Nursing Home Cost Studies and Reimbursement Issues
Nursing Home Cost Studies and Reimbursement Issues
复制标题
疗养院成本研究和报销问题
作者：
C. Bishop
本文回顾了养老院成本函数研究表明，某些提供者和服务的特点是系统地与护理的平均成本的差异。这些信息可用于对提供者进行分组，以制定合理的费用相关费率，或调整其费率或费率上限。然而，平均成本和这样的服务特征，如病人组合，服务强度和护理质量之间的关系还没有完全划定。因此，计量经济学成本函数还不能提供利率制定者预测的成本有效提供适合病人需要的护理之家。在任何情况下，报销制度的设计不仅必须以技术信息为基础，而且必须以长期护理的公共政策目标为基础。
This review of nursing home cost function research shows that certain provider and service characteristics are systematically associated with differences in the average cost of care. This information can be used to group providers for reasonable cost related rate-setting or to adjust their rates or rate ceilings. However, relationships between average cost and such service characteristics as patient mix, service intensity, and quality of care have not been fully delineated. Therefore, econometric cost functions cannot yet provide rate-setters with predictions about the cost of the efficient provision of nursing home care appropriate to patient needs. In any case, the design of reimbursement systems must be founded not only on technical information but also on public policy goals for long-term care.