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Excluded Facility Financial Status and Options for Payment System Modification

Psychiatric, rehabilitation, long-term care, and children's facilities have remained under the reimbursement system established under the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 (Public Law 97-248). The number of TEFRA facilities and discharges has been increasing while their a...

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Detalles Bibliográficos
Autores principales: Schneider, John E., Cromwell, Jerry, McGuire, Thomas P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1993
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193418/
https://www.ncbi.nlm.nih.gov/pubmed/10135345
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author Schneider, John E.
Cromwell, Jerry
McGuire, Thomas P.
author_facet Schneider, John E.
Cromwell, Jerry
McGuire, Thomas P.
author_sort Schneider, John E.
collection PubMed
description Psychiatric, rehabilitation, long-term care, and children's facilities have remained under the reimbursement system established under the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 (Public Law 97-248). The number of TEFRA facilities and discharges has been increasing while their average profit rates have been steadily declining. Modifying TEFRA would require either rebasing the target amount or adjusting cost sharing for facilities exceeding their cost target. Based on our simulations of alternative payment systems, we recommend rebasing facilities' target amounts using a 50/50 blend of own costs and national average costs. Cost sharing above the target amount could be increased to include more government sharing of losses.
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spelling pubmed-41934182014-11-04 Excluded Facility Financial Status and Options for Payment System Modification Schneider, John E. Cromwell, Jerry McGuire, Thomas P. Health Care Financ Rev Hospital Payment: Beyond the Prospective Payment System Psychiatric, rehabilitation, long-term care, and children's facilities have remained under the reimbursement system established under the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 (Public Law 97-248). The number of TEFRA facilities and discharges has been increasing while their average profit rates have been steadily declining. Modifying TEFRA would require either rebasing the target amount or adjusting cost sharing for facilities exceeding their cost target. Based on our simulations of alternative payment systems, we recommend rebasing facilities' target amounts using a 50/50 blend of own costs and national average costs. Cost sharing above the target amount could be increased to include more government sharing of losses. CENTERS for MEDICARE & MEDICAID SERVICES 1993 /pmc/articles/PMC4193418/ /pubmed/10135345 Text en
spellingShingle Hospital Payment: Beyond the Prospective Payment System
Schneider, John E.
Cromwell, Jerry
McGuire, Thomas P.
Excluded Facility Financial Status and Options for Payment System Modification
title Excluded Facility Financial Status and Options for Payment System Modification
title_full Excluded Facility Financial Status and Options for Payment System Modification
title_fullStr Excluded Facility Financial Status and Options for Payment System Modification
title_full_unstemmed Excluded Facility Financial Status and Options for Payment System Modification
title_short Excluded Facility Financial Status and Options for Payment System Modification
title_sort excluded facility financial status and options for payment system modification
topic Hospital Payment: Beyond the Prospective Payment System
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193418/
https://www.ncbi.nlm.nih.gov/pubmed/10135345
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