Medicare's Policy Not To Pay For Treating Hospital-Acquired Conditions: The Impact
Medicare's Policy Not To Pay For Treating Hospital-Acquired Conditions: The Impact
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DOI：
10.1377/hlthaff.28.5.1485
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发表时间：
2009-09-01
期刊：
影响因子：
9.7
通讯作者：
Bindman, Andrew B.
中科院分区：
文献类型：
--
作者：
McNair, Peter D.;Luft, Harold S.;Bindman, Andrew B.
2008年，医疗保险停止了对医院治疗八种可避免的医院获得性疾病的补偿。使用2006年加州的数据，我们模拟了这一政策对六个条件的财务影响。医院获得性疾病在急性住院医疗保险出院中占0.11%;其中只有3%受到政策的影响。付款减少是微不足道的（0.001%，或10万美元，相当于全国110万美元），不太可能鼓励供应商提高质量。加强激励措施的选择包括进一步修改医院获得性疾病的支付方式，或扩大医院获得性疾病政策，以排除对后果、额外程序和再入院的支付。[Health Afff（Millwood）. 2009; 28（5）：1485-93; 10.1377/hlthaff.28.5.1485]
In 2008 Medicare stopped reimbursing hospitals for treating eight avoidable hospital-acquired conditions. Using 2006 California data, we modeled the financial impact of this policy on six such conditions. Hospital-acquired conditions were present in 0.11 percent of acute inpatient Medicare discharges; only 3 percent of these were affected by the policy. Payment reductions were negligible (0.001 percent, or $0.1 million-equivalent to $1.1 million nationwide) and are unlikely to encourage providers to improve quality. Options to strengthen the incentives include further payment modifications for hospital-acquired conditions or expanding the hospital-acquired condition policy to exclude payment for consequences, additional procedures, and readmissions. [Health Aff (Millwood). 2009; 28(5):1485-93; 10.1377/hlthaff.28.5.1485]