Nursing home case-mix differences between Medicare and non-Medicare and between hospital-based and freestanding patients.
Nursing home case-mix differences between Medicare and non-Medicare and between hospital-based and freestanding patients.
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医疗保险和非医疗保险之间以及医院患者和独立患者之间的疗养院病例组合差异。
DOI：
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发表时间：
1985
期刊：
影响因子：
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通讯作者：
M. B. Polesovsky
中科院分区：
文献类型：
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作者：
P. Shaughnessy;A. Kramer;R. Schlenker;M. B. Polesovsky
1983年，对来自6个州26家疗养院的756名患者的样本进行了评估，评估了医疗保险和非医疗保险疗养院患者之间以及医院和独立疗养院患者之间的病例组合差异。医疗保险和非医疗保险患者之间以及医院和独立的疗养院患者之间存在显着差异。因此，两个属性，医疗保险患者天数的百分比和养老院是否是医院为基础的或独立的，可能应该考虑到作为设施级的情况下，组合指标，在确定医疗保险报销，直到一个更完善的方法，以病例组合报销可以开发。基于医院/独立的病例组合差异还表明，医疗补助报销应认识到这两种类型的设施之间成本结构的潜在差异。
Case-mix differences between Medicare and non-Medicare nursing home patients and between hospital-based and freestanding nursing home patients were assessed for a sample of 756 patients from 26 nursing homes in six states in 1983. Significant differences were found between Medicare and non-Medicare patients and between hospital-based and freestanding nursing home patients. Thus, two attributes, the percentage of Medicare patient days and whether a nursing home is hospital-based or freestanding, probably should be taken into consideration as facility-level case-mix indicators in determining Medicare reimbursement until a more refined approach to case-mix reimbursement can be developed. Hospital-based/freestanding case-mix differences also suggest that Medicaid reimbursement should recognize potential differences in cost structure between these two types of facilities.