Measuring geographic variations in hospitals' capital costs
نویسنده
چکیده
The Health Care Financing Administration (HCFA) has proposed incorporating hospital capital payments into the Medicare prospective payment system. HCFA's proposal includes an adjustment to capital payments for geographic differences in capital costs, derived from the prospective payment system area hospital wage index. Alternatively, the geographic adjustment could be based on an area construction cost index. Geographic construction cost indexes calculated from the cost per square foot of finished structures or from construction labor and materials input prices are evaluated in this article.
منابع مشابه
Health reform and hospital financing in Georgia.
AIM To analyze hospital financing and delivery of inpatient services, financial requirements of the hospitals, and their ability to meet these requirements were determined. METHODS Data on financial performance of 41 hospitals were collected using a standardized questionnaire. Patient survey, group discussions with hospital administrators, and interviews with policy-makers were also used. R...
متن کاملSeverity variations within DRGs: measurement of hospital effects by use of data on significant secondary diagnoses and procedures.
The Diagnosis Related Group classification has provided an excellent basis for enhancing the equity of resource allocation between public acute hospitals. However, it underestimates the higher levels of severity and consequent costliness of referral hospitals. This paper describes a practical way of measuring within-DRG variations in severity, which can be used to increase the precision of case...
متن کاملHospital financing through the capital market; Explain the underlying factors in financing policy and its ordering
Background: Hospital, as the largest and most important health system unit, has the highest costs. Governments cannot finance all of the costs of this sector, so reforms are inevitable. In this regard, researchers have explained the underlying factors in financing policy and its commanding. Materials & Methods: This study is a descriptive study done by qualitatively and quantitatively method i...
متن کاملThe Relationship between Social Capital and Nurses’ Performance in Hospitals of Mashhad City, Iran
Introduction: One of the most important issues that managers are facing is the improvement of their staffs’ performance that could improve and increase the productivity of the organization. This study was performed with the purpose of determining the relation between social capital and the nurses’ performance in the Hospitals of Mashhad University of Medical Sciences. <st...
متن کاملMore or less?: Methods to compare VA and non-VA health care costs.
OBJECTIVE To examine past comparisons of the costs of the Veterans Health Administration (VA) and of non-VA providers to determine lessons and data requirements for future cost comparisons, particularly those assessing VA efficiency and to determine whether VA should purchase care from non-VA providers. CONCEPTUAL FRAMEWORK Over the past two decades, researchers have tried to establish how VA...
متن کامل