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Medicare's disproportionate share adjustment and the cost of low-income patients.
Kominski, G F; Long, S H.
Afiliación
  • Kominski GF; UCLA, Los Angeles, CA 90095, USA. kominski@ucla.edu
J Health Econ ; 16(2): 177-90, 1997 Apr.
Article en En | MEDLINE | ID: mdl-10169093
We investigated whether or not hospitals have higher costs for inpatient care provided low-income Medicare patients, after controlling for other cost differences already accounted for by Medicare payments. We estimated differences in Prospective Payment System-adjusted costs and outlier-adjusted length of stay for low-income patients relative to matching non-low-income cases from the same hospital in 85 high-volume diagnosis-related groups (N = 1,247,670). Low-income Medicare patients do not have costlier hospital stays, although their stays are 2.5% longer. We conclude that disproportionate share payments are not justified on grounds of higher treatment costs.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pobreza / Sistema de Pago Prospectivo / Medicare Part A / Costos de Hospital Tipo de estudio: Diagnostic_studies / Health_economic_evaluation Aspecto: Determinantes_sociais_saude País/Región como asunto: America do norte Idioma: En Revista: J Health Econ Asunto de la revista: HOSPITAIS / SERVICOS DE SAUDE Año: 1997 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos
Buscar en Google
Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pobreza / Sistema de Pago Prospectivo / Medicare Part A / Costos de Hospital Tipo de estudio: Diagnostic_studies / Health_economic_evaluation Aspecto: Determinantes_sociais_saude País/Región como asunto: America do norte Idioma: En Revista: J Health Econ Asunto de la revista: HOSPITAIS / SERVICOS DE SAUDE Año: 1997 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos