最初的75%规则于1983年出台；1997年《平衡预算法》的影响；以及2004年75%最终规定的负面影响。美国物理医学和康复学会的成员及其患者迫切需要参与取消或改变75%的规则，这在“行动呼吁”中得到了强调。
Braddom RL. Medicare funding for inpatient rehabilitation: how did we get to this point and what do we do now? Arch Phys Med Rehabil 2005;86:1287-92.This edited transcript of the 2004 Zeiter Lecture is intended to underscore the current plight of inpatient rehabilitation facilities (IRFs) and the attempt to deliver services to patients while coping with the limitations of the federal "75% rule." The history of federal funding for inpatient rehabilitation is traced from the first attempt to nationalize health insurance in 1916 to the funding status at the time of the lecture in October 2004. Important events along the way are highlighted, including the signing of the Medicare Act in 1965, permitting those on Social Security disability income to be eligible for Medicare after being disabled for 24 months (1972); onset of the hospital inpatient prospective payment system and IRF exemption in 1982; advent of the original 75% rule in 1983; impact of the Balanced Budget Act of 1997; and negative impact of the final 75% rule of 2004. The critical need for members of the American Academy of Physical Medicine and Rehabilitation and their patients to be involved in eliminating or changing the 75% rule is stressed in a "call to action.".