Predicting inpatient hospital payments in the United States: a retrospective analysis
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- 作者：Mark W. Smith ; Bernard Friedman ; Zeynal Karaca…
- 刊名：BMC Health Services Research
- 出版年：2015
- 出版时间：December 2015
- 年：2015
- 卷：15
- 期：1
- 全文大小：444 KB
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Bernard Friedman (2)
Zeynal Karaca (2)
Herbert S. Wong (2)
1. Truven Health Analytics, 7700 Old Georgetown Rd, Suite 650, Bethesda, MD, 20814, USA
2. Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD, 20850, USA - 刊物主题：Public Health; Health Administration; Health Informatics; Nursing Management/Nursing Research;
- 出版者：BioMed Central
- ISSN：1472-6963
文摘
Background The Affordable Care Act (ACA) has increased rates of public and private health insurance in the United States. Increasing coverage could raise hospital revenue and reduce the need to shift costs to insured patients. The consequences of ACA on hospital revenues could be examined if payments were known for most hospitals in the United States. Actual payment data are considered confidential, however, and only charges are widely available. Payment-to-charge ratios (PCRs), which convert hospital charges to an estimated payment, have been estimated for hospitals in 10 states. Here we evaluated whether PCRs can be predicted for hospitals in states that do not provide detailed financial data.