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Article
The Medicare Hospice Payment System: A Consideration of Potential Refinements
Health Care Financing review (2009)
  • Melinda Buntin
  • Nancy Nicosia
  • Elane Reardon
  • Karl Lorenz
  • Joanne Lynn
Abstract

The purpose of this article is to examine variation in resource utilization across and within patient stays in the context of Medicare’s per diem payment system for hospice. Visit-level resource utilization data were linked to patient-level diagnosis and demographics covering more than 68,000 Medicare patients admitted in 2002 and 2003. Our indings suggest that case mix adjustment based on diagnosis and demo­ graphics does not improve our ability to explain variation in resource utilization across stays. However, we do ind that there is substantial variation in resource utiliza­ tion within stays that may not be captured in the current per diem payment system.

Publication Date
Summer 2009
Citation Information
Melinda Buntin, Nancy Nicosia, Elane Reardon, Karl Lorenz, et al.. "The Medicare Hospice Payment System: A Consideration of Potential Refinements" Health Care Financing review Vol. 30 Iss. 4 (2009)
Available at: http://works.bepress.com/melinda_buntin1/28/