A Comprehensive Payment Model for Short- and Long-Stay Psychiatric Patients

In this article, a payment model is developed for a hospital system with both acute- and chronic-stay psychiatric patients. “Transition pricing” provides a balance between the incentives of an episode-based system and the necessity of per diem long-term payments. Payment is dependent on two new psyc...

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Detalles Bibliográficos
Autores principales: Fries, Brant E., Durance, Paul W., Nerenz, David R., Ashcraft, Marie L.F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1993
Materias:
Hospital Payment: Beyond the Prospective Payment System
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193426/
https://www.ncbi.nlm.nih.gov/pubmed/10135343
Descripción
Sumario:In this article, a payment model is developed for a hospital system with both acute- and chronic-stay psychiatric patients. “Transition pricing” provides a balance between the incentives of an episode-based system and the necessity of per diem long-term payments. Payment is dependent on two new psychiatric resident classification systems for short- and long-term stays. Data on per diem cost of inpatient care, by day of stay, was computed from a sample of 2,968 patients from 100 psychiatric units in 51 Department of Veterans Affairs (VA) Medical Centers. Using a 9-month cohort of all VA psychiatric discharges nationwide (79,337 with non-chronic stays), profits and losses were simulated.

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